A novel sandwich graft technique in repair of nasal septal perforation

Abstract Objective Assess the efficacy of the sandwich graft technique from the concha of auricle or the rest of nasal septum of 2-mm thickness of cartilage with both layers of its perichondrium in the treatment of moderate perforations of the nasal septum (diameter: 1 to 2 cm). Background Nasal sep...

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Main Authors: Essam Abd El Wanes Behery, Ibrahim Ahmed Abd Elshafy, Ahmed Elsayed Elsayed Elesawy, Ashraf Ali Aldemerdash
Format: Article
Language:English
Published: SpringerOpen 2025-04-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-024-00653-x
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author Essam Abd El Wanes Behery
Ibrahim Ahmed Abd Elshafy
Ahmed Elsayed Elsayed Elesawy
Ashraf Ali Aldemerdash
author_facet Essam Abd El Wanes Behery
Ibrahim Ahmed Abd Elshafy
Ahmed Elsayed Elsayed Elesawy
Ashraf Ali Aldemerdash
author_sort Essam Abd El Wanes Behery
collection DOAJ
description Abstract Objective Assess the efficacy of the sandwich graft technique from the concha of auricle or the rest of nasal septum of 2-mm thickness of cartilage with both layers of its perichondrium in the treatment of moderate perforations of the nasal septum (diameter: 1 to 2 cm). Background Nasal septal perforations (NSPs) are bilateral mucosal deformities accompanied by cartilage or defect in the bone. The only permanent solution for NSP is the surgical repair of the defect. Methods Thirteen instances with moderate nasal septal perforations (1 to 2 cm in diameter) which were managed using an endoscope-assisted intranasal approach as well as the sandwich technique from April 2022 to April 2024 were enrolled in the study. Following up lasted for 3 months. Results In 13 instances, the sandwich technique was implemented. Twelve cases were entirely cured (92.3%). A matter is partially closed. Conclusions Fixing moderate nasal septal perforation (1 to 2 cm) with an endoscopic sandwich graft is a straightforward procedure with an elevated probability of achievement.
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series The Egyptian Journal of Otolaryngology
spelling doaj-art-34cf5bbb8adf4affb1907d9bcc2b72022025-08-20T03:10:07ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-04-014111910.1186/s43163-024-00653-xA novel sandwich graft technique in repair of nasal septal perforationEssam Abd El Wanes Behery0Ibrahim Ahmed Abd Elshafy1Ahmed Elsayed Elsayed Elesawy2Ashraf Ali Aldemerdash3Otorhinolaryngology Department, Faculty of Medicine, Menoufia UniversityOtorhinolaryngology Department, Faculty of Medicine, Menoufia UniversityOtorhinolaryngology Department, Shebin Elkom Teaching HospitalOtorhinolaryngology Department, Faculty of Medicine, Menoufia UniversityAbstract Objective Assess the efficacy of the sandwich graft technique from the concha of auricle or the rest of nasal septum of 2-mm thickness of cartilage with both layers of its perichondrium in the treatment of moderate perforations of the nasal septum (diameter: 1 to 2 cm). Background Nasal septal perforations (NSPs) are bilateral mucosal deformities accompanied by cartilage or defect in the bone. The only permanent solution for NSP is the surgical repair of the defect. Methods Thirteen instances with moderate nasal septal perforations (1 to 2 cm in diameter) which were managed using an endoscope-assisted intranasal approach as well as the sandwich technique from April 2022 to April 2024 were enrolled in the study. Following up lasted for 3 months. Results In 13 instances, the sandwich technique was implemented. Twelve cases were entirely cured (92.3%). A matter is partially closed. Conclusions Fixing moderate nasal septal perforation (1 to 2 cm) with an endoscopic sandwich graft is a straightforward procedure with an elevated probability of achievement.https://doi.org/10.1186/s43163-024-00653-xEndoscopesNasal septal perforationsNasal septumPerforationReconstructive surgical procedure
spellingShingle Essam Abd El Wanes Behery
Ibrahim Ahmed Abd Elshafy
Ahmed Elsayed Elsayed Elesawy
Ashraf Ali Aldemerdash
A novel sandwich graft technique in repair of nasal septal perforation
The Egyptian Journal of Otolaryngology
Endoscopes
Nasal septal perforations
Nasal septum
Perforation
Reconstructive surgical procedure
title A novel sandwich graft technique in repair of nasal septal perforation
title_full A novel sandwich graft technique in repair of nasal septal perforation
title_fullStr A novel sandwich graft technique in repair of nasal septal perforation
title_full_unstemmed A novel sandwich graft technique in repair of nasal septal perforation
title_short A novel sandwich graft technique in repair of nasal septal perforation
title_sort novel sandwich graft technique in repair of nasal septal perforation
topic Endoscopes
Nasal septal perforations
Nasal septum
Perforation
Reconstructive surgical procedure
url https://doi.org/10.1186/s43163-024-00653-x
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