Abstract
Introduction: Deviated nasal septum, prevalent worldwide, is one of the most common cause of nasal obstruction. Although it is not commonly believed, however, adenoidal hyperplasia is an important etiological factor. Palatal perforation is one of the rarest complication post septoplasty. Adenoidal hypertrophy causes high arched palate which leads to thinning of palatal bone, which can be injured during septoplasty. The development of a palatal perforation following septoplasty is extremely rare.
Case Report: Two patients with palatal (oro-nasal) fistula following septoplasty are presented. Both had a high arched palate consequent to adenoidal hypertrophy during early childhood. However luckily the perforation healed conservatively and a surgical repair was not required.
Conclusion: Adenoids induced septal deviation in patients with high arched palate should be operated with utmost caution to avoid palatal perforation.
Keywords: septoplasty, palatal perforation, high arched palate.
References
- Gray LP. Deviated nasal septum. Incidence and etiology. Ann Otol Rhinol Laryngol Suppl 1978; 87: 3-20.
- Cukurova I, Cetinkaya EA, Mercan GC, Demirha E, Gumussoy M. Retrospective analysis of 697 septoplasty surgery cases: packing versus trans-septal suturing method. Acta Otorhinolaryngol Ital 2012; 32: 111-4.
- Rao GN, Rout K, Pal A. Central retinal artery occlusion and third cranial nerve palsy following nasal septoplasty. Case Rep Ophthalmol 2012; 3: 321-6.
- Ersoy B, Ylmaz S, Sirinoglu H, Celebiler O, Numanoglu A. A rare complication after septoplasty procedure in a misdiagnosed submucous cleft palate case: palatal fistula. J Plast Reconstr Aesthet Surg 2010; 63: 1382-4.
- Naghibzadeh B, Peyvandi AA, Naghibzadeh G. Does post septoplasty nasal packing reduce complications. Acta Med Iran 2011; 49: 9-12.
- Sedwick JD, Lopez AB, Gajewski BJ, Simons RL. Caudal septoplasty for treatment of septal deviation: aesthetic and functional correction of the nasal base. Arch Facial Plast Surg 2005; 7: 158-62.
- Gokdemir O, Bal A. Palatal perforation, the most rarely observed complication after deviated septum surgery. J Pak Med Assoc 2014; 64: 1322-3.
- Tilaveridis I, Kalaitsidou I, Kyrgidis A, Astreidis IS. Palatal Perforation as a Rare Complication of Nasal Septoplasty. Aesthetic Plast Surg 2016; 40: 850-3.
- Balmor GR, Yarom N, Weitzen R. Drug-induced palate osteonecrosis following nasal surgery. Isr Med Assoc J 2012; 14: 193-4.
- Ahmed MV, Naz F, Chand MAH, Tambuwala A, Kaul D. Repair of iatrogenic oronasal fistula after periapical surgery. Univ Res J Dent 2012; 2: 83-6.
Corresponding Author
Usha Sehrawat
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob: 9466728452
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.63
