Abstract
Objectives: The current study aimed to compare among different graft materials (tragus perichondrium, human acellular dermal grafi and inferi¬or turbinate fap) used for the repair of the nasoseptal perforation by an external approach.
Patients and Methods: The study included 30 patients with traumat¬ic nasal septal perforation located in the anterior cartilaginous part of the nasal septum. All patients underwent full history taking, complete clinical otorhinolaryngological examination including nasal examination by ante¬rior rhinoscopy and rigid 0° endoscope to detect the actual size, extent of the septal perforation and to exclude the associated pathological lesions. The patients were divided into 3 groups: I, II and III according to the graft material used in the repair of the nasal septal perforation. Group I: includ¬ed 10 patients in whom the repairs of the nasal septal perforation were performed by the use of tragus perichondrium graft, group II: Included 10 patients in whom the repairs of the nasal septal perforation were per¬formed by the use of human acellular dermal graft (Alloderm) and group III: included 10 patients in whom the repairs of the nasal septal perfora¬tion were performed by the use of the inferior turbinate fap. One surgical approach, the external transcolumellar approach, was performed in all patients for repair of the nasoseptal perforation. Patients were examined twice weekly in the first month then twice monthly for the next 5 months, for the success of closure of the septal perforation and for the occurrence of any complication.
Results: The study included 30 patients, 19 males and 11 females with age ranged from 19 to 35 years. The size of the perforation ranged from 0.5x0.5cm to 2x2cm in each group. Small perforations (<1.5xl.5cm)