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01.01.2018 | Rhinosinusitis (J Mullol, Section Editor)

Nasoseptal Perforation: from Etiology to Treatment

verfasst von: Carla Pereira, Alfonso Santamaría, Cristobal Langdon, Mauricio López-Chacón, José Hernández-Rodríguez, Isam Alobid

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 1/2018

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Abstract

Purpose of Review

Nasal septum perforation (NSP) is a communication between the two nasal cavities. This review contributes to the better knowledge of NSP causes, diagnosis, and treatment.

Recent Findings

NSP prevalence is about 1%. Clinical presentation may range from absence of symptoms to the presence of bothersome sinonasal symptoms. NSP is more frequently caused by trauma or post-surgery, inflammatory diseases, and abuse substances. Conservative management (nasal irrigation, topical use of antibiotic or lubricant ointments, or placement of prosthesis) is considered the first-line treatment. Symptomatic NSP not improving with local therapies usually requires surgical approach. Selection of the technique for the endoscopic septal repair depends on perforation characteristics and surgeon experience.

Summary

When NSP is diagnosed, its cause has to be promptly determined. Most of them can be controlled with conservative measures. Surgical/endoscopic approaches are usually needed in refractory cases, and new repair techniques have to be considered.

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Titel: Nasoseptal Perforation: from Etiology to Treatment
verfasst von: Carla Pereira
Alfonso Santamaría
Cristobal Langdon
Mauricio López-Chacón
José Hernández-Rodríguez
Isam Alobid
Publikationsdatum: 01.01.2018
Verlag: Springer US
Erschienen in: Current Allergy and Asthma Reports / Ausgabe 1/2018
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI: https://doi.org/10.1007/s11882-018-0754-1

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Nasoseptal Perforation: from Etiology to Treatment

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Purpose of Review

Recent Findings

Summary

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