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Αλέξανδρος Γ. Σφακιανάκης

Monday, September 27, 2021

Using platelet-rich fibrin scaffolds with diced cartilage graft in the treatment of empty nose syndrome

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Ear Nose Throat J. 2021 Sep 25:1455613211045567. doi: 10.1177/01455613211045567. Online ahead of print.

ABSTRACT

Empty nose syndrome (ENS) is a rare entity in patients who undergo sinonasal surgery due to over-resection of the turbinate. This syndrome leads to debilitating symptoms that include dry nose, painful nasal breathing, paradoxical nasal obstruction, crusting, and sleep disorder. The goal of surgical treatment is to reestablish the volume of the turbinates to rehabi litate the nasal resistance. Endonasal microplasty with cartilage implants on the lateral wall of the nasal cavity is useful for creating the neoturbinate. Here, we present 2 cases that describe the management of empty nose syndrome by endonasal microplasty using platelet-rich fibrin (PRF) scaffolds embedded with a diced cartilage graft. The integration of the PRF scaffolds with diced cartilage efficiently facilitated the reestablishment of the neoturbinate. This autologous biomaterial is suitable for the treatment of ENS.

PMID:34569297 | DOI:10.1177/01455613211045567

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