{"id":27,"date":"2019-01-04T09:31:40","date_gmt":"2019-01-04T09:31:40","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/orl\/ca\/?p=27"},"modified":"2020-07-16T16:42:08","modified_gmt":"2020-07-16T16:42:08","slug":"perforacio-del-septe-nasal","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/","title":{"rendered":"Com tractar la perforaci\u00f3 del septe nasal"},"content":{"rendered":"<p class=\"boto2\" align=\"left\">La <strong>perforaci\u00f3 del septe nasal o perforaci\u00f3 de l&#8217;env\u00e0 nasal<\/strong>\u00a0\u00e9s l&#8217;aparici\u00f3 d&#8217;un orifici anormal que comunica les dues fosses nasals, provocant s\u00edmptomes molestos com obstrucci\u00f3 nasal, mucositat, crostes nasals i sagnats nasals freq\u00fcents.\u00a0\u00a0Les <strong>causes que poden provocar un env\u00e0 nasal perforat<\/strong> solen estar relacionades amb cirurgies nasals pr\u00e8vies. No obstant aix\u00f2, tamb\u00e9 \u00e9s com\u00fa trobar-nos casos d&#8217;<strong>env\u00e0 nasal perforat per drogues<\/strong> o per un traumatisme. A la nostra unitat som experts en el diagn\u00f2stic i tractament d&#8217;aquest tipus de patologia, a m\u00e9s de ser els primers a desenvolupar una <strong>cirurgia de reparaci\u00f3 total de l&#8217;env\u00e0 nasal<\/strong>. Vegem com&#8230;<!--more--><\/p>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<p style=\"padding-left: 30px;\"><small><b>\u00cdNDEX:<\/b><\/small><\/p>\n<p style=\"padding-left: 30px;\"><small>&#8211; <a href=\"#causes-de-perforacio-del-septe\">Causes de la perforaci\u00f3 del septe nasal<\/a><\/small><br \/>\n<small>&#8211;\u00a0<a href=\"#simptomes-de-perforacio-del-septe\">S\u00edmptomes de la perforaci\u00f3 del\u00a0septe nasal<\/a><\/small><br \/>\n<small>&#8211; <a href=\"#diagnostic-perforacio-del-septe\">Com es diagnostica la perforaci\u00f3 del\u00a0septe\u00a0nasal?<\/a><\/small><br \/>\n<small>&#8211;\u00a0<a href=\"#tractament-perforacio-septe\">Tractament de la perforaci\u00f3 de l&#8217;env\u00e0 nasal<\/a><\/small><br \/>\n<small>&#8211;\u00a0<a href=\"#primera-reconstruccio-enva\">Primera cirurgia\u00a0de reconstrucci\u00f3 total del\u00a0septe nasal<\/a><\/small><br \/>\n<small>&#8211; <a href=\"#quan-reconstruccio-septe\">Quan cal una reconstrucci\u00f3 del septe nasal?<\/a><\/small><br \/>\n<small>&#8211; <a href=\"#que-es-reconstruccio-enva\">Qu\u00e8 \u00e9s la reconstrucci\u00f3 total del septe nasal?<\/a><\/small><br \/>\n<small>&#8211; <a href=\"#cirurgia-reconstruccio-enva\">En qu\u00e8 consisteix la intervenci\u00f3?<\/a><\/small><\/p>\n<\/div>\n<div id=\"causes-de-perforacio-del-septe\" style=\"padding-left: 30px;\"><\/div>\n<blockquote>\n<h4><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/460\/cristobal\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-44\" src=\"http:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2019\/01\/cristobal-langdon-150x150.png\" alt=\"\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2019\/01\/cristobal-langdon-150x150.png 150w, https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2019\/01\/cristobal-langdon-300x300.png 300w, https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2019\/01\/cristobal-langdon.png 356w\" sizes=\"(max-width: 90px) 100vw, 90px\" \/><\/a>&#8220;La\u00a0<strong>perforaci\u00f3 del septe nasal o perforaci\u00f3 de l&#8217;env\u00e0 nasal<\/strong>\u00a0\u00e9s l&#8217;aparici\u00f3 d&#8217;un orifici anormal que comunica les dues fosses nasals, provocant s\u00edmptomes molestos&#8221;<\/h4>\n<p>Dr. <a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/460\/cristobal\" target=\"_blank\" rel=\"noopener noreferrer\">Cristobal Langdon<\/a><\/p><\/blockquote>\n<h2><strong>Causes de la perforaci\u00f3 del septe nasal<\/strong><\/h2>\n<p class=\"boto2\" align=\"left\">Generalment \u00e9s conseq\u00fc\u00e8ncia de cirurgies nasals pr\u00e8vies. No com a conseq\u00fc\u00e8ncia d&#8217;una mala pr\u00e0ctica, sin\u00f3 perqu\u00e8 \u00e9s un dels riscos en manipular el <strong>septe\u00a0nasal<\/strong>. Altres causes comunes s\u00f3n els traumatismes i les cauteritzacions repetides sobre el septe nasal i \/ o els taponaments nasals en persones amb sagnats nasals (<a href=\"https:\/\/ca.wikipedia.org\/wiki\/Epistaxi\" target=\"_blank\" rel=\"noopener noreferrer\">epistaxi<\/a>) de repetici\u00f3.