According to the literature source of study performed between 2011 and 2017, a study analyzed 54 patients who underwent cartilage sparing septal perforation repair using rotation flaps and a collagen interposition graft using permacol.
The primary outcome measure was an intact nasal septum one year post-operatively.
The perforation size ranged from pin-hole to greater than 4 cm.
Post-operative complications included 2 infections which were treated with oral antibiotics and failure of repair.
Post-operative complications included 2 infections which were treated with oral antibiotics and failure of repair.
Intact septum occurred in: 70% with perforations less than 1 cm, 77% with perforations 1-2 cm, 82% with perforations 2-3 cm, 0% with perforations above 3 cm.
The author stated, ¿it was unclear why the failure rate for very small perforations was relatively high¿.
Three patients with large perforations required a revision surgery though the author states other techniques may be more suitable for perforations greater than 3 cm.
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