Vol.99 No.12 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 99 No. 12 December 2006
Experience of Nasal Septum Perforation Choke Technique
by Isolation Auricular Cartilage Transplant
Yosuke Nakashimo, Yoshio Nakao, Noriaki Tanimitu and
Nobuharu Tagashira
(Hiroshima Red Cross Hospital and the Atomic-Bomb Survivors Hospital)
Yuko Kobayashi
(Kobayashi ENT Clinic)
Nasal septum perforation occurs via many causes such as during surgery head trauma or through systemic disease.
Crusting or hemorrhage occurs from the perforated region, and a lot of cases decrease the quality of life of patients remarkably.
In addition, a perforation choke operation is chosen for cases whereby control is poor only by conservative treatment such as a topical treatment or chemical administration as therapy. As for the perforation choke operation, various operation methods have been reported. Perforation cause, size, and perforation ambient histionic property vary among cases leading to difficulty in the choice of operation methods.
We report one example of nasal septum perforation that we were able to close by isolation via auricular cartilage transplant.
The case was a 64 year old woman. The chief complaint was recurrent epistaxis. We completely closed the nasal septum perforation by isolation auricular cartilage transplant and achieved symptomatic improvement.
As we were able to close the perforation good cartilaginous survival with the perichondrium was suggested.
Key words :
nasal septum perforation, isolation auricular cartilage transplant, perforation choke operation