Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S350
DOI: 10.1055/s-0038-1640930
Abstracts
Rhinologie: Rhinology

Analysis of symptoms and dynamic of the perforations size in 169 patients with septal perforations after closure with an individually adapted septum button (ISB)

C Vogt
1   Charité Campus Benjamin Franklin, Berlin
,
K Heisterkamp
1   Charité Campus Benjamin Franklin, Berlin
,
V Hofmann
1   Charité Campus Benjamin Franklin, Berlin
,
A Albers
1   Charité Campus Benjamin Franklin, Berlin
› Author Affiliations
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    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.


     

    No conflict of interest has been declared by the author(s).

    Dr.med. Caroline Vogt
    Charité Campus Benjamin Franklin,
    Hindenburgdamm 30, 12200,
    Berlin

    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/).

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