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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

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.

Kaynakça

  • Weber R, Hochapfel F, Draf W. Packing and stents in endonasal surgery. Rhinology 2000;38:49-62.
  • Hayward PJ, Mackay IS. Fibrin glue in nasal septal surgery. J Laryngol Otol 1987;101:133-8.
  • Lemmens W, Lemkens P. Septal suturing following nasal septoplasty, a valid alternative for nasal pack- ing? Acta Otorhinolaryngol Belg 2001;55:215-21.
  • Ogretmenoglu O, Yilmaz T, Rahimi K, Aksoyek S. The effect on arterial blood gases and heart rate of bilat- eral nasal packing. Eur Arch Otorhinolaryngol 2002; 259:63-6.
  • Garth RJ, Brightwell AP. A comparison of packing materials used in nasal surgery. J Laryngol Otol 1994; 108:564-6.
  • Titiz A, Y lmaz YF, Çelik G, Özcan M, Ünal A. Septoplasti sonras nazal tampon olarak kullan lan Merocel ve eldiven parma uygulamalar n n klinik olarak kar la t r lmas . KBB ve BBC Dergisi 2005;13:69-72.
  • von Schoenberg M, Robinson P, Ryan R. Nasal packing after routine nasal surgery-is it justified? J Laryngol Otol 1993;107:902-5.
  • von Schoenberg M, Robinson P, Ryan R. The morbid- ity from nasal splints in 105 patients. Clin Otolaryngol Allied Sci 1992;17:528-30.
  • Daneshrad P, Chin GY, Rice DH. Fibrin glue prevents complications of septal surgery: findings in a series of 100 patients. Ear Nose Throat J 2003;82:196-7.
  • Sessions RB. Membrane approximation by continuous mattress sutures following septoplasty. Laryngoscope 1984;94:702-3.
  • Nunez DA, Martin FW. An evaluation of post-opera- tive packing in nasal septal surgery. Clin Otolaryngol Allied Sci 1991;16:549-50.
  • Tarhan E, Çakmak Ö, Özgirgin N. Nazal septal cerrahi sonras splint, tampon ve sütürasyon uygulamalar n n kar la t r lmas . KBB ve BBC Dergisi 2005;13:20-4.
  • Yavuzer R, Jackson IT. Nasal packing in rhinoplas- ty and septorhinoplasty: it is wiser to avoid. Plast Reconstr Surg 1999;103:1081-2.
  • Lubianca-Neto JF, Sant’anna GD, Mauri M, Arrarte JL, Brinckmann CA. Evaluation of time of nasal packing after nasal surgery: a randomized trial. Otolaryngol Head Neck Surg 2000;122:899-901.
  • Erdem T. Septoplasti ve septorinoplasti sonras kullan lan nazal tamponlar ve stentler. KBB ve BBC’de Güncel Yakla m 2006;2:46-52.
  • Rechtweg JS, Paolini RV, Belmont MJ, Wax MK. Postoperative antibiotic use of septoplasty: a survey of practice habits of the membership of the American Rhinologic Society. Am J Rhinol 2001;15:315-20.
  • Caniello M, Passerotti GH, Goto EY, Voegels RL, Butugan O. Antibiotics in septoplasty: is it necessary? Rev Bras Otorrinolaringol 2005;71:734-8.
  • Pringle MB, Beasley P, Brightwell AP. The use of Merocel nasal packs in the treatment of epistaxis. J Laryngol Otol 1996;110:543-6.
  • Laing MR, Clark LJ. Analgesia and removal of nasal packing. Clin Otolaryngol Allied Sci 1990;15:339-42.
  • Johnson HA. The perfect nasal packing. Plast Reconstr Surg 1986;77:337-8.
  • Fanous N. The absorbable nasal pack. J Otolaryngol 1980;9:462-7.
  • Morgan NJ, Soo G, Frain I, Nunez DA. Do ventilated packs reduce post-operative eustachian tube dysfunc- tion? Clin Otolaryngol Allied Sci 1995;20:411-2.
  • Tulunay EO, Tulunay FC, Gulmez SE, Ergun H, Demireller A. The analgesic efficacy of dipyrone dur- ing removal of nasal packings after septal surgery. J Headache Pain 2004;5:243-6.
  • Lavy JA, Small GV, Jay N, Radcliffe GJ. A prospective randomized controlled study of 4% lignocaine solu- tion in Merocel nasal pack removal. Rhinology 1996; 34:219-21.
  • Lachanas VA, Karatzias GT, Pinakas VG, Hatziioannou JK, Sandris VG. The use of tetracaine 0.25% solution in nasal packing removal. Am J Rhinol 2006;20:483-4.
  • Muluk NB, Oguzturk O, Ekici A, Koc C. Emotional effects of nasal packing measured by the Hospital Anxiety and Depression Scale in patients following nasal surgery. J Otolaryngol 2005;34:172-7.

Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam

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

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

Kaynakça

  • Weber R, Hochapfel F, Draf W. Packing and stents in endonasal surgery. Rhinology 2000;38:49-62.
  • Hayward PJ, Mackay IS. Fibrin glue in nasal septal surgery. J Laryngol Otol 1987;101:133-8.
  • Lemmens W, Lemkens P. Septal suturing following nasal septoplasty, a valid alternative for nasal pack- ing? Acta Otorhinolaryngol Belg 2001;55:215-21.
  • Ogretmenoglu O, Yilmaz T, Rahimi K, Aksoyek S. The effect on arterial blood gases and heart rate of bilat- eral nasal packing. Eur Arch Otorhinolaryngol 2002; 259:63-6.
  • Garth RJ, Brightwell AP. A comparison of packing materials used in nasal surgery. J Laryngol Otol 1994; 108:564-6.
  • Titiz A, Y lmaz YF, Çelik G, Özcan M, Ünal A. Septoplasti sonras nazal tampon olarak kullan lan Merocel ve eldiven parma uygulamalar n n klinik olarak kar la t r lmas . KBB ve BBC Dergisi 2005;13:69-72.
  • von Schoenberg M, Robinson P, Ryan R. Nasal packing after routine nasal surgery-is it justified? J Laryngol Otol 1993;107:902-5.
  • von Schoenberg M, Robinson P, Ryan R. The morbid- ity from nasal splints in 105 patients. Clin Otolaryngol Allied Sci 1992;17:528-30.
  • Daneshrad P, Chin GY, Rice DH. Fibrin glue prevents complications of septal surgery: findings in a series of 100 patients. Ear Nose Throat J 2003;82:196-7.
  • Sessions RB. Membrane approximation by continuous mattress sutures following septoplasty. Laryngoscope 1984;94:702-3.
  • Nunez DA, Martin FW. An evaluation of post-opera- tive packing in nasal septal surgery. Clin Otolaryngol Allied Sci 1991;16:549-50.
  • Tarhan E, Çakmak Ö, Özgirgin N. Nazal septal cerrahi sonras splint, tampon ve sütürasyon uygulamalar n n kar la t r lmas . KBB ve BBC Dergisi 2005;13:20-4.
  • Yavuzer R, Jackson IT. Nasal packing in rhinoplas- ty and septorhinoplasty: it is wiser to avoid. Plast Reconstr Surg 1999;103:1081-2.
  • Lubianca-Neto JF, Sant’anna GD, Mauri M, Arrarte JL, Brinckmann CA. Evaluation of time of nasal packing after nasal surgery: a randomized trial. Otolaryngol Head Neck Surg 2000;122:899-901.
  • Erdem T. Septoplasti ve septorinoplasti sonras kullan lan nazal tamponlar ve stentler. KBB ve BBC’de Güncel Yakla m 2006;2:46-52.
  • Rechtweg JS, Paolini RV, Belmont MJ, Wax MK. Postoperative antibiotic use of septoplasty: a survey of practice habits of the membership of the American Rhinologic Society. Am J Rhinol 2001;15:315-20.
  • Caniello M, Passerotti GH, Goto EY, Voegels RL, Butugan O. Antibiotics in septoplasty: is it necessary? Rev Bras Otorrinolaringol 2005;71:734-8.
  • Pringle MB, Beasley P, Brightwell AP. The use of Merocel nasal packs in the treatment of epistaxis. J Laryngol Otol 1996;110:543-6.
  • Laing MR, Clark LJ. Analgesia and removal of nasal packing. Clin Otolaryngol Allied Sci 1990;15:339-42.
  • Johnson HA. The perfect nasal packing. Plast Reconstr Surg 1986;77:337-8.
  • Fanous N. The absorbable nasal pack. J Otolaryngol 1980;9:462-7.
  • Morgan NJ, Soo G, Frain I, Nunez DA. Do ventilated packs reduce post-operative eustachian tube dysfunc- tion? Clin Otolaryngol Allied Sci 1995;20:411-2.
  • Tulunay EO, Tulunay FC, Gulmez SE, Ergun H, Demireller A. The analgesic efficacy of dipyrone dur- ing removal of nasal packings after septal surgery. J Headache Pain 2004;5:243-6.
  • Lavy JA, Small GV, Jay N, Radcliffe GJ. A prospective randomized controlled study of 4% lignocaine solu- tion in Merocel nasal pack removal. Rhinology 1996; 34:219-21.
  • Lachanas VA, Karatzias GT, Pinakas VG, Hatziioannou JK, Sandris VG. The use of tetracaine 0.25% solution in nasal packing removal. Am J Rhinol 2006;20:483-4.
  • Muluk NB, Oguzturk O, Ekici A, Koc C. Emotional effects of nasal packing measured by the Hospital Anxiety and Depression Scale in patients following nasal surgery. J Otolaryngol 2005;34:172-7.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Alper Nabi Erkan Bu kişi benim

