비중격 수술시 하비갑개 점막과 Fibrin Glue를 이용한 비중격 천공의 예방 (Prevention of Septal Perforation During Septal Surgery Using Inferior Turbinate Mucosa and Fibrin Glue)

서지정보

· 발행기관 : 대한비과학회
· 수록지 정보 : Journal of Rhinology / 16권 / 2호 / 143 ~ 147페이지
· 저자명 : 김보형, 이형준, 최석찬, 안정윤, 강성호, 임대준

초록

Background and Objectives：As septal surgery is being performed more and more often, the incidence of septal perforation
as a complication arising from the surgery has also increased. In septal surgery, if corresponding mucoperichondrial tears occurred
on both sides, autologous cartilage is usually placed between the injured mucopercondrium. However, septal perforation
is sometimes found after septal surgery even after this effort. The aims of this study were to introduce a new technique
for the prevention of septal perforation during septal surgery using inferior turbinate mucosa and fibrin glue and to determine
its usefullness by evaluating the treatment outcome. Materials and Methods：Between June 2005 and May 2007, 358 cases of
septal surgery were performed. Bilateral mucoperichondrial tears on corresponding areas occurred in 26 cases. In Group 1 (15
cases), autologous cartilage was inserted between injured mucoperichondrium. In Group 2 (11 cases), autologous cartilage was inserted
and then was repaired using fibrin glue and inferior turbinate mucosa. The authors compared the perforation rate between
the two groups. Results：In Group 1, septal perforation occurred in 7 of 15 patients (46.7%) and in Group 2, 1 of 11 patients
(9.0%) had perforation. Perforation rates were significantly lower in Group 2. Conclusion：The technique of using fibrin glue
and inferior turbinate mucosa may be an easy, effective method for the prevention of septal perforation during septal surgery.

영어초록

Background and Objectives：As septal surgery is being performed more and more often, the incidence of septal perforation
as a complication arising from the surgery has also increased. In septal surgery, if corresponding mucoperichondrial tears occurred
on both sides, autologous cartilage is usually placed between the injured mucopercondrium. However, septal perforation
is sometimes found after septal surgery even after this effort. The aims of this study were to introduce a new technique
for the prevention of septal perforation during septal surgery using inferior turbinate mucosa and fibrin glue and to determine
its usefullness by evaluating the treatment outcome. Materials and Methods：Between June 2005 and May 2007, 358 cases of
septal surgery were performed. Bilateral mucoperichondrial tears on corresponding areas occurred in 26 cases. In Group 1 (15
cases), autologous cartilage was inserted between injured mucoperichondrium. In Group 2 (11 cases), autologous cartilage was inserted
and then was repaired using fibrin glue and inferior turbinate mucosa. The authors compared the perforation rate between
the two groups. Results：In Group 1, septal perforation occurred in 7 of 15 patients (46.7%) and in Group 2, 1 of 11 patients
(9.0%) had perforation. Perforation rates were significantly lower in Group 2. Conclusion：The technique of using fibrin glue
and inferior turbinate mucosa may be an easy, effective method for the prevention of septal perforation during septal surgery.

참고자료

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