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AuthorKobes, Carolindc.contributor.author
Date of accession2016-03-15T10:42:01Zdc.date.accessioned
Available in OPARU since2016-03-15T10:42:01Zdc.date.available
Year of creation2014dc.date.created
AbstractOBJECTIVE: The surgical closure of a nasal septal perforation (SP) is a technically difficult operation, which requires a great deal of experience of the surgeon. Amazingly, the success rate in the literature is given as about 90 %. In these studies, the retrospective follow up is generally very short. Therefore, the aim of this study was to examine the late results of surgical closures of SP. MATERIAL AND METHODS: From 2000 to 2010 a total of 348 patients received a surgical closure of a SP by using bridge flaps, open / closed approach, with / without interposition of ear cartilage. 200 patients were included. In 187 patients a complete closure has been planned. 109 (58 %) had undergone previous nose surgery. The median follow-up between surgery and last examination was 57 months (4 to 144). RESULTS: A long-term closure of the SP was achieved in 72 % (n=134). In 28 % (n=53) a recurrence occurred. In 13 patients, only a partial closure based on the size of the SP was carried out. Factors influencing success rates as well as the current literature are discussed. CONCLUSIONS: The success rates reported in the literature of more than 90 % appear to be very high. This study demonstrates that high long-term success rates are very difficult to achieve even in rhinosurgical centres. Deviations from results of other studies can be explained by very short follow-up periods and a retrospective study design in almost all cases. An appropriate informed consent of the patient before surgery is important in order to achieve realistic expectations.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandarddc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v3dc.rights.uri
Keyword4-Brückenlappentechnikdc.subject
KeywordBridge flapsdc.subject
KeywordNasenseptumperforationdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHNasal septal perforationdc.subject.mesh
MeSHNasal surgical proceduresdc.subject.mesh
MeSHPerforator flapdc.subject.mesh
TitleRetrospektive Nachuntersuchung von Patienten nach operativem Verschluss einer Nasenseptumperforationdc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-3557dc.identifier.doi
PPN81960948Xdc.identifier.ppn
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-94077dc.identifier.urn
GNDNasenscheidewanddc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2015-02-27T09:42:15Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionW: W-H 14.104uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS ID9407uulm.vtsID
CategoryPublikationenuulm.category
Bibliographyuulmuulm.bibliographie


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