Özcan Çakmak Bu kişi benim

Yayımlanma Tarihi 24 Kasım 2007
Yayımlandığı Sayı Yıl 2007 Cilt: 17 Sayı: 6

Kaynak Göster

APA Erkan, A. N., & Çakmak, Ö. (2007). Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam. The Turkish Journal of Ear Nose and Throat, 17(6), 301-306.
AMA Erkan AN, Çakmak Ö. Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam. Tr-ENT. Kasım 2007;17(6):301-306.
Chicago Erkan, Alper Nabi, ve Özcan Çakmak. “Nazal Septal Cerrahi Sonrasnda Nazal Tampon Kullanm Konusunda KBB Hekimlerinin Yaklam”. The Turkish Journal of Ear Nose and Throat 17, sy. 6 (Kasım 2007): 301-6.
EndNote Erkan AN, Çakmak Ö (01 Kasım 2007) Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam. The Turkish Journal of Ear Nose and Throat 17 6 301–306.
IEEE A. N. Erkan ve Ö. Çakmak, “Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam”, Tr-ENT, c. 17, sy. 6, ss. 301–306, 2007.
ISNAD Erkan, Alper Nabi - Çakmak, Özcan. “Nazal Septal Cerrahi Sonrasnda Nazal Tampon Kullanm Konusunda KBB Hekimlerinin Yaklam”. The Turkish Journal of Ear Nose and Throat 17/6 (Kasım 2007), 301-306.
JAMA Erkan AN, Çakmak Ö. Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam. Tr-ENT. 2007;17:301–306.
MLA Erkan, Alper Nabi ve Özcan Çakmak. “Nazal Septal Cerrahi Sonrasnda Nazal Tampon Kullanm Konusunda KBB Hekimlerinin Yaklam”. The Turkish Journal of Ear Nose and Throat, c. 17, sy. 6, 2007, ss. 301-6.
Vancouver Erkan AN, Çakmak Ö. Nazal septal cerrahi sonrasnda nazal tampon kullanm konusunda KBB hekimlerinin yaklam. Tr-ENT. 2007;17(6):301-6.