<\/p>\n<p>Algunes causes menys freq\u00fcents de la <strong>perforaci\u00f3 de l&#8217;env\u00e0 nasal<\/strong> s\u00f3n les malalties sist\u00e8miques que ocasionen inflamaci\u00f3 del nas i els sins paranasals, que acaben per afectar la circulaci\u00f3 sangu\u00ednia del <strong>septe nasal<\/strong> per, finalment, ocasionar una p\u00e8rdua de teixit en el mateix. Tamb\u00e9 est\u00e0 <strong>molt relacionada a l&#8217;ab\u00fas de subst\u00e0ncies t\u00f2xiques com la coca\u00efna<\/strong>, la qual genera dany directe sobre la mucosa nasals i, a m\u00e9s, cont\u00e9 subst\u00e0ncies que generen anticossos que ataquessin els vasos sanguinis que irriguen el nas.<\/p>\n<div id=\"simptomes-de-perforacio-del-septe\" style=\"padding-left: 30px;\"><\/div>\n<h2><strong>S\u00edmptomes de la perforaci\u00f3 de l&#8217;env\u00e0 nasal<\/strong><\/h2>\n<p>Les <strong>perforacions de l&#8217;env\u00e0 nasal<\/strong> habitualment s\u00f3n asimptom\u00e0tiques, per\u00f2 en ocasions poden causar un deteriorament important de la qualitat de vida.<\/p>\n<blockquote><p>Els s\u00edmptomes t\u00edpics inclouen:<\/p>\n<ul>\n<li>\n<h4>Obstrucci\u00f3 nasal<\/h4>\n<\/li>\n<li>\n<h4>Formaci\u00f3 de mucositat i crostes<\/h4>\n<\/li>\n<li>\n<h4>Sagnats nasals recurrent<\/h4>\n<\/li>\n<li>\n<h4>Xiulets (en cas de perforacions petites)<\/h4>\n<\/li>\n<\/ul>\n<\/blockquote>\n<p>A m\u00e9s dels s\u00edmptomes relacionats amb la <strong>perforaci\u00f3 nasal<\/strong>, alguns pacients es veuen afectats est\u00e8ticament per que, en no tenir <strong>env\u00e0 nasal<\/strong>, s&#8217;ocasiona una deformitat del nas conegut com &#8220;<em>nas en cadira de muntar<\/em>&#8220;. En casos en el quals la perforaci\u00f3 sigui molt anterior i\/ o superior, es pot observar una caiguda de la punta nasal o alteracions del dors del nas, afectant el seu aspecte extern.<\/p>\n<hr \/>\n<div id=\"attachment_22\" style=\"width: 736px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-22\" class=\"wp-image-22 size-full\" src=\"http:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2018\/12\/perforacion-tabique-nasal.jpg\" alt=\"\" width=\"726\" height=\"226\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2018\/12\/perforacion-tabique-nasal.jpg 726w, https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2018\/12\/perforacion-tabique-nasal-300x93.jpg 300w\" sizes=\"(max-width: 726px) 100vw, 726px\" \/><p id=\"caption-attachment-22\" class=\"wp-caption-text\">Perforaci\u00f3 septal posterior a cirurgia del septe nasal en pacient amb poliposi nasal. Es utilitzo un penjoll del s\u00f2l de la fossa nasal per reconstruir el defecte septal.<br \/> <small>A, imatge intraoperat\u00f2ria de fossa nasal dreta demostrant una perforaci\u00f3 de 2,2 cm de di\u00e0metre m\u00e0xim; B imatge final de la reconstrucci\u00f3 en fossa nasal dreta; C, imatge final de la reconstrucci\u00f3 en fossa nasal esquerra.<\/small><\/p><\/div>\n<div id=\"diagnostic-perforacio-del-septe\" style=\"padding-left: 30px;\"><\/div>\n<hr \/>\n<h2><strong>Com es diagnostica la perforaci\u00f3 del septe\u00a0nasal?