Abstract

Aim: To determine the effect of bilateral nasal packing on systemic blood pressure in patients treated with septoplasty surgical procedure.

Methods: This prospective study was conducted at THQ Hospital Chakdara from 1^st January 2018 to 30^th June 2018. Seventy two patients of both genders having nasal septum and had undergone septoplasty after clinical examination were included. Patient’s ages were ranging from 20 to 45 years. Patient’s detailed history including age, sex and residency was noted after taking informed consent from all the patients. All patients were equally divided into two groups, Group A (no nasal pack inserted) while in Group B (conventional anterior nasal packing) was inserted. All the patients in both groups were put onto 24-hrs ambulatory blood pressure observation before septoplasty and after septoplasty on 2^nd day.

Results: Out of all 72 patients, 40 (55.56%) patients were men while 32 (44.44%) patients were women. 30 (41.67%) patients were ages between 20 to 30 years, 28 (38.89%) patients had ages 31 to 40 years while 14 (19.44%) patient had ages more than 40 years. 40 (55.56%) patients had rural residency. In Group A there were 36 patients in whom 20 (55.56%) patients were males and 16 (44.44%) patients were females and same ratio in Group B. It was observed that mean systolic and diastolic blood pressure was increased in Group B patients after septoplasty treatment (p-Value <0.05) while there is no significant difference found in Group A patients (P-Value >0.05). Complications found after nasal packing was hemorrhage, vestibulitis and septal perforations in Group B patients.

Conclusion: It is concluded that bilateral nasal packing in patients whom had treated septoplasty found increase in systolic or diastolic blood pressure. We found no significant difference in patient who had not underwent nasal packing.