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Nasoseptal flap using septal cartilage bests Fascia Lata with fat in CSF rhinorrhoea cases
Researchers from a recent study have found out that patients treated with free nasoseptal flap using septal cartilage has less hospital stay, less post-operative morbidity in the form of pain, movement and dependence for cleaning and dressing in comparison to fascia lata using fat in Patients of CSF rhinorrhoea.
The study is published in the Indian Journal of Otolaryngology and Head & Neck Surgery.
The nasoseptal flap is a versatile and reliable local reconstructive technique for ventral base traumatic defects, with a 100% CSF leak repair rate in this series. Traumatic injury to the ventral skull base carries a high risk of developing cerebrospinal fluid (CSF) leak.
Shrinivas S. Chavan and colleagues from the Department of Otorhinolaryngology, Sir J.J. Group of Hospitals, Grant Government Medical College, Mumbai, India carried out the study with the objective to evaluate the surgical outcome between free nasoseptal mucoperichondrial flap using septal cartilage vs fascia lata using fat in terms of morbidity, hospital stay and postoperative complications.
The authors conducted a retrospective comparative study including a total of 127 patients, all of whom were diagnosed with CSF leak and who underwent repair of anterior skull base defect using free nasoseptal mucoperichondrial graft with septal cartilage in 73 cases compared with fascia lata with fat in 54 cases over the time frame of 5 years.
The following findings were observed-
- The success rate with free nasoseptal flap with septal cartilage was 97.3% and that with fascia lata with fat was 96.3%.
- There was a significant association between mean hospital stay and the technique of CSF repair (unpaired t test, p −0.02).
- In the study the complications following the repair with free nasoseptal flap with septal cartilage was significantly less (p < 0.05, chi square test).
Hence, this led the authors to conclude that "patients treated with free nasoseptal flap using septal cartilage has less hospital stay, less post-operative morbidity in the form of pain, movement and dependence for cleaning and dressing in comparison to fascia lata using fat."
BDS, MDS( Pedodontics and Preventive Dentistry)
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751