Oronasal fistula post-septoplasty

Authors

• Riyadh A. Alhedaithy, From the Division of Otolaryngology, Head and Neck Surgery, (Alhedaithy) Department of Surgery, King Abdulaziz Medical City, National Guard Health Affairs, and the Rhinology & Endoscopic Skull Base Surgery Unit (Alsaleh), Otolaryngology, Head & Neck Surgery Department, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia
• Saad A. Alsaleh, From the Division of Otolaryngology, Head and Neck Surgery, (Alhedaithy) Department of Surgery, King Abdulaziz Medical City, National Guard Health Affairs, and the Rhinology & Endoscopic Skull Base Surgery Unit (Alsaleh), Otolaryngology, Head & Neck Surgery Department, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia

Abstract

Nasal septal surgery is one of the most common otolaryngology procedures performed, with rare occurrences of major postoperative complications. Oronasal fistula is a rare complication of septal surgery, with only few cases being reported in the literature. It is commonly caused by a congenital cleft palate, cleft palate surgery, traumatic injuries, infections, or neoplasms; however, it does not usually occur post-septal surgery. Here, we report the case of a 55-year-old male who presented with a symptomatic oronasal fistula post-septoplasty. Unlike other reported cases, there were no features of underlying palatal pathologies, and no previous history of other nasal or oral procedures. We described a multilayer surgical closure technique that was utilized in this case, with no recurrence seen during a 6-month follow-up period. Additionally, we reviewed the other 3 reported cases of this complication, and discussed the possible etiology in this case.

Article Type

Case Report

First Page

310

Last Page

313

Recommended Citation

Alhedaithy, Riyadh A. and Alsaleh, Saad A. (2017) "Oronasal fistula post-septoplasty," Saudi Medical Journal: Vol. 38: Iss. 3, Article 15.
DOI: https://doi.org/10.15537/smj.2017.3.16114