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DOI: 10.1055/s-0038-1640930
Analysis of symptoms and dynamic of the perforations size in 169 patients with septal perforations after closure with an individually adapted septum button (ISB)
Introduction:
Patients with septal perforations suffer from a spectrum of symptoms directly and indirectly linked to the perforation. Many do not wish a surgical closure, surgery has failed before or comorbidities discourage surgery.
Objective:
The aim of this study was to evaluate symptoms and the dynamics of the perforation size over time after fitting an ISB.
Methods:
Prospective analysis of nasal symptoms with the modified SNOT-20 GAV. Items such as “blocked nose”, “nosebleeding”, “whistling”, “nose pain”, “temperature-sensitivity”, “foreign body sensation” and “change in perception of smell and taste” were added for evaluation of specific symptoms. A plaster model in combination with a scanner was used to measure the perforation.
Results:
169 patients with septal perforations were evaluated. 51 patients with an average age of 57.7 years completed the questionnaire (53% male; 47% female). Except for the symptoms “sneezing” and “ear pain” the SNOT-20 GAV showed a significant improvement in 25 out of 27 evaluated items. The average perforation size of 158 perforations was 164.9mm2. Except an increase in two cases (1.3%) and a decrease in one case (0.6%), perforation sizes remained stable during the follow- up period of 4 years.
Conclusion:
This study demonstrates a significant increase in symptom-reduction in patients with septal perforations after an ISB was fitted. Furthermore, we observed stable septal perforation sizes over the observed period in most patients. Thus, fitting an ISB is a viable alternative for patients unfit or unwilling for a surgical closure of the septal perforation.
Publication History
Publication Date:
18 April 2018 (online)
© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York