[Transvestibular closure with an autologous bone graft as surgical repair of a nasoseptal defect due to Le Fort-I osteotomy].
Identifieur interne : 007B74 ( Main/Exploration ); précédent : 007B73; suivant : 007B75[Transvestibular closure with an autologous bone graft as surgical repair of a nasoseptal defect due to Le Fort-I osteotomy].
Auteurs : J. Schipper [Allemagne] ; C C Boedeker ; G J Ridder ; N-C GellrichSource :
- HNO [ 0017-6192 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bouche édentée (), Complications postopératoires (), Endoscopie, Humains, Infection de plaie opératoire (), Lambeaux chirurgicaux, Maxillaire (), Mâle, Ostéotomie de Le Fort, Reconstruction de crête alvéolaire, Rhinite (), Réintervention (), Septum nasal (), Transplantation osseuse.
- MESH :
English descriptors
- KwdEn :
- Alveolar Ridge Augmentation, Bone Transplantation, Endoscopy, Humans, Male, Maxilla (surgery), Middle Aged, Mouth, Edentulous (surgery), Nasal Septum (surgery), Osteotomy, Le Fort, Postoperative Complications (surgery), Reoperation (methods), Rhinitis (surgery), Surgical Flaps, Surgical Wound Infection (surgery).
- MESH :
Abstract
Defects of the nasal septum are a common complication after nasal surgery. Affected patients frequently suffer from bleeding, crusting and impaired nasal air flow. The surgical closure of septal defects remains a distinctive challenge. Though many different techniques have been described, the failure rate of this procedure remains high. In the case presented here, a large basal septum defect occurred after a prosthetic Le Fort-I osteotomy. The attempt to cover the distance between the bony nasal floor and the nasal septum with pedicled mucosal flaps failed due to extensive scar formation of the nasal mucosa. Therefore a nasal floor elevation by insertion of an autologous bone graft from the iliac crest was conducted. The bone graft was connected with the hard palate via two titanium screws. Other than with an autologous cartilage graft, no major resorption of the bone graft is to be expected. This indirect method for the closure of a basal nasal septum defect is new.
DOI: 10.1007/s00106-002-0743-4
PubMed: 12904878
Affiliations:
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Le document en format XML
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Schipper</name><affiliation wicri:level="1"><nlm:affiliation>Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg. schipper@hno.ukl.uni-freiburg.de</nlm:affiliation><country wicri:rule="url">Allemagne</country></affiliation></author><author><name sortKey="Boedeker, C C" sort="Boedeker, C C" uniqKey="Boedeker C" first="C C" last="Boedeker">C C Boedeker</name></author><author><name sortKey="Ridder, G J" sort="Ridder, G J" uniqKey="Ridder G" first="G J" last="Ridder">G J Ridder</name></author><author><name sortKey="Gellrich, N C" sort="Gellrich, N C" uniqKey="Gellrich N" first="N-C" last="Gellrich">N-C Gellrich</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2003">2003</date><idno type="RBID">pubmed:12904878</idno><idno type="pmid">12904878</idno><idno type="doi">10.1007/s00106-002-0743-4</idno><idno type="wicri:Area/PubMed/Corpus">002E77</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002E77</idno><idno type="wicri:Area/PubMed/Curation">002E77</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002E77</idno><idno type="wicri:Area/PubMed/Checkpoint">002E77</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002E77</idno><idno type="wicri:Area/Ncbi/Merge">000D39</idno><idno type="wicri:Area/Ncbi/Curation">000D39</idno><idno type="wicri:Area/Ncbi/Checkpoint">000D39</idno><idno type="wicri:doubleKey">0017-6192:2003:Schipper J:transvestibular:closure:with</idno><idno type="wicri:Area/Main/Merge">007D61</idno><idno type="wicri:Area/Main/Curation">007B74</idno><idno type="wicri:Area/Main/Exploration">007B74</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Transvestibular closure with an autologous bone graft as surgical repair of a nasoseptal defect due to Le Fort-I osteotomy].