<\/strong><\/h2>\n<p>Per al <strong>diagn\u00f2stic de la perforaci\u00f3 del septe nasal<\/strong>, cal fer una <strong>endosc\u00f2pia nasal<\/strong>. Es tracta d&#8217;un simple procediment, realitzat en consultori, que permetr\u00e0: orientar el lloc de la perforaci\u00f3, valorar l&#8217;estat de les vores i el suport osteocartilaginoso de la mateixa, retirar crostes i fer mesuraments dels di\u00e0metres que seran \u00fatils a per planejar l&#8217; maneig quir\u00fargic. A m\u00e9s, es realitza una tomografia computada que permet: valorar l&#8217;estat del cart\u00edlag i os romanent de l&#8217;env\u00e0 nasal, serveix per mesurar per mitj\u00e0 d&#8217;imatges les dimensions de la perforaci\u00f3 i per valorar la relaci\u00f3 amb les altres estructures nasals.<\/p>\n<p>En els casos que la causa de la <strong>perforaci\u00f3 de l&#8217;env\u00e0<\/strong> no quedi clara en la hist\u00f2ria cl\u00ednica, generalment es realitza una bi\u00f2psia que serveix per descartar processos inflamatoris autoimmunes o fins i tot tumors que puguin estar causant la perforaci\u00f3.<\/p>\n<div id=\"tractament-perforacio-septe\" style=\"padding-left: 30px;\"><\/div>\n<h2>Tractament de la perforaci\u00f3 de l&#8217;env\u00e0 nasal<\/h2>\n<p>El tractament est\u00e0 basat en la simptomatologia del pacient i l&#8217;afectaci\u00f3 de la qualitat de vida. Hi ha perforacions que no produeixen s\u00edmptomes, les quals no cal fer cap tractament. No obstant aix\u00f2, davant d&#8217;una<strong> perforaci\u00f3 del septe nasal<\/strong> que produeix s\u00edmptomes, la millor alternativa \u00e9s la <a href=\"http:\/\/www.barnaclinic.com\/blog\/blog\/reconstruccion-total-del-tabique-nasal\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>reconstrucci\u00f3 de l&#8217;env\u00e0 nasal perforat mitjan\u00e7ant cirurgia<\/strong><\/a>.<\/p>\n<hr \/>\n<h4 style=\"padding-left: 15px; padding-right: 15px; text-align: center;\" align=\"center\"><span style=\"color: #808080;\">Si vols saber m\u00e9s sobre la cirurgia de reconstrucci\u00f3 de l&#8217;env\u00e0 nasal, continua llegint&#8230;<\/span><\/h4>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"#que-es-reconstruccio-enva\" target=\"_blank\" rel=\"noopener noreferrer\">ANAR DIRECTAMENT A LA INFORMACI\u00d3<\/a><\/p>\n<hr \/>\n<p>El maneig de les <strong>perforacions septals<\/strong> constitueix un repte per al cirurgi\u00e0 sobretot aquelles perforacions grans (m\u00e9s de 2 cm) associades a defectes est\u00e8tics del nas. Els doctors\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/460\/cristobal\" target=\"_blank\" rel=\"noopener noreferrer\">Cristobal Langdon<\/a><\/strong>\u00a0i\u00a0<a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/195\/isam\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Isam Alobid<\/strong><\/a> compten amb una \u00e0mplia experi\u00e8ncia en el tancament i reconstruccions dels defectes d&#8217;env\u00e0 nasal, a m\u00e9s de desenvolupar noves t\u00e8cniques menys invasives amb excel\u00b7lents resultats.<\/p>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h3 style=\"padding-left: 15px; padding-right: 15px;\" align=\"center\"><span style=\"color: white;\">VOL CONTACTAR\u00a0AMB EL DR. CRISTOBAL LANGDON?<\/span><\/h3>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=460\" target=\"_blank\" rel=\"noopener noreferrer\">DEMANAR CITA<\/a>\u00a0| <a class=\"button\" style=\"padding-left: 30px; padding-right: 20px;\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-televisita\/?profesional=460\" target=\"_blank;\">SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n<div id=\"primera-reconstruccio-enva\" style=\"padding-left: 30px;\"><\/div>\n<hr \/>\n<p align=\"center\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/e8k5DQjSyeo\" width=\"800\" height=\"394\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3 class=\"f\">Primera cirurgia\u00a0de reconstrucci\u00f3 total del septe nasal<\/h3>\n<p>Cirurgians i investigadors del\u00a0<a class=\"external\" href=\"https:\/\/www.hospitalclinic.org\/\" target=\"_blank\" rel=\"external noopener noreferrer\"><strong>Grup Hospital Cl\u00ednic<\/strong><\/a>, liderats pel Dr.