Utilidad del botón septal y nivel de satisfacción obtenido en los pacientes con perforaciones del septum: Nuestra experiencia

introduction: most of the septal perforations are usually asymptomatic, although some may have a crusty rhinitis, nasal obstruction, recurrent epistaxis or nasal wheeze. its origin is mostly iatrogenic or idiopathic but can also find other causes. septal buttons are a useful solution for the simplicity of their placement, being of choice in patients who do not want surgery more complex. aim: knowing the characteristics of septal perforations, in addition, a study on the results of septal button surgery and the level of satisfaction obtained by patients after the intervention. material and method: retrospective analysis of 22 patients with surgical septal button surgical placement between january 2008 to august 2010 at the hospital clinico universitario lozano blesa from zaragoza. the analysis includes a study on the etiology, symptoms of such size and drilling candidates for the use of septal button. besides the analysis of the presence or absence of complications after surgery, and postoperative improvement or worseningin the five main symptoms, stuffy, nose, wheezing, endonasal crust with dryness, epistaxis and rhinorrhea with three possible answers, same, better or worse. three months after surgery in the office is conducting a survey with a visual analogue scale (vas), in which the patient makes a subjective score of 1 to 10 to assess their level of satisfaction after the placement of the shutter. finally asked if he would wear it. the results were analyzed with statistical tests given the small sample size. results: our patients have experienced a significant improvement in symptoms such as nasal obstruction and wheezing. nasal dryness has been with worse clinical outcomes after placement of the button. subjectively 77.20% of patients would put him back. conclusions: the septal buttons are a therapeutic tool to keep in mind for the closure of septal perforations with good results in patients unsuitable for surgical correction.