{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:18:53Z","timestamp":1792840733325,"version":"4.5.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is no consensus on optimal repair technique for nasal septal perforations (NSPs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To measure success rate and evaluate predictors of success for NSP repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Medical records of patients who underwent NSP repair from 2010 to 2020 were reviewed. Included patients had at least 60 days of postsurgical follow-up. Surgical technique involves an endonasal approach; subperichondrial dissection with local flap mobilization; and multilayer closure using cartilage interposition graft, fascia graft, and mucoperichondrial flaps. A chi-squared test or Fisher exact test was used for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighty-one repairs were performed with a closure rate of 86%. The median patient age was 46 years (range 13\u201377); 34.6% of perforations were \u22652\u2009cm. Conchal (77.8%), rib (7.4%), or septal (7.4%) cartilage was used as graft material. A complication rate of 8.6% was reported. Perforation size or graft material had no impact on successful closure rate. Of patients with failed repairs, 55% had perioperative complications or conditions associated with poor healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An endonasal approach for NSP repair showed a high success rate across diverse presentations; however, NSP repair was significantly more likely to be successful in patients without perioperative complications or pre-existing conditions associated with poor wound healing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2022.0162","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T16:46:27Z","timestamp":1696265187000},"page":"117-123","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Predictors of Success of Endonasal Septal Perforation Repair: A 10-Year Experience"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9624-7109","authenticated-orcid":false,"given":"Lillian","family":"Chien","sequence":"first","affiliation":[{"name":"Division of Facial Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Yver","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirly","family":"Shohat","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Rambam Health Care Campus, Haifa, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oren","family":"Friedman","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-018-0754-1"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599821992010"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)60373-0"},{"issue":"4","key":"e_1_3_4_5_2","first-page":"17","article-title":"Surgical closure of nasal septal perforation, early and long term observations","volume":"49","author":"D\u00f8sen LK","year":"2011","unstructured":"D\u00f8sen LK, , Haye R. Surgical closure of nasal septal perforation, early and long term observations. Rhinology. 2011; 49(4):17. doi:10.4193\/Rhino10.081","journal-title":"Rhinology"},{"issue":"4","key":"e_1_3_4_6_2","first-page":"216","volume":"26","author":"Mullace M","year":"2006","unstructured":"Mullace M, , Gorini E, , Sbrocca M, , Artesi L, , Mevio N. Management of Nasal Septal Perforation Using Silicone Nasal Septal Button Il Trattamento Delle Perforazioni Settali Mediante l'uso Di Bottone Transettale in Silicone. ACTA Otorhinolaryngology Ital. 2006; 26(4):216\u2013218.","journal-title":"Management of Nasal Septal Perforation Using Silicone Nasal Septal Button Il Trattamento Delle Perforazioni Settali Mediante l'uso Di Bottone Transettale in Silicone. 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