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Effects of nasal pack use on surgical success in septoplasty

Year 2014, Volume: 24 Issue: 4, 206 - 210, 25.09.2014

Abstract

Objectives: This study aims to evaluate the effects of nasal packs on surgical success and related complications in septoplasty. Patients and Methods: Thirty-eight patients 21 males, 17 females; mean age, 36.6 years, range 18 to 61 years were included in the study. Septoplasty candidates were prospectively divided into two groups. Nasal packing and transseptal suture technique was applied to patients in group 1 n=16 and group 2 n=22 , respectively. Postoperative pain was assessed with the visual analog scale. The success of surgery was questioned using the Nasal Obstruction Septoplasty Effectiveness NOSE scale. Surgical success was defined as a 50% decrease in the NOSE scores. Results: There was no statistically significant difference in surgical success and complication rates between the groups p>0.05 . Pain scores were significantly higher in group 1 p=0.015 . Conclusion: Our study results suggest that nasal pack use does not affect surgical success and complication rates in septoplasty. Pack-free septoplasty with the transseptal suture technique is an effective method in the treatment of septal deviation.

References

  • Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114:639-45.
  • Weber R, Hochapfel F, Draf W. Packing and stents in endonasal surgery. Rhinology 2000;38:49-62.
  • Nunez DA, Martin FW. An evaluation of post-operative packing in nasal septal surgery. Clin Otolaryngol Allied Sci 1991;16:549-50.
  • Lemmens W, Lemkens P. Septal suturing following nasal septoplasty, a valid alternative for nasal packing? Acta Otorhinolaryngol Belg 2001;55:215-21.
  • Harrill WC, Pillsbury HC 3rd, McGuirt WF, Stewart MG. Radiofrequency turbinate reduction: a NOSE evaluation. Laryngoscope 2007;117:1912-9.
  • Awan MS, Iqbal M. Nasal packing after septoplasty: a randomized comparison of packing versus no packing in 88 patients. Ear Nose Throat J 2008;87:624-7.
  • Orlandi RR, Lanza DC. Is nasal packing necessary following endoscopic sinus surgery? Laryngoscope 2004;114:1541-4.
  • Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am 2009;42:279-85.
  • Reiter D, Alford E, Jabourian Z. Alternatives to packing in septorhinoplasty. Arch Otolaryngol Head Neck Surg 1989;115:1203-5.
  • Gupta M, Singh S, Chauhan B. Comparative study of complete nasal packing with and without airways. B-ENT 2011;7:91-6.
  • Hesham A, Ghali A. Rapid Rhino versus Merocel nasal packs in septal surgery. J Laryngol Otol 2011;125:1244-6.
  • Shinkwin CA, Beasley N, Simo R, Rushton L, Jones NS. Evaluation of Surgicel Nu-knit, Merocel and Vasolene gauze nasal packs: a randomized trial. Rhinology 1996;34:41-3.
  • Ardehali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009;38:1022-4.
  • Kazkayasi M, Dinçer C, Sezikli H, Arikan OK, Cağlayan O. The effect of suturing technique and nasal packing on oxidative stress in septoplasty operations. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:35-9.
  • Valentine R, Wormald PJ. Nasal dressings after endoscopic sinus surgery: what and why? Curr Opin Otolaryngol Head Neck Surg 2010;18:44-8.
  • Erkan AN, Cakmak O, Kocer NE, Yilmaz I. Effects of fibrin glue on nasal septal tissues. Laryngoscope 2007;117:491-6.
  • Vaiman M, Eviatar E, Segal S. The use of fibrin glue as hemostatic in endonasal operations: a prospective, randomized study. Rhinology 2002;40:185-8.
  • Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004;130:157-63.
  • Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004;130:283-90.
  • Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otolaryngol 2010;31:189-92.
  • Dogan OT, Yildirim A, Epozturk K, Dogan M. Another advantage of nasal septal suturing: pulmonary function unaffected. B-ENT 2012;8:21-4.

Septoplastide burun tampon kullanımının cerrahi başarıya etkisi

Year 2014, Volume: 24 Issue: 4, 206 - 210, 25.09.2014

Abstract

Amaç: Bu çalışmada septoplastide burun tamponlarının cerrahi başarı ve ilişkili komplikasyonlara etkisi değerlendirildi.Hastalar ve Yöntemler: Çalışmaya 38 hasta 21 erkek, 17 kadın; ort. yaş, 36.6 yıl, dağılım 18-61 yıl dahil edildi. Septoplasti adayları ileriye dönük olarak iki gruba ayrıldı. Grup 1 n=16 ve grup 2’deki n=22 hastalara sırasıyla nazal tampon ve transseptal dikiş tekniği uygulandı. Cerrahi sonrası ağrı görsel analog ölçeği ile değerlendirildi. Cerrahi başarı Burun Tıkanıklığı Septoplasti Etkinliği NOSE ölçeği ile sorgulandı. Cerrahi başarı, NOSE skorunda %50’lik azalma olarak tanımlandı.Bulgular: Gruplar arasında cerrahi başarı ve komplikasyon oranları açısından istatistiksel olarak anlamlı bir fark saptanmadı p>0.05 . Ağrı skorları grup 1’de anlamlı düzeyde yüksekti p=0.015 . Sonuç: Çalışma bulgularımız, septoplastide burun tamponu uygulamasının cerrahi başarı ve komplikasyon oranını etkilemediğini gösterdi. Transseptal dikiş tekniği ile uygulanan tamponsuz septoplasti septum deviasyonunun tedavisinde etkili bir yöntemdir

