■鼻中隔穿孔(NSP)的手术修复在技术上具有挑战性。与内窥镜NSP修复(ENSPR)相关的优势包括增强的可视化及其微创性质。纯粹的内镜技术具有低发病率的成功结果。本研究对临床特征进行了综述,外科技术,以及接受ENSPR的患者的结局。
■使用PubMed/MEDLINE进行了系统评价,科克伦图书馆,和Embase数据库。手动书目搜索产生了其他文章。包括报告用于NSP修复的纯内窥镜方法的研究。患者人口统计学,NSP大小,病因学,修复策略,关闭的发生率,并对随访情况进行了分析。
■共纳入20项研究的329例病例。平均年龄为37.2岁(范围,12.3-51岁)和55.0%为男性。常见病因为医源性(n=180,60.0%),创伤(n=66,22.0%),和特发性(n=36,12.0%)。平均NSP尺寸为17.1毫米(范围,4-23).修复技术包括单侧随机模式皮瓣(n=205,62.3%),插置移植物(n=137,41.6%),单侧轴向带蒂局部皮瓣(n=81,24.6%)。222例患者(67.5%)接受了2层修复,70例(21.3%)和37例(11.2%)患者接受了单层和三层修复,分别。296例患者(90.0%)成功闭合。当按维修层分层时,65单层(92.9%),196两层(88.3%),34例3层修复(91.9%)成功,平均随访16.3个月(范围,3-31个月)。
■ENSPR通常在不同类型的维修中以高成功率实现NSP闭合。进一步的研究可以确定临床因素和手术方法如何影响获得成功闭合的可能性。
UNASSIGNED: Surgical repair of nasal septal perforations (NSPs) is technically challenging. Advantages associated with endoscopic NSP repair (ENSPR) include enhanced visualization and its minimally invasive nature. Purely endoscopic techniques have successful outcomes with low morbidity. This study provides a
review of clinical features, surgical techniques, and outcomes in patients who underwent ENSPR.
UNASSIGNED: A systematic
review was conducted using PubMed/MEDLINE, Cochrane library, and Embase databases. Manual bibliography search produced additional articles. Studies reporting purely endoscopic approaches for NSP repair were included. Patient demographics, NSP size, etiology, repair strategy, incidence of closure, and follow-up were analyzed.
UNASSIGNED: A total of 329 cases from 20 studies were included. The mean age was 37.2 years (range, 12.3-51 years) and 55.0% were male. Common etiologies were iatrogenic (n = 180, 60.0%), trauma (n = 66, 22.0%), and idiopathic (n = 36, 12.0%). The mean NSP size was 17.1 mm (range, 4-23). Repair techniques included unilateral random pattern flaps (n = 205, 62.3%), interposition grafts (n = 137, 41.6%), and unilateral axial pedicled local flaps (n = 81, 24.6%). 222 patients (67.5%) underwent a 2-layered repair, while 70 (21.3%) and 37 (11.2%) patients underwent single and 3-layered repairs, respectively. Successful closure was achieved in 296 patients (90.0%). When stratified by layers of repair, 65 single-layered (92.9%), 196 2-layered (88.3%), and 34 3-layered repairs (91.9%) were successful at a mean follow-up of 16.3 months (range, 3-31 months).
UNASSIGNED: ENSPR generally achieves NSP closure with high rates of success among varying types of repairs. Further studies may determine how clinical factors and surgical methods impact the likelihood of obtaining successful closure.