{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:17:19Z","timestamp":1777385839931,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"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":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Septal perforation closure is still often invasive and complex, with relatively low closure rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to provide the first results of a case series of 20 patients with nasal septal perforations who underwent septal perforation repair by both an open and a minimally invasive technique by using a graft that consisted of temporoparietal fascia and a polydioxanone (PDS) plate without mucosal flaps. Between 2014 and 2016, we tested, for the first time, the feasibility of the insertion of this graft via a hemitransfixion incision at our institution. The rationale for the closed approach was to avoid any visible nasal scars. We reported our results of both approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The septal perforations were closed by insertion of a graft, which consisted of a 0.25-mm PDS flexible plate enveloped by temporoparietal fascia, into the perforation. The insertion of the graft was performed either via a columellar incision (open approach) or via a cosmetically advantageous hemitransfixion incision (closed approach) in an underlay technique. No attempts were made to close the perforation by mucosal flap rotation and\/or advancement. Protective silastic sheeting to both sides of the perforation provided fixation to the graft while natural mucosal healing occurred over the perforation in the course of 3 to 8 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen of 20 perforations were closed by mucosa at the last follow-up. The mean follow-up was 8.7 months. Thirteen patients had surgery via the closed approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We showed, for the first time, that the insertion of a graft that consisted of a PDS flexible plate enveloped in temporoparietal fascia via a hemitransfixion incision was feasible and resulted in complete mucosal closure of nasal septal perforations in most patients. By performing the hemitransfixion incision, we avoided any visible nasal scars.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2500\/ajra.2017.31.4431","type":"journal-article","created":{"date-parts":[[2017,5,11]],"date-time":"2017-05-11T08:14:12Z","timestamp":1494490452000},"page":"190-195","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Closure of Nasal Septal Perforations with a Polydioxanone Plate and Temporoparietal Fascia in a Closed Approach"],"prefix":"10.1177","volume":"31","author":[{"given":"Lorenz","family":"Epprecht","sequence":"first","affiliation":[{"name":"Department for Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Schlegel","sequence":"additional","affiliation":[{"name":"Department for Otorhinolaryngology Head and Neck Surgery, Kantonsspital Luzern, Luzern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Holzmann","sequence":"additional","affiliation":[{"name":"Department for Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Soyka","sequence":"additional","affiliation":[{"name":"Department for Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kaufmann","sequence":"additional","affiliation":[{"name":"Department for Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,5,1]]},"reference":[{"key":"bibr1-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-87875-6"},{"key":"bibr2-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198207000-00013"},{"key":"bibr3-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790320061017"},{"key":"bibr4-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.05.027"},{"key":"bibr5-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32834dfb21"},{"key":"bibr6-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001571"},{"key":"bibr7-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1001\/archfacial.2009.103"},{"key":"bibr8-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811424045"},{"key":"bibr9-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24386"},{"key":"bibr10-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200001000-00007"},{"key":"bibr11-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510700566X"},{"key":"bibr12-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200308000-00031"},{"key":"bibr13-ajra.2017.31.4431","doi-asserted-by":"crossref","first-page":"486","DOI":"10.4193\/Rhino10.081","volume":"49","author":"Dosen L.K.","year":"2011","journal-title":"Rhinology"},{"key":"bibr14-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.1.2.97"},{"key":"bibr15-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1988.tb00281.x"},{"key":"bibr16-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21054"},{"key":"bibr17-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24319"},{"key":"bibr18-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25394"},{"key":"bibr19-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22477"},{"key":"bibr20-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328347f87a"},{"key":"bibr21-ajra.2017.31.4431","first-page":"ons120","volume":"67","author":"Davidge K.M.","year":"2010","journal-title":"Neurosurgery"},{"key":"bibr22-ajra.2017.31.4431","first-page":"174","volume":"33","author":"Mladina R.","year":"1995","journal-title":"Rhinology"},{"key":"bibr23-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3299"},{"key":"bibr24-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2015.29.4208"},{"key":"bibr25-ajra.2017.31.4431","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2016.30.4324"}],"container-title":["American Journal of Rhinology &amp; 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