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[Transvestibular closure with an autologous bone graft as surgical repair of a nasoseptal defect due to Le Fort-I osteotomy].

Identifieur interne : 002E77 ( PubMed/Curation ); précédent : 002E76; suivant : 002E78

[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 Gellrich

Source :

RBID : pubmed:12904878

Descripteurs français

English descriptors

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

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pubmed:12904878

Le document en format XML

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<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>
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<country wicri:rule="url">Allemagne</country>
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<name sortKey="Boedeker, C C" sort="Boedeker, C C" uniqKey="Boedeker C" first="C C" last="Boedeker">C C Boedeker</name>
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<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>
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<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>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Reoperation</term>
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<term>Maxilla</term>
<term>Mouth, Edentulous</term>
<term>Nasal Septum</term>
<term>Postoperative Complications</term>
<term>Rhinitis</term>
<term>Surgical Wound Infection</term>
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<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>
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<term>Complications postopératoires</term>
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<term>Ostéotomie de Le Fort</term>
<term>Reconstruction de crête alvéolaire</term>
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<term>Réintervention</term>
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<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>
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<AbstractText>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.</AbstractText>
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<VernacularTitle>Transvestibulärer Verschluss eines Nasenseptumdefekts durch freies Knochentransplantat nach Le-Fort-I-Osteotomie.</VernacularTitle>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Pathol. 1954 Jul-Aug;30(4):799-811</RefSource>
<PMID Version="1">13180689</PMID>
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<RefSource>Medicine (Baltimore). 1980 May;59(3):223-38</RefSource>
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<RefSource>J Laryngol Otol. 1993 Sep;107(9):853-4</RefSource>
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<RefSource>J Oral Maxillofac Surg. 1994 Jan;52(1):81-5</RefSource>
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<RefSource>AJNR Am J Neuroradiol. 1999 Jan;20(1):159-62</RefSource>
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<RefSource>J Orofac Pain. 2000 Fall;14(4):310-9</RefSource>
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<RefSource>Cancer Res. 1994 Aug 1;54(15):3986-7</RefSource>
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<RefSource>J Oral Maxillofac Surg. 1992 Oct;50(10):1142</RefSource>
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<RefSource>Radiology. 1973 Aug;108(2):313-6</RefSource>
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<RefSource>Hum Pathol. 1992 Jul;23(7):729-35</RefSource>
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<RefSource>Schweiz Monatsschr Zahnmed. 2002;112(1):39-48</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Dent. 2001 Feb;29(2):93-8</RefSource>
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<RefSource>Arch Otolaryngol Head Neck Surg. 1997 May;123(5):536-9</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Cancer Genet Cytogenet. 1996 Mar;87(1):85-7</RefSource>
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<RefSource>Mund Kiefer Gesichtschir. 1998 Sep;2(5):279-81</RefSource>
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<RefSource>J Laryngol Otol. 1998 Feb;112(2):182-5</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Radiol Clin North Am. 1996 Mar;34(2):311-26, x-xi</RefSource>
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<RefSource>J Orofac Pain. 2000 Summer;14(3):224-32</RefSource>
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<RefSource>J Otolaryngol. 1984 Apr;13(2):123-6</RefSource>
<PMID Version="1">6726846</PMID>
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