\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/195\/isam\" target=\"_blank\" rel=\"noopener noreferrer\">Isam Alobid<\/a><\/strong>, d&#8217;<a href=\"https:\/\/www.barnaclinic.com\/ca\/especialitats\/21\/otorrinolaringologia\" target=\"_blank\" rel=\"noopener noreferrer\">Otorinolaringologia<\/a>\u00a0barnacl\u00ednic+, van desenvolupar una t\u00e8cnica que permet la <strong>reconstrucci\u00f3 total de l&#8217;env\u00e0 nasal<\/strong>. L\u2019equip del Dr. Alobid est\u00e0 format per professionals de diverses disciplines. Entre ells:\u00a0<strong>Alfonso Santamar\u00eda<\/strong>,\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/460\/cristobal\" target=\"_blank\" rel=\"noopener noreferrer\">Cristobal Langdon<\/a><\/strong>,\u00a0<strong>Mauricio L\u00f3pez-Chac\u00f3n<\/strong>,\u00a0<strong>Arturo Cordero<\/strong>,\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/36\/joaquim\" target=\"_blank\" rel=\"noopener noreferrer\">Joaquim Ense\u00f1at<\/a>, Ricardo Carrau<\/strong>\u00a0i\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/9\/bernal-sprekelsen-manuel\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Manuel Bernal-Sprekelsen<\/strong><\/a>. Despr\u00e9s d\u2019un any de la primera cirurgia realitzada amb aquesta t\u00e8cnica, el pacient present\u00e0\u00a0una <strong>recuperaci\u00f3 total de la funci\u00f3 nasal<\/strong> i una millora substancial de la qualitat de vida.<span id=\"more-989\"><\/span><\/p>\n<div id=\"quan-reconstruccio-septe\" style=\"padding-left: 30px;\"><\/div>\n<h2>QUAN CAL UNA RECONSTRUCCI\u00d3 DEL SEPTE NASAL?<\/h2>\n<p>La\u00a0<strong>perforaci\u00f3 del septe o env\u00e0 nasal<\/strong>\u00a0afecta entre el 0,9 i el 2,5% de la poblaci\u00f3. La principal causa d\u2019aquesta patologia s\u00f3n les complicacions derivades d\u2019una\u00a0<strong>cirurgia nasal<\/strong>. No obstant aix\u00f2, tamb\u00e9 pot ser degut a infeccions, tumors, inflamacions o traumatismes, a m\u00e9s de ser una possible conseq\u00fc\u00e8ncia de la radioter\u00e0pia. Finalment, la\u00a0<strong>perforaci\u00f3 de l\u2019env\u00e0 nasal<\/strong>\u00a0\u00e9s\u00a0molt habitual entre\u00a0<strong>persones dependents de subst\u00e0ncies t\u00f2xiques inhalades com la coca\u00efna<\/strong>.<\/p>\n<p>El\u00a0<strong>tancament de la perforaci\u00f3 septal amb cirurgia<\/strong>\u00a0era fins ara el tractament recomanat, per\u00f2 no existia cap t\u00e8cnica que ofer\u00eds una soluci\u00f3 completa i duradora. La nova t\u00e8cnica quir\u00fargica desenvolupada per l\u2019equip del Dr.\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/195\/isam\" target=\"_blank\" rel=\"noopener noreferrer\">Isam Alobid<\/a><\/strong>\u00a0s\u2019ha demostrat efica\u00e7 i perdurable. Ofereix una cosa fins ara inabastable, la\u00a0<strong>reparaci\u00f3 completa en els casos de perforaci\u00f3 total del\u00a0septe\u00a0nasal<\/strong>.<\/p>\n<blockquote>\n<h4><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-984 lazy-loaded\" src=\"http:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/isam-alobid.jpg\" alt=\"\" width=\"90\" height=\"90\" data-lazy-type=\"image\" data-src=\"http:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/isam-alobid.jpg\" \/>\u201cLa reconstrucci\u00f3 total del\u00a0septe nasal \u00e9s factible amb aquesta nova t\u00e8cnica. Els bons resultats obtinguts en la primera intervenci\u00f3, amb la recuperaci\u00f3 total de la funci\u00f3 nasal i una millora substancial en la qualitat de vida del pacient, la converteixen en el procediment a utilitzar per al tancament de perforacions septals molt complexes\u201d<\/strong><\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/195\/isam\">Isam Alobid<\/a><\/p><\/blockquote>\n<hr \/>\n<h4 style=\"padding-left: 15px; padding-right: 15px; text-align: center;\" align=\"center\"><span style=\"color: #808080;\">T&#8217;has perdut alguna cosa? Vols repassar millor qu\u00e8 \u00e9s la perforaci\u00f3 de l&#8217;env\u00e0 nasal i con\u00e8ixer les causes i els s\u00edmptomes del septe nasal perforat?