</title><author><name sortKey="Schipper, J" sort="Schipper, J" uniqKey="Schipper J" first="J" last="Schipper">J. Schipper</name><affiliation wicri:level="1"><nlm:affiliation>Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg. schipper@hno.ukl.uni-freiburg.de</nlm:affiliation><country wicri:rule="url">Allemagne</country></affiliation></author><author><name sortKey="Boedeker, C C" sort="Boedeker, C C" uniqKey="Boedeker C" first="C C" last="Boedeker">C C Boedeker</name></author><author><name sortKey="Ridder, G J" sort="Ridder, G J" uniqKey="Ridder G" first="G J" last="Ridder">G J Ridder</name></author><author><name sortKey="Gellrich, N C" sort="Gellrich, N C" uniqKey="Gellrich N" first="N-C" last="Gellrich">N-C Gellrich</name></author></analytic><series><title level="j">HNO</title><idno type="ISSN">0017-6192</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Endoscopy</term><term>Humans</term><term>Male</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Mouth, Edentulous (surgery)</term><term>Nasal Septum (surgery)</term><term>Osteotomy, Le Fort</term><term>Postoperative Complications (surgery)</term><term>Reoperation (methods)</term><term>Rhinitis (surgery)</term><term>Surgical Flaps</term><term>Surgical Wound Infection (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bouche édentée ()</term><term>Complications postopératoires ()</term><term>Endoscopie</term><term>Humains</term><term>Infection de plaie opératoire ()</term><term>Lambeaux chirurgicaux</term><term>Maxillaire ()</term><term>Mâle</term><term>Ostéotomie de Le Fort</term><term>Reconstruction de crête alvéolaire</term><term>Rhinite ()</term><term>Réintervention ()</term><term>Septum nasal ()</term><term>Transplantation osseuse</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reoperation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term><term>Mouth, Edentulous</term><term>Nasal Septum</term><term>Postoperative Complications</term><term>Rhinitis</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Bone Transplantation</term><term>Endoscopy</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Osteotomy, Le Fort</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bouche édentée</term><term>Complications postopératoires</term><term>Endoscopie</term><term>Humains</term><term>Infection de plaie opératoire</term><term>Lambeaux chirurgicaux</term><term>Maxillaire</term><term>Mâle</term><term>Ostéotomie de Le Fort</term><term>Reconstruction de crête alvéolaire</term><term>Rhinite</term><term>Réintervention</term><term>Septum nasal</term><term>Transplantation osseuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Defects of the nasal septum are a common complication after nasal surgery. Affected patients frequently suffer from bleeding, crusting and impaired nasal air flow. The surgical closure of septal defects remains a distinctive challenge. Though many different techniques have been described, the failure rate of this procedure remains high. In the case presented here, a large basal septum defect occurred after a prosthetic Le Fort-I osteotomy. The attempt to cover the distance between the bony nasal floor and the nasal septum with pedicled mucosal flaps failed due to extensive scar formation of the nasal mucosa. Therefore a nasal floor elevation by insertion of an autologous bone graft from the iliac crest was conducted. The bone graft was connected with the hard palate via two titanium screws. Other than with an autologous cartilage graft, no major resorption of the bone graft is to be expected. This indirect method for the closure of a basal nasal septum defect is new.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Boedeker, C C" sort="Boedeker, C C" uniqKey="Boedeker C" first="C C" last="Boedeker">C C Boedeker</name><name sortKey="Gellrich, N C" sort="Gellrich, N C" uniqKey="Gellrich N" first="N-C" last="Gellrich">N-C Gellrich</name><name sortKey="Ridder, G J" sort="Ridder, G J" uniqKey="Ridder G" first="G J" last="Ridder">G J Ridder</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Schipper, J" sort="Schipper, J" uniqKey="Schipper J" first="J" last="Schipper">J. Schipper</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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