J Cosmet Med.  2023 Dec;7(2):77-80. 10.25056/JCM.2023.7.2.77.

Surgical repair of nasal septal perforation using temporalis fascia and homologous rib cartilage grafts: a case report

Affiliations
  • 1Baroko Clinic, Seoul, Rep. of Korea
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of Korea
  • 3Department of Otorhinolaryngology-Head and Neck Surgery, Inje University Busan Paik Hospital, Busan, Rep. of Korea

Abstract

Nasal septal perforation, often encountered as a complication of rhinoplasty, presents a significant clinical challenge, particularly following procedures focused on nose lengthening or augmenting, such as septal extension surgeries. Herein, we present a case of septal perforation, which was successfully treated through a temporalis fascia graft combined with costal cartilage graft from a donor. We explored the etiology of nasal septal perforation and delved into various treatment options through this investigation involving a female patient who experienced persistent crusting and nasal obstruction following rhinoplasty. The surgical approach adopted for the case and the outcomes, and the nuances in managing septal perforation complexity are presented.

Keyword

costal cartilage; fascia; nasal septal perforation; rhinoplasty; transplants
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