References

  • Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114:639-45.
  • Weber R, Hochapfel F, Draf W. Packing and stents in endonasal surgery. Rhinology 2000;38:49-62.
  • Nunez DA, Martin FW. An evaluation of post-operative packing in nasal septal surgery. Clin Otolaryngol Allied Sci 1991;16:549-50.
  • Lemmens W, Lemkens P. Septal suturing following nasal septoplasty, a valid alternative for nasal packing? Acta Otorhinolaryngol Belg 2001;55:215-21.
  • Harrill WC, Pillsbury HC 3rd, McGuirt WF, Stewart MG. Radiofrequency turbinate reduction: a NOSE evaluation. Laryngoscope 2007;117:1912-9.
  • Awan MS, Iqbal M. Nasal packing after septoplasty: a randomized comparison of packing versus no packing in 88 patients. Ear Nose Throat J 2008;87:624-7.
  • Orlandi RR, Lanza DC. Is nasal packing necessary following endoscopic sinus surgery? Laryngoscope 2004;114:1541-4.
  • Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am 2009;42:279-85.
  • Reiter D, Alford E, Jabourian Z. Alternatives to packing in septorhinoplasty. Arch Otolaryngol Head Neck Surg 1989;115:1203-5.
  • Gupta M, Singh S, Chauhan B. Comparative study of complete nasal packing with and without airways. B-ENT 2011;7:91-6.
  • Hesham A, Ghali A. Rapid Rhino versus Merocel nasal packs in septal surgery. J Laryngol Otol 2011;125:1244-6.
  • Shinkwin CA, Beasley N, Simo R, Rushton L, Jones NS. Evaluation of Surgicel Nu-knit, Merocel and Vasolene gauze nasal packs: a randomized trial. Rhinology 1996;34:41-3.
  • Ardehali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009;38:1022-4.
  • Kazkayasi M, Dinçer C, Sezikli H, Arikan OK, Cağlayan O. The effect of suturing technique and nasal packing on oxidative stress in septoplasty operations. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:35-9.
  • Valentine R, Wormald PJ. Nasal dressings after endoscopic sinus surgery: what and why? Curr Opin Otolaryngol Head Neck Surg 2010;18:44-8.
  • Erkan AN, Cakmak O, Kocer NE, Yilmaz I. Effects of fibrin glue on nasal septal tissues. Laryngoscope 2007;117:491-6.
  • Vaiman M, Eviatar E, Segal S. The use of fibrin glue as hemostatic in endonasal operations: a prospective, randomized study. Rhinology 2002;40:185-8.
  • Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004;130:157-63.
  • Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004;130:283-90.
  • Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otolaryngol 2010;31:189-92.
  • Dogan OT, Yildirim A, Epozturk K, Dogan M. Another advantage of nasal septal suturing: pulmonary function unaffected. B-ENT 2012;8:21-4.
There are 21 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Erkan Eşki This is me

Işıl Adadan Güvenç This is me

Evren Hızal This is me

İsmail Yılmaz This is me

Publication Date September 25, 2014
Published in Issue Year 2014 Volume: 24 Issue: 4

Cite

APA Eşki, E., Güvenç, I. A., Hızal, E., Yılmaz, İ. (2014). Effects of nasal pack use on surgical success in septoplasty. The Turkish Journal of Ear Nose and Throat, 24(4), 206-210.
AMA Eşki E, Güvenç IA, Hızal E, Yılmaz İ. Effects of nasal pack use on surgical success in septoplasty. Tr-ENT. September 2014;24(4):206-210.
Chicago Eşki, Erkan, Işıl Adadan Güvenç, Evren Hızal, and İsmail Yılmaz. “Effects of Nasal Pack Use on Surgical Success in Septoplasty”. The Turkish Journal of Ear Nose and Throat 24, no. 4 (September 2014): 206-10.
EndNote Eşki E, Güvenç IA, Hızal E, Yılmaz İ (September 1, 2014) Effects of nasal pack use on surgical success in septoplasty. The Turkish Journal of Ear Nose and Throat 24 4 206–210.
IEEE E. Eşki, I. A. Güvenç, E. Hızal, and İ. Yılmaz, “Effects of nasal pack use on surgical success in septoplasty”, Tr-ENT, vol. 24, no. 4, pp. 206–210, 2014.
ISNAD Eşki, Erkan et al. “Effects of Nasal Pack Use on Surgical Success in Septoplasty”. The Turkish Journal of Ear Nose and Throat 24/4 (September 2014), 206-210.
JAMA Eşki E, Güvenç IA, Hızal E, Yılmaz İ. Effects of nasal pack use on surgical success in septoplasty. Tr-ENT. 2014;24:206–210.
MLA Eşki, Erkan et al. “Effects of Nasal Pack Use on Surgical Success in Septoplasty”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 4, 2014, pp. 206-10.
Vancouver Eşki E, Güvenç IA, Hızal E, Yılmaz İ. Effects of nasal pack use on surgical success in septoplasty. Tr-ENT. 2014;24(4):206-10.