A Comparison of Efficacy of Nasal Septal Splints with Clip versus Nasal Packing after Septoplasty
Article Sidebar
Main Article Content
Abstract
Introduction
It has always been a concern of ENT surgeon to prevent post operative complications like nasal bleeding, septal hematoma and septal abscess after septoplasty. Traditionally nasal packing has been done to avoid these complications. Although the nasal pack itself has been a concern for several reasons, packing apart from causing breathing distress, has resulted in epiphora, dysphagia, sleep disturbance, post-operative pain, headache, septal infection, septal abscess and even toxic shock syndrome.
Materials and Methods
This study has compared the efficacy of a newly designed septal splint with clip with nasal packs. This study was done on 60 patients, nasal packing was done in 30 patients and septal splints with clip were applied in 30 patients.
Results
Post-operative pain, epiphora, dysphagia, dryness of mouth and sleep disturbance was found to be significantly less in patients with septal splints with clip as compared to those with nasal packing.
Conclusion
Septal splints with clip is more efficacious alternative to nasal packing in patients undergoing septoplasty.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Dubin MR, Pletcher SD. Postoperative packing after septoplasty:is it necessary?Otolaryngology Clin North Am. 2009; 42:279-85
Mohammad Sohail Awan, Moghira Iqbal. Nasal packing after septoplasty: A randomized comparison of packing versus no packing in 88 patients.ENT Journal November 2008; 87(11):624-7
Taasan V, Wynne JW, Cassisi N, et al. The effect of nasal packing on sleep-disordered breathing and nocturnal oxygen desaturation. Laryngoscope1981;91:1163-72
Von Schoenberg M, Robinson P, Ryan R. Nasal packing after routine nasal surgery-is it justified? J Laryngol Otol. 1993;107:902-5
Nunez DA, MartinFW. An evolution of post-operative packing in nasal septalsurgery. Clin Otolaryngol. 1991;16:549-50
Samad I, Stevens HE, Maloney A. The efficacy of nasal septalsurgery.J Otolaryngol. 1992; 21:88-91
Jacbson JA, Kasworm EM. Toxic shock syndrome after nasal surgery. Case reports and analysis of risk factors. Arch Otolaryngol Head Neck Surg. 1986;112(3):329-32
Peter Illum, Lusia Grymer L, Hilberg O.Nasal packing after septoplasty.Clin Otolaryngol.1992;17:158-62
Willemot J. History of Rhinology;Functional Surgery of Nose in France at the turn of the century.Rhinology1990; 28:275-80
Tardy Jr ME. Chronic Rhinitis and Nasal Obstruction. In: Ballenger JJ ed. Diseases of the Nose Throat Ear, Head and Neck.14th ed. Philadelphia Lea and Firbiger,1991; 24-78
Fairbanks DNF. Complications of nasal packing. Otolaryngology Head Neck Surgery 1986; 94:412-5
Angell James JE. Nasal Reflexes. Proc R Soc Med.1969; 62:1287-93
Ogura JH, Harvey JE, Nasopulmonary mechanics-experimental evidence of the influence of upper airway upon the lower. Acta Otolaryngol. 1971;71:123-32
Ogura JH, Togawa K, Dammkochlear R. Nasal obstruction and the mechanics of breathing. Physiologic relationships and the effects of nasal surgery. Arch Otolaryngol.1966;83:135-50
Cassisi NJ, Biller HF, Ogura JH. Changes in arterial oxygen tension and pulmonary mechanics with the use posterior packing in epistaxis. Laryngoscope 1971;81:1261-6
Toback J, Fayerman JW. Toxic shock syndrome following septorhinoplasty. Arch otolaryngol. 1983;109:627-9
Veluswamy A, Handa S, Shivaswamy S. Nasal Septal Clips: An Alternative to Nasal Packing After Septal Surgery? Indian J Otolaryngol Head Neck Surg. DOI 10.1007/s12070-011-0388-2.
Ardenhali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J. Oral Maxillofacial Surg. 2009
Gunaydm RO, Aygenc E, Selma K, Fidan F, Celikkanat S. Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives. Eur Arch Otorhinolaryngol. 2011; 268:1151-6. DOI 10.1007/s00405-011-1542-x.