Clinical Research on the Repair of Nasal Septum Perforation by Mucous Membrane and Periosteum Flap from Bilateral Free Inferior Turbinate Combined with Homogeneity Variant Quadratic Cartilage of Nasal Septum

Objective To explore the effect of using bilateral free inferior turbinate combined with homogeneity variant quadratic cartilage of nasal septum to repair nasal septum perforation. Methods A total of 21 patients with nasal septum perforation admitted in Shiyan People' s Hospital from Dec. 2008 to Jun.2013 were treated with diorthosis under nasal septum mucosa to separate mucosal periosteum and perichondrium around nasal septum perforation under endoscope,two slices of mucous membrane and periosteum flap of suitable size from inferior turbinate and homogeneity variant quadratic cartilage of nasal septum were taken and fixed under mucosal periosteum and perichondrium of nasal septum to cover the septum perforation nasal completely. Results Perforation were covered completely by nasal mucosa epithelium 4-8 weeks after treatment,15 patients of nasal septum perforation were healed in phase I,the remaining 6 patients were healed in phase Ⅱ,the nasal septa of the patients flatted basically,and their bilateral nasal ventilation was good. Nasal septum perforation did not occur in the following 6-18 months. Conclusion The repair of nasal septum perforation by mucous membrane and periosteum flap from bilateral free inferior turbinate combined with homogeneity variant quadratic cartilage of nasal septum under endoscope has the advantages of less lesions to the patients,easily-obtained material,no transplant reaction and adverse reaction observed,high survival rate,and easily operated.