Attitudes among ENT surgeons towards the use of nasal tamponade after nasal septal surgery

Yıl 2007, Cilt: 17 Sayı: 6, 301 - 306, 24.11.2007

Alper Nabi Erkan Özcan Çakmak

Öz

Objectives: We investigated the use of nasal tampon­ ade after nasal septal surgery among ENT surgeons.Materials and Methods: An 11-item questionnaire was prepared to investigate the use of nasal tampon­ ade in nasal operations and administered to partici- pating physicians at a meeting held in Adana, Turkey, on November 4, 2006, titled “Başkent ENT Days and Çukurova ENT Association Meeting”. During the meet­ ing 72 surgeons 13 females, 59 males; mean age 39 years; range 26 to 64 years responded to the ques- tionnaire.Results: Findings shovved that 61 surgeons 84.7% used nasal tamponade after nasal operations, while 11 surgeons 15.3% preferred suturing. The most common reason for tampon use was to prevent sep­ tal hematoma and edema 63.9% . Most of the sur­ geons 60.5% used nasal tamponade for two days.While ali the participants used antibiotic treatment along with nasal tamponade, 98.3% also prescribed an analgesic, and 62.2% prescribed an antihista- minic. At the time of removing the nasal tampon, 13.2% n=8 of the surgeons used a drug to prevent pain. The most common problem encountered dur­ ing removal was pain 54% .Conclusion: The use of nasal tamponade depends on the experience and preference of surgeons.

Anahtar Kelimeler

Epistaxis/prevention & control, nasal septum/ surgery, nose/surgery, guestionnaires, tampons, surgical

Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam

Öz

Amaç: KBB hekimleri arasında nazal septal cerrahi sonras nda nazal tampon kullan m ara t r ld .Gereç ve Yöntemler: Burun ameliyatlar nda nazal tampon kullan m n ara t rmak için 11 sorudan olu an bir anket formu haz rland . Anket, 4 Kas m 2006 tarihinde Adana da yap lan Ba kent KBB Günleri ve Çukurova KBB Derne i Toplant s nda kat l mc hekimlere da t ld . Toplant lar sonunda anket formlar toplanarak de erlendirildi. Yetmiş iki hekimin anketi yan tlad görüldü. Bulgular: Burun ameliyatlar ndan sonra nazal tampon kullanan hekim say s 61 %84.7 , sütürasyon yapan hekim say s 11 %15.3 olarak bulundu. En s k tampon kullan m nedeni septal hematom ve ödemi önlemek %63.9 olarak bildirildi. Nazal tamponun kal süresini hekimlerin ço unlu u %60.5 iki gün olarak bildirdi. Hekimlerin hepsi nazal tampon kullan lan hastalara antibiyotik tedavisi verirken, %.98.3 ü a r kesici de verdi ini belirtti. Hekimlerin %62.2 si ayr ca antihistaminik verdi ini bildirdi. Nazal tampon ç kar l rken a r y önlemek amac yla ilaç tedavisi veren hekim oran %13.2 n=8 idi. Tampon ç kar l rken en s k kar la lan sorun %54 oran yla a r idi. Sonuç: Nazal tampon kullan m nda cerrah n deneyimleri ve tercihleri ön plana çıkmaktadır

Anahtar Kelimeler

Burun kanamas /koruma ve kontrol, nazal septum/cerrahi, burun/cererahi, anket, tampon, cerrahi

Kaynakça

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