Nasoseptal Perforation: from Etiology to Treatment
- 01.01.2018
- Rhinosinusitis (J Mullol, Section Editor)
Erschienen in:
- 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
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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