Comparison of postoperative mucociliary clearance times in patients who had undergone septoplasty with or without tampon application

Year 2012, Volume: 2 Issue: 1, 15 - 18, 01.03.2012

İbrahim Çukurova Yusuf Yalçın Hüseyin Kırşen

https://doi.org/10.2399/jmu.2012001003

Abstract

Objective: To compare postoperative mucociliary clearance times in patients who had undergone septoplasty operations with or without tampon application. Methods: This study included 46 patients (20 female, 26 male) with nasal deviations. The patients underwent septoplasty operations under local anesthesia. The patients were divided in two groups. In Group 1 (28 patients) Merocell® tampons were packed into two nasal passages for the stabilization of the septum. On postoperative 2nd day tampons were removed, and nasal irrigation was started using saline solution. In Group 2 (18 patients) transeptal sutures were placed for septal stabilization and nasal irrigation with saline solution was started from postoperative 6th hour. All patients had undergone saccharine clearance test before the procedure, and at postoperative 1st week and 3rd month, and the results were compared. Results: Preoperative nasal mucociliary clearance times of 46 patients aged 20 to 53 years were as follows: Group 1: 14.65 min at the side of the septal deviation (deviated side), and 14.07 min at the non-deviated side; In Group 2, the corresponding time intervals were 11.9 vs. 13.1 minutes, respectively. At postoperative 1st week, in Group 1, mucociliary clearance times were 12.54 min for the deviated and 11.23 min for the non-deviated nasal septa. While in Group 2, the corresponding times of clearance were 10.1 vs. 10.8 min. At postoperative 3rd month, in Group 1, mucociliary clearance times were 11.6 min for the deviated and 10.4 min for the non-deviated septa. In Group 2, the corresponding clearance times were 6.76 min vs. 7.8 min. Conclusion: Postoperative mucociliary clearance times of the patients operated for nasal septal deviation were evaluated. We detected shorter mucociliary clearance times in the group operated with suturing technique when compared with the other group.

Keywords

Mucociliary clearence, septoplasty, nasal septal deviation

Tamponlu ve tamponsuz septoplasti uygulanan hastalarda postoperatif mukosiliyer klirens zamanının karşılaştırılması

Abstract

Amaç: Tamponlu ve tamponsuz septoplasti uygulanan hastalarda postoperatif mukosiliyer klirens zamanını karşılaştırmak. Yöntem: Bu çalışmaya nazal deviasyonu olan 20'si kadın, 26'sı erkek, toplam 46 hasta alındı. Hastalara lokal anestezi altında septoplasti ameliyatı uygulandı. Hastalar 2 gruba ayrıldı. Birinci gruba (28 hasta), septum stabilizasyonu için her iki nazal pasaja Merocell® tampon yerleştirildi. Postoperatif 2. gün tamponlar çıkarıldı ve salin solüsyonu ile irrigasyon başlandı. İkinci gruba (18 hasta) septum stabilizasyonu için transseptal sütür uygulandı ve postoperatif 6. saatte salin solüsyonu ile irrigasyon başlandı. Tüm hastalara preoperatif, postoperatif 1. hafta ve 3. ayda sakarin klirens testi uygulandı ve sonuçlar karşılaştırıldı. Bulgular: 20-53 yaşları arasında 46 hastaya ait preoperatif nazal mukosiliyer klirens zamanı; birinci grupta deviye tarafta 14.65 dk, nondeviye tarafta 14.07 dk idi. İkinci grupta deviye tarafta 11.9 dk, nondeviye tarafta 13.1 dk idi. Postoperatif 1. haftada mukosiliyer klirens zamanı; birinci grupta deviye tarafta 12.54 dk, nondeviye tarafta 11.23 dk , ikinci grupta deviye tarafta 10.1 dk, nondeviye tarafta 10.8 dk saptandı. Postoperatif 3. ayda mukosiliyer klirens zamanı; birinci grupta deviye tarafta 11.6 dk, nondeviye tarafta 10.4 dk , ikinci grupta deviye tarafta 6.76 dk, nondeviye tarafta 7.8 dk saptandı. Sonuç: Nazal septal deviasyon nedeni ile opere edilen hastalarımızın postoperatif dönemdeki mukosiliyer klirens zamanı değerlendirildi. Sütürlü teknik ile opere ettiğimiz grupta mukosiliyer klirens zamanının, diğer gruba oranla daha hızlı olduğu tespit edilmiştir.

Keywords

Mukosiliyer klirens, septoplasti, nazal septal deviasyon

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• Makalenin atıf künyesi: Çukurova İ, Yalçın Y, Kırşen H. Tamponlu ve tamponsuz septoplasti uygulanan hastalarda postoperatif mukosiliyer klirens
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