Abstract
Objectives: This study aims to evaluate the functional outcomes and complications of pack free septoplasty in adults. Patients and Methods: Forty-nine consecutive patients 35 males, 14 females; mean age 37.7 years; range 18 to 63 years who underwent septoplasty in our clinic between January 2011 and June 2013 were prospectively included in the study. Preoperative nasal obstruction was scored using the Nasal Obstruction Symptom Evaluation NOSE . Nasal obstruction was reevaluated in the first and the third postoperative months. Postoperative complications were recorded. Pre- and postoperative NOSE scores were compared. Results: Recovery rate was 81.63%. There was a statistically significant difference between preoperative NOSE scores and postoperative first and third-month NOSE scores p<0.05 . We observed minor hemorrhage in 17 patients 34.7% , nasal synechiae in three patients 6.1% , and flap overposition in two patients 4.1% . Conclusion: Pack free septoplasty performed with transseptal suture technique is effective in the treatment of septum deviation and may be performed confidently in septum surgery.
Keywords
References
- 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.
- 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.
- Dogan OT, Yildirim A, Epozturk K, Dogan M. Another advantage of nasal septal suturing: pulmonary function unaffected. B-ENT 2012;8:21-4.
- 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, McGuirt WF, Stewart MG. Radiofrequency turbinate reduction: a NOSE evaluation. Laryngoscope 2007;117:1912-9.
- Eşki E, Güvenç IA, Hızal E, Yılmaz I. Effects of nasal pack use on surgical success in septoplasty. Kulak Burun Bogaz Ihtis Derg 2014;24:206-10.
- Siegel NS, Gliklich RE, Taghizadeh F, Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg 2000;122:228-32.
- Samad I, Stevens HE, Maloney A. The efficacy of nasal septal surgery. J Otolaryngol 1992;21:88-91.
- Guyuron B. Is packing after septorhinoplasty necessary? A randomized study. Plast Reconstr Surg 1989;84:41-4.
- Deniz M, Ciftçi Z, Işık A, Demirel OB, Gültekin E. The impact of different nasal packings on postoperative complications. Am J Otolaryngol 2014;35:554-7.
- Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114:639-45.
- 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.
- Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am 2009;42:279-85.
Abstract
Amaç: Bu çalışmada yetişkinlerde tamponsuz septoplastinin fonksiyonel sonuç ve komplikasyonları değerlendirildi.Hastalar ve Yöntemler: Ocak 2011 - Haziran 2013 tarihleri arasında kliniğimizde septoplasti uygulanan ardışık 49 hasta 35 erkek, 14 kadın; ort. yaş 37.7 yıl; dağılım 18-63 yıl prospektif olarak çalışmaya dahil edildi. Burun Tıkanıklığı Semptom Değerlendirmesi NOSE kullanılarak ameliyat öncesi burun tıkanıklığı puanlandı. Ameliyat sonrası birinci ve üçüncü aylarda burun tıkanıklığı yeniden değerlendirildi. Ameliyat sonrası komplikasyonlar kaydedildi. Ameliyat öncesi ve sonrası NOSE skorları karşılaştırıldı.Bulgular: İyileşme oranı %81.63 idi. Ameliyat öncesi NOSE skorları ile ameliyat sonrası birinci ve üçüncü ay NOSE skorları arasında istatistiksel olarak anlamlı farklılık vardı p
Keywords
References
- 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.
- 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.
- Dogan OT, Yildirim A, Epozturk K, Dogan M. Another advantage of nasal septal suturing: pulmonary function unaffected. B-ENT 2012;8:21-4.
- 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, McGuirt WF, Stewart MG. Radiofrequency turbinate reduction: a NOSE evaluation. Laryngoscope 2007;117:1912-9.
- Eşki E, Güvenç IA, Hızal E, Yılmaz I. Effects of nasal pack use on surgical success in septoplasty. Kulak Burun Bogaz Ihtis Derg 2014;24:206-10.
- Siegel NS, Gliklich RE, Taghizadeh F, Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg 2000;122:228-32.
- Samad I, Stevens HE, Maloney A. The efficacy of nasal septal surgery. J Otolaryngol 1992;21:88-91.
- Guyuron B. Is packing after septorhinoplasty necessary? A randomized study. Plast Reconstr Surg 1989;84:41-4.
- Deniz M, Ciftçi Z, Işık A, Demirel OB, Gültekin E. The impact of different nasal packings on postoperative complications. Am J Otolaryngol 2014;35:554-7.
- Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114:639-45.
- 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.
- Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am 2009;42:279-85.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | October 10, 2015 |
| Published in Issue | Year 2015 Volume: 25 Issue: 5 |