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KMID : 0361020210640100766
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 10 p.766 ~ p.770
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Septodermoplasty: Make It Easier
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Shin Chol-Ho
Jang Yong-Ju
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Abstract
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Septodermoplasty (SDP) is a technique that presents a surgical option for the treatment of recalcitrantepistaxis from hereditary hemorrhagic telangiectasia. It involves the removal of affectednasal epithelium, replacing it with a split thickness skin graft (STSG). However, the inherentchallenges with SDP are that owing to the floppy and unstable nature of the STSG,especially if simultaneously grafting the lateral nasal wall in addition to the septum and nasalfloor, there is a risk of inadvertently stripping and displacing the STSG from its intended position.
In this article we offer some techniques that utilize microdebrider for addressing mucosallesions and fixate silastic sheet on floppy STSG as a scaffold to make it firm and easy to handlein order to hold the graft right in place.
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KEYWORD
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Epistaxis, Hereditary hemorrhagic telangiectasia, Skin grafting
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