Dermoplasty for recurrent anterior nasal septal bleeding - A report of four Cases
Journal
Tzu Chi Medical Journal
Journal Volume
17
Journal Issue
1
Pages
39-42+58
Date Issued
2005
Author(s)
Huang T.-T.
Abstract
Epistaxis is a common disorder in otolaryngological emergency. For recurrent severe epistaxis not responding to conservative treatment, septal dermoplasty has been reported to effectively reduce the frequency and severity of bleeding. During the past 10 years, we performed septal dermoplasty in four carefully selected patients not diagnosed with definite hereditary hemorrhagic telangiectasia (HHT) but with recurrent severe epistaxis from the anterior nasal septum. Each operation began with harvesting split thickness skin graft from the thigh and trimming the graft to the appropriate size (about 3 × 3 cm for each side of the septum). Then the graft was sutured onto the septum after curetting the diseased mucosa. To improve the survival of the skin graft, silastic sheets were applied on the graft and fixed in the through and through suture fashion in three patients for 2 weeks. Two patients underwent revision surgery because of graft failure or new septal erosions. Postoperatively, the frequency and severity of epistaxis decreased dramatically in all patients. The demand for emergent treatment also decreased significantly. Thus, our experiences revealed that limited septal dermoplasty is beneficial in carefully selected patients with recurrent severe epistaxis from anterior septal erosions.
Subjects
Epistaxis; Septal dermoplasty; Septal erosion
SDGs
Other Subjects
adult; aged; article; case report; disease severity; epistaxis; female; graft survival; human; male; nose mucosa; nose septum; nose septum dermoplasty; nose surgery; postoperative complication; recurrent anterior nose septum bleeding; Rendu Osler Weber disease; skin graft; surgical technique; treatment outcome
Type
journal article