Yıl 2019, Cilt 3 , Sayı 5, Sayfalar 390 - 392 2019-05-28

Risk factors for nasal septal perforation after septoplasty operation
Septoplasti sonrası nazal septal perforasyonlardaki risk faktörleri

Erkan Yıldız [1] , Şahin Ulu [2] , Orhan Kemal Kahveci [3]


Aim: Nasal septal perforation is the most common complication in the long term after septoplasty. Nasal septal perforation is the partial opening of the wall between both nasal cavities. In this study, we will evaluate the causes of septal perforation after septoplasty.

Methods: 400 patients aged between 18 and 50 years who underwent septoplasty operation in Otorhinolaryngology clinic between 2016 and 2019 were evaluated. The study was performed as a retrospective cohort. These patients were divided into groups with and without perforation. Patients with perforation were evaluated in terms of age, gender, alcohol and cigarette use, and stabilization technique used in surgery.

Results: There were 280 male and 120 female patients in the study. 378 patients had no postoperative septal perforation. 22 had perforation after surgery. 19 of the patients in the perforated group were male and 3 were female. Male sex ratio was significantly dominant in perforated patients (19/3) (P=0.022). 21 of the patients were smoking and 1 patient was not drinking. (P=0.012). 11 of these patients were drinking alcohol and 10 of them did not drink alcohol. To stabilize the septum in patients with perforation while transseptal suturation + nasal splint was used in 14 patients, only nasal splint was used in 8 patients. The perforation rate after surgery was 22/400 (1.3%) (21/1) (P=0.012). There was no significant difference in the perforation rate among the patients with alcohol intake (P=0.082). There was significant difference between the methods used to stabilize the septum. The rate of perforation was significantly increased in patients who underwent transseptal suturation (P=0.023). 

Conclusion: Patients with perforation after septoplasty were found to increase the risk of perforation by male sex, smoking and surgical technique as transseptal suturing technique.

Amaç: Septoplastinin sonrası uzun dönemde en sık görülen komplikasyon nazal septal perforasyonudur. Nazal septal perforasyon her iki nazal kavite arasındaki duvarın kısmen açılmasıdır. Bu çalışmamızda septoplasti sonrası ortaya çıkan septal perforasyonun nedenlerini inceleyeceğiz.

Yöntemler: Çalışma için 2016-2019 yılları arasında Kulak Burun Boğaz kliniğinde septoplasti operasyonu olan 18-50 yaş arası 400 hasta incelendi. Çalışma retrospektif-kohort olarak yapıldı. Bu hastalar perforasyonu olan ve olmayan iki gruba ayrıldı. Perforasyonu olan hastaların sigara ve alkol kullanımı, cinsiyet ve septum stabilizasyonu için kullanılan teknik açısından incelendi.

Bulgular: Hastaların 280 i erkek ve 120 si kadındı. Hastaların 378inde cerrahi sonrası septal perforasyon yoktu. 22sinde cerrahi sonrası perforasyon mevcuttu. Perforasyon olan gruptaki hastalardan 19u erkek 3 ü bayandı. Bu hastaların 21’i sigara içerken, 1 hasta içmiyordu. Bu hastaların 11 i alkol alırken 10 u alkol almıyordu. Perfore olan hastalarda septumu stabilize etmek için 14 hastada transseptal suturasyon + nazal doyle splint kullanılırken 8 hastada sadece nazal doyle splint kullanıldı. Yapılan cerrahi sonrası perforasyon oranı 22/400 (%1,3) idi. Perfore olan hastalarda erkek cinsiyet oranı anlamlı derecede baskındı (19/3) (P=0,022). Perfore olan gruptaki hastalarda sigara içen grup anlamlı derecede artmıştı (21/1) (P=0,012). Bu gruptaki hastalarda perforasyon oranı artışında, alkol alımı olanlarda anlamlı derecede farklılık izlenmedi (P=0,082). Septumu stabilize etmek için kullanılan yöntemler arasında anlamlı farklılık izlendi (P=0,023). Transseptal suturasyon yapılanlarda perforasyon oranı anlamlı derecede arttı (P=0,036).

Sonuç: Septoplasti sonrası perforasyonu olan hastalar incelendiğinde erkek cinsiyet, sigara kullanımı ve cerrahi teknik olarak transseptal suturasyonun perforasyon riskini artırdığı gözlendi.

