Septal Perforation Repair Using A Temporoparietal Fascia And Polydioxanone Plate Construct: A Multi-institutional Analysis
Facial Plastic Surgery and Aesthetic Medicine
Background: Nasal septal perforations (NSPs) are notoriously difficult to fix and closure can paradoxically lead to worsening of symptoms, prompting numerous techniques for repair including temporoparietal fascia (TPF)-polydioxanone (PDS) plate interposition grafting. Objectives: To compare rates of NSP closure with TPF-PDS interposition grafting among a variety of institutions with diverse environmental influences and patient-specific factors. Methods: Retrospective review of patients undergoing TPF-PDS interposition grafting at seven different U.S. institutions over 5 years. Outcomes include closure rate, self-reported symptom improvement, change in Nasal Obstruction Symptomatic Evaluation (NOSE) score, and postoperative complications. Results: Sixty-two patients (39 female) with a mean age of 41.5 years were included. Most common perforation location was anterior (53%), and average size was 1.70 cm2. NSP closure with symptomatic improvement was achieved in 95% of participants. Postoperative NOSE scores decreased on average by 42 points. Residual crusting occurred in 29% of patients, independent of external factors. Conclusions: TPF-PDS interposition grafting is highly effective for NSP repair in a wide variety of settings, and NOSE scores correspond well with patient-reported outcomes.
Davis, Seth J.; Rossi Meyer, Monica; Misch, Emily; McLeod, Megan; Occhiogrosso, Jessica; Yau, Jenny; Mims, Marc; Dedhia, Raj D.; Sowder, Justin C.; Shockley, Ross; Cerrati, Eric; Shaye, David; Shockley, William; Owen, Scott; and Stephan, Scott J., "Septal Perforation Repair Using A Temporoparietal Fascia And Polydioxanone Plate Construct: A Multi-institutional Analysis" (2023). School of Medicine Faculty Publications. 993.