Facial Plast Surg 2020; 36(01): 078-083
DOI: 10.1055/s-0040-1701491
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Concomitant Rhinoplasty and Septal Perforation Repair

Russell W.H. Kridel
1   Facial Plastic Surgery Associates, Houston, Texas
2   Division of Facial Plastic Surgery, Department of Otorhinolaryngology—Head and Neck Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, Texas
,
3   Huntington Ear Nose Throat Head & Neck Specialists, Pasadena, California
› Author Affiliations
Further Information

Publication History

Publication Date:
19 March 2020 (online)

Abstract

The rhinoplasty surgeon may encounter nasal septal perforations (NSPs) during the examination of the prospective rhinoplasty candidate, many of whom have had prior septal surgery. While small NSPs may be asymptomatic, larger NSPs may cause nasal obstruction, crusting, bleeding, or external nasal deformities. Septal perforation repair and rhinoplasty can be safely and effectively performed simultaneously for the appropriate surgical candidate. In this article, we review the important considerations when determining the surgical candidacy for concomitant rhinoplasty and septal perforation repair.

 
  • References

  • 1 Kridel RWH. Considerations in the etiology, treatment, and repair of septal perforations. Facial Plast Surg Clin North Am 2004; 12 (04) 435-450 , vi
  • 2 Kridel RWH, Delaney SW. Simultaneous septal perforation repair with septorhinoplasty: a 31-year experience. Facial Plast Surg 2018; 34 (03) 298-311
  • 3 Døsen LK, Haye R. Nasal septal perforation 1981-2005: changes in etiology, gender and size. BMC Ear Nose Throat Disord 2007; 7: 1
  • 4 Kridel RWH. Closure of septal perforation. In: Larrabee WF Jr., Ridgway JM, Patel SA, eds. Master Techniques in Otolaryngology—Head and Neck Surgery: Facial Plastic Surgery. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2017
  • 5 Cannon DE, Frank DO, Kimbell JS, Poetker DM, Rhee JS. Modeling nasal physiology changes due to septal perforations. Otolaryngol Head Neck Surg 2013; 148 (03) 513-518
  • 6 Goh AY, Hussain SS. Different surgical treatments for nasal septal perforation and their outcomes. J Laryngol Otol 2007; 121 (05) 419-426
  • 7 Belmont JR. An approach to large nasoseptal perforations and attendant deformity. Arch Otolaryngol 1985; 111 (07) 450-455
  • 8 Kridel RWH, Delaney SW. Discussion: acellular human dermal allograft as a graft for nasal septal perforation reconstruction. Plast Reconstr Surg 2018; 141 (06) 1525-1527
  • 9 Conrad DJ, Zhang H, Côté DWJ. Acellular human dermal allograft as a graft for nasal septal perforation reconstruction. Plast Reconstr Surg 2018; 141 (06) 1517-1524
  • 10 Kridel RWH, Foda H, Lunde KC. Septal perforation repair with acellular human dermal allograft. Arch Otolaryngol Head Neck Surg 1998; 124 (01) 73-78
  • 11 Kim SW, Rhee CS. Nasal septal perforation repair: predictive factors and systematic review of the literature. Curr Opin Otolaryngol Head Neck Surg 2012; 20 (01) 58-65
  • 12 Delaney SW, Kridel RWH. Contemporary trends in the surgical management of nasal septal perforations: a community survey. Facial Plast Surg 2019; 35 (01) 78-84
  • 13 Fairbanks DNF. Nasal septal perforation repair: 25-year experience with the flap and graft technique. Am J Cosmet Surg 1994; 11: 189-194
  • 14 Baker SR, Graney DO. Anatomy of the Nose. Otolaryngology Head and Neck Surgery. 3rd ed. Philadelphia, PA: Elsevier; 1997