Study the effect of Bilateral Nasal Packing on Systemic Blood Pressure and Prevalence of Complications Associated with Nasal Packing in Patients who had Undergone Septoplasty
Naseem Ul Haq, Bakht Zada, Muhammad Habib, Zafar Iqbal, Muhammad Tayyab Rasheed, Muhammad Naseem Khan
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ABSTRACT
Aim: The main objective of this study was to determine the
effect of bilateral nasal packing on systemic blood pressure in patients
treated with septoplasty surgical procedure.
Study Design: Retrospective study.
Place and Duration: This study was conducted at the
department of ENT/ Head & Neck Surgery, Lady Reading Hospital MTI, Peshawar
and Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore for
duration of one year from October 2020 to September 2021.
Methods: One hundred and two men and women who had
undergone nasal septoplasty following a clinical assessment were included in
this research. From 18 to 48 years of age, the patients comprised this group.
Detailed information about each patient, such as age, gender, and place of
residence, was gathered after informed consent was obtained from each patient.
Group C had no nasal packing placed, whereas typical anterior nasal packing was
used in Group D. Both groups were evenly split. A 24-hour ambulatory monitoring
of blood pressure was performed on all patients before to and during
septoplasty. SPSS 23.0 was used to do statistical analysis on all of the data.
Results: 60 (58.8%) of the 102 patients were male,
and 42 (41.2%) of the patients were female. A total of 41 (40.2 percent)
patients were under the age of 30, 35 (34.3 percent) were between the ages of
31 and 40, and 26 (25.5 percent) were above the age of 40. Rural residents
comprised 52% of the patients. Study participants in Group D were found to have
higher mean blood pressure (p-Value 0.05) following septoplasty therapy than
those in Group C (P-Value >0.05). Group D patients had bleeding,
vestibulitis, and septal perforations as a result of their nasal packing
procedure.
Conclusion: It is determined that bilateral nasal
packing was associated with an elevation in either systolic or diastolic blood
pressure in individuals who had septoplasty treatment. Patient who did not
get nasal packing showed no statistically significant change from the rest of
the group.
Keywords: Septoplasty, Bilateral Nasal Packing, Systemic
blood pressure