International Journal of Oral and Maxillofacial Surgery
Clinical PaperCosmetic SurgeryUse of nasal packs and intranasal septal splints following septoplasty
Section snippets
Materials and Methods
The authors conducted a randomized clinical trial to evaluate the necessity for nasal packing and septal splint use after septoplasty. From 2002 to 2004, 114 patients enrolled in this study. The patients, for whom septoplasty was considered because of septal deviation and ensuing nasal obstruction, underwent a classic septoplasty operation performed by residents under the supervision of the senior author.
The groups (packing and non-packing) were designed using the four block randomization
Results
After completion of follow-up, 105 patients were eligible for final analysis (9 of 114 patients were excluded because they did not attend follow-up). There were 57 patients in the packing group and 48 patients in the non-packing group. X2 and Student's t-tests were used to obtain information and analyze data. Descriptive approaches were used to evaluate the age and gender distribution.
78 patients were male and 27 female. The mean age was 24.6 years. Of the 105 patients studied, septal deviation
Discussion
All surgery is associated with pain, which may hinder the patient's activities. Today, patients tend to return to their regular life and work soon after any type of surgery. Changing some routine surgical techniques may minimize the patients’ postoperative discomfort.
Intranasal packing is used to prevent nasal hemorrhage, to prevent septal hematoma and to reduce complications after nasal surgery3. Intranasal packing produces some quality-of-life problems for patients. These include problems
Funding
None
Competing Interests
None declared
Ethical Approval
Not required
Acknowledgment
We would like to acknowledge Mrs Susan Kling, assistant director of Bandon public library for her generous assistance in preparing this manuscript.
References (16)
- et al.
Double-blind randomised controlled trial comparing Merocel with Rapid Rhino nasal packs after routine nasal surgery
Rhinology
(2003) - et al.
Fibrin glue presents complications of septal surgery: Findings in a series of 100 patients
Ear, Nose & Throat Journal
(2003) - et al.
Comparison of suture and nasal packing in rabbit noses
Laryngoscope
(2004) Is packing after septorhinoplasty necessary? A randomized study
Plast reconstr surg
(1989)- et al.
Toxic shock syndrome following septoplasty and partial turbinectomy
J otolaryngol
(1986) - et al.
Episodic nocturnal hypoxia and nasal packs
Clin otolaryngol
(1991) - et al.
Bacteriemia in septoplasty and septorhinoplasty
Rhinology
(2003) - et al.
Septal suturing following nasal septoplasty-A valid alternative for nasal packing?
Acta otorhinolaryngol
(2001)
Cited by (79)
Oral and maxillofacial literature from Middle East: a bibliometric analysis and list of top-100 most cited articles
2023, Journal of Stomatology, Oral and Maxillofacial SurgeryQuilting sutures compared with sponge packing in septolplasty and turbinoplasty
2021, Acta Otorrinolaringologica EspanolaDoyle silicone splint insertion: endoscopy-assisted versus nasal speculum assisted
2021, Brazilian Journal of OtorhinolaryngologyCitation Excerpt :Nasal packing after septoplasty is generally used to control bleeding, avoid septal hematoma and nasal synechiae. Nasal packing also aims to ensure muchoperichondrial flap coaptation and cartilage stabilization to ensure the best surgical results.6,7 In our practice intranasal stenting is done routinely with Doyle silicone splints in septoplasty operations.
Efficacy of nasal septal splints for preventing complications after septoplasty: A meta-analysis
2021, American Journal of Otolaryngology - Head and Neck Medicine and SurgeryEffect of single-dose intravenous tranexamic acid on postoperative nasal bleed in septoplasty
2019, Annales Francaises d'Oto-Rhino-Laryngologie et de Pathologie Cervico-FacialeEffect of single-dose intravenous tranexamic acid on postoperative nasal bleed in septoplasty
2019, European Annals of Otorhinolaryngology, Head and Neck Diseases