Title: Hard Palate Perforation after Septoplasty
Authors: S P S Yadav, Chandni Sharma, Usha Sehrawat, Aman, Pawan Kumar Gahlawat
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.63
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.
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