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BACKGROUND Nasal septal perforation (NSP) may alter nasal airflow patterns and physiology.
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All patients with symptomatic septal perforation who underwent septal perfoplasty within the timeframe reviewed were included.
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Main Outcomes and Measures: Creation of a well-mucosalized septal perforation, combined with patient-reported acceptable symptom control, was the primary outcome.
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To demonstrate that creation of favorable septal perforation characteristics is effective in managing symptoms and improving patient quality of life.
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A 71-year-old woman with autoimmune hemolytic anemia underwent an emergency endocardial patch repair for ventricular septal perforation after acute myocardial infarction.
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Conclusion: Custom septal buttons created using computed tomography are effective in relieving symptoms from large septal perforations.
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Subjects: Ninety-five patients with symptomatic septal perforations repaired with custom Silastic septal buttons fashioned from reformatted computed tomographic images.
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Importance: Symptomatic septal perforations are often difficult to manage and can have a significant impact on patient quality of life.
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The treatment of four patients with unusually large septal perforations by custom-carved prostheses sized using computerized axial tomographic scanning is described.
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One hundred seventy-one patients had closure of symptomatic nasal septal perforations by insertion of a Silastic nasal septal prosthesis between June 1972 and August 1981.