Pack free septoplasty: functional outcomes and complications

Yıl 2015, Cilt: 25 Sayı: 5, 275 - 278, 10.10.2015

Erkan Eşki İsmail Yılmaz

Öz

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.

Anahtar Kelimeler

Pack, pain, septoplasty, suture

Tamponsuz septoplasti: fonksiyonel sonuç ve komplikasyonlar

Öz

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

Anahtar Kelimeler

Tampon, ağrı, septoplasti, sütür

Kaynakça

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