Effect of nasal packs on nasal obstruction and complications of septoplasty

Yıl 2014, Cilt: 4 Sayı: 2, 56 - 60, 01.06.2014

Çiğdem Kalaycık Ertugay Semra Külekçi Barış Naiboğlu Ömer Çağatay Ertugay Ersin Şengül Kerem Sami Kaya

https://doi.org/10.2399/jmu.2014002006

Öz

Objective: We aimed to compare the use of Merocel nasal packs and airway integrated silicone nasal septal splints in the management of postoperative complications such as synechia formation, septal perforation, recurrent deviation and to evaluate nasal obstruction by using Nose Obstruction Symptom Evaluation scale following septoplasty. Methods: Ninety-six patients who complained of nasal obstruction and underwent septoplasty under general anesthesia were enrolled in the study. The patients were randomly allocated into two groups as Group A (Merocel group) and Group B (silicone splint group). A follow-up visit was scheduled two months after surgical procedure and four different variables were investigated: (1) recurrent deviation (2) synechia (3) septal perforation; and (4) Nose Obstruction Symptom Evaluation scale score. Results: We found more frequent postoperative complications in the Merocel group but this finding was not statistically significant (p>0.05). Additionally comparison of Nose Obstruction Symptom Evaluation scale scores for nasal packing materials did not detect statistically significant difference between 2 groups (p>0.05). Interestingly, we identified that in a subset of patients who had synechia formation, Nose Obstruction Symptom Evaluation scale scores had been significantly higher in comparison with the patients without synechia formation (p

Anahtar Kelimeler

Nasal obstruction, quality of life, complication

Burun tamponlarının septoplasti komplikasyonları ve nazal obstrüksiyon üzerine etkisi

Öz

Amaç: Merosel ve havayollu silikon nazal septal splint tamponlarının septoplasti sonrası oluşabilecek komplikasyonlar ve nazal obstrüksiyon üzerine etkisini karşılaştırmak amaçlanmış ve bu nedenle sineşi, septal perforasyon, rekürren deviasyon gibi postoperatif komplikasyonlar araştırılmış ve Nazal Obstrüksiyon Semptom Skalası kullanılarak nazal obstrüksiyon değerlendirmesi yapılmıştır. Yöntem: Nazal obstrüksiyon şikayeti ile septoplasti operasyonu uygulanan 96 hasta çalışmaya dahil edilmiştir. Hastalar randomize olarak Grup A (merosel grubu) ve Grup B (silikon splint grubu) diye ikiye ayrılmıştır. Cerrahiden iki ay sonra hastalar tekrar değerlendirilmiş ve 4 farklı değişken araştırılmıştır: (1) rekürren deviasyon, (2) sineşi, (3) septal perforasyon, (4) Nazal Obstrüksiyon Semptom Skalası. Bulgular: Merosel grubunda daha çok postoperatif komplikasyon gözlenmiş ancak bu bulgu istatistiksel olarak anlamlı bulunmamıştır (p>0.05). Ayrıca iki grup arasındaki Nazal Obstrüksiyon Semptom Skalası skorları arasındaki fark istatistiksel olarak anlamlılık teşkil etmemiştir (p>0.05). İlginç olarak, sineşisi bulunan hastaların Nazal Obstrüksiyon Semptom Skalası skorlarının sineşisi olmayan hastalar ile karşılaştırıldığında anlamlı oranda daha yüksek olduğu saptanmıştır (p

Anahtar Kelimeler

Burun tıkanıklığı, yaşam kalitesi, komplikasyon

Kaynakça

• Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngosope 2004;144:639-45.
• Shaw CL, Dymock RB, Cowin A, Wormald PJ. Effect of packing on nasal mucosa of sheep. J Laryngol Otol 2000;114:506-9.
• Steward 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.
• Kahveci OK, Miman MC, Yucel A, Yucedag F, Okue E, Altuntas A. The efficiency of Nose Obstrucion Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris Nasus Larynx 2012;39:275-9.
• Yilmaz MS, Guven M, Elicora SS, Kaymaz R. An evaluation of biodegradable synthetic polyurethane foam in patients following septoplasty: a prospective randomized trial. Otolaryngol Head Neck Surg 2013;148:140-4.
• Kim YS, Kim YH, Kim NH, Kim SH, Kim KR, Kim KS. A prospective, randomized, single-blinded controlled trial on biodegradable synthetic polyurethane foam as a packing material after septoplasty. Am J Rhinol Allergy 2011;25:e77-e79.
• Prabhu V, Kaushik V, Rhodes S, Tay H. Foam nasal packs: a prospective, randomised, patient-controlled study. Rhinology 2007;45:242-7.
• Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otol 2010;31:189-92.
• Aksoy E, Serin GM, Polat S, Kaytaz A. Removing intranasal splints after septal surgery. J Craniofac Surg 2011;22:1008-9.
• Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am 2009;42:279-85.
• Yilmaz MS, Guven M, Buyukarslan DG, Kaymaz R, Erkorkmaz U. Do silicone nasal septal splints with integral airway reduce postoperative eustachian tube dysfunction? Otolaryngol Head Neck Surg 2012;146:141-5.
• Acioglu E, Edizer DT, Yigit Ö, Onur F, Alkan Z. Nasal septal packing: which one? Eur Arch Otorhinolaryngol 2012;269:1777- 81.
• This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
• NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
• tion in any medium, provided the original work is properly cited.
• Please cite this article as: Kalaycık Ertugay Ç, Külekçi S, Naibo¤lu B, Ertugay ÖÇ, Şengül E, Kaya KS. Effect of nasal packs on nasal obstruction and
• complications of septoplasty. J Med Updates 2014;4(2):56-60.