Repair of Nasal Septal Perforations
| dc.contributor.author | Sedaghat, Ahmad | |
| dc.contributor.author | Bleier, Benjamin | |
| dc.date.accessioned | 2026-07-22T12:05:59Z | |
| dc.date.available | 2026-07-22T12:05:59Z | |
| dc.date.issued | 2025-03-11 | |
| dc.description.abstract | The most common causes of nasal septal perforations are trauma, iatrogenic e.g. septoplasty, and pharmacologic e.g. intranasal corticosteroids and cocaine abuse. Other aetiologies such as vasculitis, malignancy and infection should be considered when investigating a patient when a cause is not apparent. Most septal perforations go unnoticed. The most troublesome signs and symptoms include a whistling sound, crusting and epistaxis; these are consequences of disrupttion of laminar airflow and its desiccating effect on the nasal tissues. In some cases with e.g. vasculitis or chronic picking at nasal crusts, septal perforations may grow in size and cause collapse of the dorsal or caudal supports leading to nasal deformity. Despite its varied aetiology, the common mechanism for developing a septal perforation is disruption of blood flow and devitalisation of the septum. Despite its rich blood supply in the form of Kiesselbach’s plexus, perforations most commonly involve the anterior septum; this plexus is comprised of the terminal branches of the superior labial, greater palatine and anterior ethmoidal arteries and does not tolerate vascular insults well. | |
| dc.identifier.apacitation | Sedaghat, A., & Bleier, B. (2025). Repair of Nasal Septal Perforations [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. Retrieved from http://hdl.handle.net/11427/43644 | en_ZA |
| dc.identifier.chicagocitation | Sedaghat, Ahmad, and Benjamin Bleier. (2025). "Repair of Nasal Septal Perforations." Lecture presented at ,Faculty of Health Sciences ,Division of Otorhinolaryngology. http://hdl.handle.net/11427/43644 | en_ZA |
| dc.identifier.citation | Sedaghat, A. & Bleier, B. 2025. <i>Repair of Nasal Septal Perforations</i> [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. http://hdl.handle.net/11427/43644 | en_ZA |
| dc.identifier.ris | TY - Open Education Resource AU - Sedaghat, Ahmad AU - Bleier, Benjamin AB - The most common causes of nasal septal perforations are trauma, iatrogenic e.g. septoplasty, and pharmacologic e.g. intranasal corticosteroids and cocaine abuse. Other aetiologies such as vasculitis, malignancy and infection should be considered when investigating a patient when a cause is not apparent. Most septal perforations go unnoticed. The most troublesome signs and symptoms include a whistling sound, crusting and epistaxis; these are consequences of disrupttion of laminar airflow and its desiccating effect on the nasal tissues. In some cases with e.g. vasculitis or chronic picking at nasal crusts, septal perforations may grow in size and cause collapse of the dorsal or caudal supports leading to nasal deformity. Despite its varied aetiology, the common mechanism for developing a septal perforation is disruption of blood flow and devitalisation of the septum. Despite its rich blood supply in the form of Kiesselbach’s plexus, perforations most commonly involve the anterior septum; this plexus is comprised of the terminal branches of the superior labial, greater palatine and anterior ethmoidal arteries and does not tolerate vascular insults well. DA - 2025-03-11 DB - OpenUCT DP - University of Cape Town KW - Surgery KW - Repair KW - Nasal Septal Perforations KW - BAS Flap KW - Bipedicled Anterior Septal Flap LK - https://open.uct.ac.za PY - 2025 T1 - Repair of Nasal Septal Perforations TI - Repair of Nasal Septal Perforations UR - http://hdl.handle.net/11427/43644 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/43644 | |
| dc.identifier.vancouvercitation | Sedaghat A, Bleier B. Repair of Nasal Septal Perforations [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology; provided on lecture given 2026-07-22T12:05:59Z [cited yyyy month dd]. Available from http://hdl.handle.net/11427/43644 | en_ZA |
| dc.language.iso | en | |
| dc.publisher.department | Division of Otorhinolaryngology | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
| dc.subject | Surgery | |
| dc.subject | Repair | |
| dc.subject | Nasal Septal Perforations | |
| dc.subject | BAS Flap | |
| dc.subject | Bipedicled Anterior Septal Flap | |
| dc.title | Repair of Nasal Septal Perforations | |
| dc.type | Open Education Resource |