<\/span><\/h4>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"#causes-de-perforacio-del-septe\" target=\"_blank\" rel=\"noopener noreferrer\">TORNAR A L&#8217;INICI DE L&#8217;ENTRADA<\/a><\/p>\n<div id=\"que-es-reconstruccio-enva\" style=\"padding-left: 30px;\"><\/div>\n<hr \/>\n<h2>QU\u00c8 \u00c9S LA RECONSTRUCCI\u00d3 TOTAL DEL SEPTE NASAL?<\/h2>\n<p>La innovadora t\u00e8cnica desenvolupada per l\u2019equip del Dr. Alobid neix del treball en equip i multidisciplinari dut a terme a l\u2019<a class=\"external\" href=\"https:\/\/www.hospitalclinic.org\/\" target=\"_blank\" rel=\"external noopener noreferrer\"><strong>Hospital Cl\u00ednic de Barcelona<\/strong><\/a>\u00a0(sobretot entre els equips d\u2019otorinolaringologia i\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/neurocirugia\/\" target=\"_blank\" rel=\"noopener noreferrer\">neurocirurgia<\/a>) i gr\u00e0cies a la col\u00b7laboraci\u00f3 amb l\u2019<a class=\"external\" href=\"https:\/\/wexnermedical.osu.edu\/\" target=\"_blank\" rel=\"external noopener noreferrer\">Ohio State University-Wexner Medical Center<\/a>\u00a0dels EUA.<\/p>\n<div id=\"cirurgia-reconstruccio-enva\" style=\"padding-left: 30px;\"><\/div>\n<p>Aquesta nova cirurgia s\u2019inspira en la utilitzaci\u00f3 que es fa del\u00a0<strong>penjoll pericraneal<\/strong>\u00a0(teixit fibr\u00f3s vascularitzat que envolta el crani) per a la reconstrucci\u00f3 de la base del crani en casos de resecci\u00f3 de grans tumors. Partint d\u2019aquesta idea, l\u2019equip quir\u00fargic\u00a0<strong>reconstrueix totalment\u00a0el septe nasal utilitzant el penjoll pericraneal<\/strong>, aconseguint una funci\u00f3 nasal completa.<\/p>\n<h2>EN QU\u00c8 CONSISTEIX LA INTERVENCI\u00d3?<\/h2>\n<ol>\n<li class=\"first\">La cirurgia s\u2019inicia amb una incisi\u00f3 sobre el cuir cabellut, a trav\u00e9s de la qual se separen les diferents capes de teixit, fins a arribar al penjoll pericraneal, la capa m\u00e9s profunda de teixit que envolta el crani. Aquest penjoll, que s\u2019utilitzar\u00e0 per a la\u00a0<strong>reconstrucci\u00f3 del\u00a0septe\u00a0nasal<\/strong>, se separa del crani i es plega sobre si mateix.<\/li>\n<li>A continuaci\u00f3, el cirurgi\u00e0 realitza una obertura en forma de \u201cranura de guardiola\u201d en l\u2019os frontal i intruduex el penjoll plegat, dirigint-se cap a la cavitat nasal.<\/li>\n<li class=\"last\">Un cop a la cavitat nasal, desplega el penjoll, estenent-lo sobre la perforaci\u00f3 fins cobrir-la completament, formant aix\u00ed el nou septe nasal.<\/li>\n<\/ol>\n<p>La <strong>reconstrucci\u00f3 total d&#8217;un septe nasal perforat<\/strong> \u00e9s una\u00a0<strong>cirurgia que\u00a0ofereix una r\u00e0pida recuperaci\u00f3, sense complicacions ni dolor<\/strong>. A m\u00e9s, el procediment \u00e9s controlat per endoscopi a trav\u00e9s del nas, de manera que les incisions s\u00f3n m\u00ednimes i es redueixen les cicatrius. L\u2019\u00fanica incisi\u00f3 quedar\u00e0 dissimulada pel cabell quant creixi.<\/p>\n<blockquote>\n<h4><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-984 lazy-loaded\" src=\"http:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/isam-alobid.jpg\" alt=\"\" width=\"90\" height=\"90\" data-lazy-type=\"image\" data-src=\"http:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/isam-alobid.jpg\" \/><\/strong><\/h4>\n<h4>&#8220;La\u00a0<strong>reconstrucci\u00f3 total d&#8217;un septe nasal perforat<\/strong>\u00a0\u00e9s\u00a0una\u00a0<strong>cirurgia que\u00a0ofereix una r\u00e0pida recuperaci\u00f3, sense complicacions ni dolor&#8221;<\/strong><\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/195\/isam\">Isam Alobid<\/a><\/p><\/blockquote>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h3 style=\"padding-left: 15px; padding-right: 15px;\" align=\"center\"><span style=\"color: white;\">VOL CONTACTAR AMB EL DR. ISAM ALOBID?