  • 1. Pereira C, Santamaría A, Langdon C, López-Chacón M, Hernández-Rodríguez J, Alobid I. Nasoseptal Perforation: from Etiology to Treatment. Curr Allergy Asthma Rep. 2018 Feb 5;18(1):5.
  • 2. Lanier B, Kai G, Marple B, Wall GM. Pathophysiology and progression of nasal septal perforation. Ann Allergy Asthma Immunol. 2007;99(6):473-80.
  • 3. Tastan E, Aydogan F, Aydin E, et al. Inferior turbinate composite graft for repair of nasal septal perforation. Am J Rhinol Allergy. 2012;26:237-42.
  • 4. Kaya E, Cingi C, Olgun Y, et al. Three layer interlocking: a novel technique for repairing a nasal septum perforation. Ann Otol Rhinol Laryngol. 2015;124:212-5.
  • 5. Cassano M. Endoscopic repair of nasal septal perforation. Acta Otorhinolaryngol Ital. 2017;37(6):486.
  • 6. Lumsden A, Shakeel M, Ah-See KL, Supriya M, Ah-See KW, Ram B. Management of Nasal Septal Perforation: Grampian Experience. Austin J Otolaryngol. 2015;2(4):1041.
  • 7. Sapmaz E, Toplu Y, Somuk BT. A new classification for septal perforation and effects of treatment methods on quality of life. Braz J Otorhinolaryngol. 2018. Doi: 10.1016/j.bjorl.2018.06.003
  • 8. Kridel, Russell WH. Considerations in the etiology, treatment, and repair of septal perforations. Facial Plast Surg Clin North Am. 2004;12(4):435-50.
  • 9. Ribeiro JS, Silva GS. Technical advances in the correction of septal perforation associated with closed rhinoplasty. Arch Facial Plast Surg. 2007;9:321–7.
  • 10. Re M, Paolucci L, Romeo R, Mallardi V. Surgical treatment of nasal septal perforations. Our experience. Acta Otorhinolaryngol Ital 2006;26:102-9.
  • 11. Bohluli B, et al. Management of perforations of the nasal septum: can extracorporeal septoplasty be an effective option?. J Oral Maxillofac Surg. 2014;72(2):391-5.
  • 12. Ozdemir S, Celik H, Cengiz C, Zeybek ND, Bahador E, Aslan N. Histopathological effects of septoplasty techniques on nasal septum mucosa: an experimental study. Eur Arch Otorhinolaryngol. 2019;276(2):421-7.
  • 13. Yazici ZM, Sayin I, Erdim I, Gunes S, Kayhan FT. The effect of tobacco smoking on septoplasty outcomes: a prospective controlled study. Hippokratia. 2015;19(3):219.
  • 14. Cetiner, H., Cavusoglu, I., Duzer, S.The effect of smoking on perforation development and healing after septoplasty. American journal of Rhinology & Allergy. 2017;31(1):63-5.
  • 15. Dadgarnia M, Meybodian M, Karbasi A, Baradaranfar M, Atighechi S, Zand V, Vaziribozorg S. Comparing nasal packing with trans-septal suturing following septoplasty: a randomized clinical trial. Eur Arch Otorhinolaryngol. 2017 Sep;274(9):3513-8.
  • 16. Kayahan B, Ozer S, Suslu AE, Ogretmenoglu O, Onerci M. The comparison of the quality of life and intranasal edema between the patients with or without nasal packing after septoplasty. Eur Arch Otorhinolaryngol. 2017;274(3):1551-5.
  • 17. Deniz M, Çiftçi Z, Işık A, Demirel OB, Gültekin E. The impact of different nasal packings on postoperative complications. Am J Otolaryngol. 2014;35(5):554-7.
  • 18. Chen, PG, Floreani S, Wormald PJ. The utility of enlarging symptomatic nasal septal perforations. Ear Nose Throat J. 2018;97(3):E41-3.
Birincil Dil en
Konular Kulak, Burun, Boğaz
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0002-0265-7327
Yazar: Erkan Yıldız
Kurum: AFYONKARAHİSAR ŞUHUT DEVLET HASTANESİ
Ülke: Turkey


Orcid: 0000-0003-0193-1942
Yazar: Şahin Ulu
Kurum: TIP FAKÜLTESİ
Ülke: Turkey


Orcid: 0000-0002-6159-133X
Yazar: Orhan Kemal Kahveci
Kurum: TIP FAKÜLTESİ
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 28 Mayıs 2019

Bibtex @araştırma makalesi { josam567210, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2019}, volume = {3}, pages = {390 - 392}, doi = {10.28982/josam.567210}, title = {Risk factors for nasal septal perforation after septoplasty operation}, key = {cite}, author = {Yıldız, Erkan and Ulu, Şahin and Kahveci, Orhan Kemal} }
APA Yıldız, E , Ulu, Ş , Kahveci, O . (2019). Risk factors for nasal septal perforation after septoplasty operation. Journal of Surgery and Medicine , 3 (5) , 390-392 . DOI: 10.28982/josam.567210
MLA Yıldız, E , Ulu, Ş , Kahveci, O . "Risk factors for nasal septal perforation after septoplasty operation". Journal of Surgery and Medicine 3 (2019 ): 390-392 <http://jsurgmed.com/tr/issue/44971/567210>
Chicago Yıldız, E , Ulu, Ş , Kahveci, O . "Risk factors for nasal septal perforation after septoplasty operation". Journal of Surgery and Medicine 3 (2019 ): 390-392
RIS TY - JOUR T1 - Risk factors for nasal septal perforation after septoplasty operation AU - Erkan Yıldız , Şahin Ulu , Orhan Kemal Kahveci Y1 - 2019 PY - 2019 N1 - doi: 10.28982/josam.567210 DO - 10.28982/josam.567210 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 390 EP - 392 VL - 3 IS - 5 SN - -2602-2079 M3 - doi: 10.28982/josam.567210 UR - https://doi.org/10.28982/josam.567210 Y2 - 2019 ER -
EndNote %0 Journal of Surgery and Medicine Risk factors for nasal septal perforation after septoplasty operation %A Erkan Yıldız , Şahin Ulu , Orhan Kemal Kahveci %T Risk factors for nasal septal perforation after septoplasty operation %D 2019 %J Journal of Surgery and Medicine %P -2602-2079 %V 3 %N 5 %R doi: 10.28982/josam.567210 %U 10.28982/josam.567210
ISNAD Yıldız, Erkan , Ulu, Şahin , Kahveci, Orhan Kemal . "Risk factors for nasal septal perforation after septoplasty operation". Journal of Surgery and Medicine 3 / 5 (Mayıs 2019): 390-392 . https://doi.org/10.28982/josam.567210
AMA Yıldız E , Ulu Ş , Kahveci O . Risk factors for nasal septal perforation after septoplasty operation. J Surg Med. 2019; 3(5): 390-392.
Vancouver Yıldız E , Ulu Ş , Kahveci O . Risk factors for nasal septal perforation after septoplasty operation. Journal of Surgery and Medicine. 2019; 3(5): 392-390.