Abstract：
OBJECTIVE: Septal perforations (SPs) present a distinct challenge. There are many described surgical approaches with variable success rates. The goal of this study is to describe a new technique in repairing SP.
METHODS: A case series of eighteen patients with anterior septal perforation who underwent endoscopic repair with the \"tunnel technique\" based on anterior ethmoid artery flap (AEA) were analyzed. Demographic data, etiology, size of perforation, and success rate were collected.
RESULTS: Eighteen cases with male predominance (67%) were enrolled from 2019 to 2022. The average perforation size was 1.5 cm (0.5- 3.6 cm). The success rate of complete SP closure was 94% (n = 17/18) with no complications after surgery. The patients were followed up for 7 ± 5.2 months.
CONCLUSIONS: AEA flap reconstruction with the tunnel technique is associated with favorable outcomes in SP closure. The tunnel technique provides a useful flap bolster and minimizes the use of other supportive measures. This technique offers an addition to other techniques for septal perforation repair.
METHODS: Level 4.
METHODS: A case series of eighteen patients with anterior septal perforation who underwent endoscopic repair with the \"tunnel technique\" based on anterior ethmoid artery flap (AEA) were analyzed. Demographic data, etiology, size of perforation, and success rate were collected.
RESULTS: Eighteen cases with male predominance (67%) were enrolled from 2019 to 2022. The average perforation size was 1.5 cm (0.5- 3.6 cm). The success rate of complete SP closure was 94% (n = 17/18) with no complications after surgery. The patients were followed up for 7 ± 5.2 months.
CONCLUSIONS: AEA flap reconstruction with the tunnel technique is associated with favorable outcomes in SP closure. The tunnel technique provides a useful flap bolster and minimizes the use of other supportive measures. This technique offers an addition to other techniques for septal perforation repair.
METHODS: Level 4.
摘要：
目的：中隔穿孔（SP）是一个独特的挑战。有许多描述的手术方法具有可变的成功率。这项研究的目标是描述一种修复SP的新技术。
方法：对18例前间隔穿孔患者进行了基于筛前动脉皮瓣（AEA）的“隧道技术”的内镜修复。人口统计数据,病因学,穿孔的大小，并收集成功率。
结果：从2019年至2022年，招募了18例男性为主（67％）。平均穿孔尺寸为1.5cm(0.5-3.6cm)。完整的SP闭合成功率为94％（n=17/18），术后无并发症。随访7±5.2个月。
结论：隧道技术AEA皮瓣重建与SP闭合的良好结果相关。隧道技术提供了一个有用的襟翼垫，并最大限度地减少了其他支持措施的使用。该技术为间隔穿孔修复提供了其他技术的补充。
方法：第4级。
方法：对18例前间隔穿孔患者进行了基于筛前动脉皮瓣（AEA）的“隧道技术”的内镜修复。人口统计数据,病因学,穿孔的大小，并收集成功率。
结果：从2019年至2022年，招募了18例男性为主（67％）。平均穿孔尺寸为1.5cm(0.5-3.6cm)。完整的SP闭合成功率为94％（n=17/18），术后无并发症。随访7±5.2个月。
结论：隧道技术AEA皮瓣重建与SP闭合的良好结果相关。隧道技术提供了一个有用的襟翼垫，并最大限度地减少了其他支持措施的使用。该技术为间隔穿孔修复提供了其他技术的补充。
方法：第4级。
