Temporal-parietal fascia and polydioxanone plates (PDS), the solution for septal perforations?

Authors

  • Catarina Martins Pinto Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal https://orcid.org/0000-0002-6192-101X
  • Ricardo Matos Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal
  • Francisco Moreira Silva Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal
  • Margarida Martins Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal
  • Clara Pedro Mota Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal
  • Mariana Santos Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal
  • Duarte Morgado Serviço de Otorrinolaringologia do Hospital Senhora da Oliveira - Guimarães, Portugal

DOI:

https://doi.org/10.34631/sporl.2178

Keywords:

Nasal septal perforation, polydioxanone, surgery

Abstract

Introduction: Septal perforations remain a surgical challenge, prompting the development of new approaches and techniques to optimize closure rates. When symptomatic, perforations can cause nasal obstruction or recurrent epistaxis, requiring treatment. This study reports two clinical cases of symptomatic septal perforations.
Objective: To describe the diagnosis, treatment, and surgical outcomes, accompanied by photographic follow-up records, and compare the results with existing literature.
Materials and Methods: Two patients underwent surgery using a combination of 0.25mm polydioxanone (PDS) plates and temporoparietal fascia.
Results: Both cases were successfully treated using a closed approach with a right hemitransfixion incision and a combined PDS and temporoparietal fascia graft. It was achieved a complete closure of the perforations and resolution of symptoms.
Conclusion: The combined technique of PDS and temporoparietal fascia demonstrated high efficacy, suggesting its usefulness in treating symptomatic septal perforations.

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References

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Published

2025-06-03

How to Cite

Martins Pinto, C., Matos, R., Moreira Silva, F., Martins, M., Pedro Mota, C., Santos, M., & Morgado, D. (2025). Temporal-parietal fascia and polydioxanone plates (PDS), the solution for septal perforations?. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 63(2), 111–116. https://doi.org/10.34631/sporl.2178

Issue

Vol. 63 No. 2 (2025): June

Section

Original Article

License

Copyright (c) 2025 Catarina Martins Pinto, Ricardo Matos, Margarida Martins, Clara Mota, Mariana Santos, Duarte Morgado, Rui Fonseca

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.