The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes
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The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes. / Bier, Johannes; Klingner, Alexandra; Stadlhofer, Rupert; Betz, Christian Stephan; Böttcher, Arne.
In: LARYNGOSCOPE INVEST, Vol. 9, No. 2, 22.04.2024, p. e1248.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes
AU - Bier, Johannes
AU - Klingner, Alexandra
AU - Stadlhofer, Rupert
AU - Betz, Christian Stephan
AU - Böttcher, Arne
PY - 2024/4/22
Y1 - 2024/4/22
N2 - OBJECTIVE: Nasal septum perforation (NSP) is a common condition affecting ~1.2% of the general population and is still considered challenging to treat. Therapeutic strategies range from conservative local treatments and septal button closures to over 40 different surgical approaches. This study aimed to present a novel secure approach.METHODS: We describe our novel and unique NSP closure approach using a "fascia taco," in which conchal cartilage is enveloped by temporalis fascia like a taco and splints are left in place for 6-8 weeks. A review of patient charts was conducted and questionnaires including the German-SNOT-22 and D-NOSE were sent by mail to all eligible patients who received a fascia taco between 2016 and 2021.RESULTS: Thirty-three patients were identified. The questionnaire response rate was 54.5%. The mean operative time (cut to sew) for all patients who only underwent NSP closure was 90.4 min. The overall success rate in terms of postoperative NSP closure was 81.8%. We found an apparent but nonsignificant association between closure failure and smoking (failure rate 66.6% in smokers vs. 15.4% in nonsmokers; X 2 = 3.4188, p = .064). Questionnaire analysis showed a significant postoperative reduction of mean values in D-NOSE from 60.8 to 33.1 (p = .009) and in German-SNOT-22 from 38.6 to 21.2 (p = .005).CONCLUSION: The fascia taco technique is an easy-to-apply, safe procedure for NSP closure that is short in duration and associated with a low morbidity, resulting in excellent patient satisfaction.LEVEL OF EVIDENCE: 4.
AB - OBJECTIVE: Nasal septum perforation (NSP) is a common condition affecting ~1.2% of the general population and is still considered challenging to treat. Therapeutic strategies range from conservative local treatments and septal button closures to over 40 different surgical approaches. This study aimed to present a novel secure approach.METHODS: We describe our novel and unique NSP closure approach using a "fascia taco," in which conchal cartilage is enveloped by temporalis fascia like a taco and splints are left in place for 6-8 weeks. A review of patient charts was conducted and questionnaires including the German-SNOT-22 and D-NOSE were sent by mail to all eligible patients who received a fascia taco between 2016 and 2021.RESULTS: Thirty-three patients were identified. The questionnaire response rate was 54.5%. The mean operative time (cut to sew) for all patients who only underwent NSP closure was 90.4 min. The overall success rate in terms of postoperative NSP closure was 81.8%. We found an apparent but nonsignificant association between closure failure and smoking (failure rate 66.6% in smokers vs. 15.4% in nonsmokers; X 2 = 3.4188, p = .064). Questionnaire analysis showed a significant postoperative reduction of mean values in D-NOSE from 60.8 to 33.1 (p = .009) and in German-SNOT-22 from 38.6 to 21.2 (p = .005).CONCLUSION: The fascia taco technique is an easy-to-apply, safe procedure for NSP closure that is short in duration and associated with a low morbidity, resulting in excellent patient satisfaction.LEVEL OF EVIDENCE: 4.
U2 - 10.1002/lio2.1248
DO - 10.1002/lio2.1248
M3 - SCORING: Journal article
VL - 9
SP - e1248
JO - LARYNGOSCOPE INVEST
JF - LARYNGOSCOPE INVEST
SN - 2378-8038
IS - 2
ER -