Clinical Experience of Nasal Endoscopic Surgery in the Treatment of Nasal Septum Perforation

Objective:To observe the clinical experience of nasal endoscopic surgery in the treatment of nasal septum perforation. Method: 60 patients with nasal septum perforation were collected and divided into three groups according to their hole diameter size,each of 20 cases.Group A was treated by nasal endoscopic nasal septum sticky periosteal flap reduction method,with perforation diameter less than 0.5 cm.Group B was treated by autologous thighs broad fascia ethmoid vertical powder layer,with perforation diameter between 0.5 cm and 1.5 cm.Group C was treated by pedicle lateral nasal cavity mucoperiosteal flap method, with perforation diameter more than 1.5 cm. Result: After all patients were followed up half a year,all patients in group A were recovered; 8 patients in group B were better, 12 cases were healed;7 patients in group Cwere improved and 13 patients were healed. Conclusion: Nasal endoscopic surgery was the best action to treat nasal septum perforation, which can significantly relieve patient's pain.Repaired postoperative moisturizing and anti-infection can accelerate wound healing, choose operation method and graft materials according to the hole size, which shall have the least negative vice injury to improve the suegery's success rate.