Scholarlink

Background <p>Nasal septal perforations represent a challenging reconstructive problem with no universally accepted repair technique. Success rates vary significantly based on perforation size, aetiology, and surgical approach, particularly for medium-to-large defects (1–3&#xa0;cm), where conventional flaps often fail due to tension or inadequate vascularization.</p> Methods <p>This retrospective cohort study evaluated 15 consecutive patients (9 males, 6 females; mean age 38.4 ± 11.2 years) undergoing septal perforation repair using a novel composite flap integrating the depressor septi nasi (DSN) muscle with a temporoparietal fascia (TPF) graft (Tsubasa flap). Perforation sizes ranged from 1.1 to 3.1&#xa0;cm (mean 1.8 ± 0.6&#xa0;cm). Primary outcome was endoscopic perforation closure at 6 months; secondary outcomes included symptom resolution and complication rate. Written informed consent was obtained from all participants.</p> Results <p>Complete perforation closure was achieved in all 15 patients (100% success rate; 95% CI: 78.2–100%) at final follow-up (mean 22.3 ± 8.1 months; range 6–31 months). Symptom resolution was observed in 100% for nasal obstruction and whistling, and 93% for crusting/epistaxis. No major complications occurred; minor transient tip hypoesthesia resolved spontaneously in two patients by 3 months. No recurrences were documented during the follow-up period.</p> Conclusions <p>The DSN-TPF composite flap provides a well-vascularized, tension-free reconstructive option for medium-sized septal perforations with excellent short-to-mid-term outcomes. Its dual-plane design addresses both structural support and mucosal coverage limitations of conventional techniques. Multi-center validation with comparative cohorts is warranted before widespread adoption. Level of Evidence: Level IV, therapeutic study.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Dynamic septal reconstruction using the Tsubasa flap: integration of depressor septi nasi muscle and temporoparietal fascia

  • 期刊论文

  • 发表日期：

    2026年5月18日

查看全文
  • Ugur Horoz,
  • Ergin Seven,
  • Esabil Eker,
  • Yakup Sarigüney,
  • Ali Teoman Tellioglu

摘要

Background

Nasal septal perforations represent a challenging reconstructive problem with no universally accepted repair technique. Success rates vary significantly based on perforation size, aetiology, and surgical approach, particularly for medium-to-large defects (1–3 cm), where conventional flaps often fail due to tension or inadequate vascularization.

Methods

This retrospective cohort study evaluated 15 consecutive patients (9 males, 6 females; mean age 38.4 ± 11.2 years) undergoing septal perforation repair using a novel composite flap integrating the depressor septi nasi (DSN) muscle with a temporoparietal fascia (TPF) graft (Tsubasa flap). Perforation sizes ranged from 1.1 to 3.1 cm (mean 1.8 ± 0.6 cm). Primary outcome was endoscopic perforation closure at 6 months; secondary outcomes included symptom resolution and complication rate. Written informed consent was obtained from all participants.

Results

Complete perforation closure was achieved in all 15 patients (100% success rate; 95% CI: 78.2–100%) at final follow-up (mean 22.3 ± 8.1 months; range 6–31 months). Symptom resolution was observed in 100% for nasal obstruction and whistling, and 93% for crusting/epistaxis. No major complications occurred; minor transient tip hypoesthesia resolved spontaneously in two patients by 3 months. No recurrences were documented during the follow-up period.

Conclusions

The DSN-TPF composite flap provides a well-vascularized, tension-free reconstructive option for medium-sized septal perforations with excellent short-to-mid-term outcomes. Its dual-plane design addresses both structural support and mucosal coverage limitations of conventional techniques. Multi-center validation with comparative cohorts is warranted before widespread adoption. Level of Evidence: Level IV, therapeutic study.