<\/span><\/h3>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=195\" target=\"_blank\" rel=\"noopener noreferrer\">PEDIR CITA<\/a>\u00a0| <a class=\"button\" style=\"padding-left: 30px; padding-right: 20px;\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-televisita\/?profesional=195\" target=\"_blank;\">SOLICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La perforaci\u00f3 del septe nasal o perforaci\u00f3 de l&#8217;env\u00e0 nasal\u00a0\u00e9s l&#8217;aparici\u00f3 d&#8217;un orifici anormal que comunica les dues fosses nasals, provocant s\u00edmptomes molestos com obstrucci\u00f3 nasal, mucositat, crostes nasals i sagnats nasals freq\u00fcents.\u00a0\u00a0Les causes que poden provocar un env\u00e0 nasal perforat solen estar relacionades amb cirurgies nasals pr\u00e8vies. No obstant aix\u00f2, tamb\u00e9 \u00e9s com\u00fa trobar-nos [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":41,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,34,75,114,23],"tags":[26,27,28,24,25],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Qu\u00e8 \u00e9s, com diagnosticar i tractar la perforaci\u00f3 del septe nasal<\/title>\n<meta name=\"description\" content=\"La perforaci\u00f3 del septe nasal o perforaci\u00f3 de l&#039;env\u00e0 nasal \u00e9s l&#039;aparici\u00f3 d&#039;un orifici anormal que comunica les fosses nasals, provocant s\u00edmptomes molestos\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Qu\u00e8 \u00e9s, com diagnosticar i tractar la perforaci\u00f3 del septe nasal\" \/>\n<meta property=\"og:description\" content=\"La perforaci\u00f3 del septe nasal o perforaci\u00f3 de l&#039;env\u00e0 nasal \u00e9s l&#039;aparici\u00f3 d&#039;un orifici anormal que comunica les fosses nasals, provocant s\u00edmptomes molestos\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Otorrinolaringolog\u00eda\" \/>\n<meta property=\"article:published_time\" content=\"2019-01-04T09:31:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-16T16:42:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.barnaclinic.com\/blog\/orl\/wp-content\/uploads\/sites\/14\/2018\/12\/perforacion-del-tabique-nasal.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"barnacl\u00ednic+\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"barnacl\u00ednic+\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/\",\"name\":\"Qu\u00e8 \u00e9s, com diagnosticar i tractar la perforaci\u00f3 del septe nasal\",\"isPartOf\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/#website\"},\"datePublished\":\"2019-01-04T09:31:40+00:00\",\"dateModified\":\"2020-07-16T16:42:08+00:00\",\"author\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\"},\"description\":\"La perforaci\u00f3 del septe nasal o perforaci\u00f3 de l'env\u00e0 nasal \u00e9s l'aparici\u00f3 d'un orifici anormal que comunica les fosses nasals, provocant s\u00edmptomes molestos\",\"breadcrumb\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/ca\/perforacio-del-septe-nasal\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Com tractar la perforaci\u00f3 del septe nasal\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/#website\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/orl\/\",\"name\":\"Blog de Otorrinolaringolog\u00eda\",\"description\":\"Este es el blog de Otorrinilaringolog\u00eda, rinolog\u00eda y cirug\u00eda de la base del cr\u00e1neo barnacl\u00ednic+. 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