Role of Nasal Splints in Preventing Adhesion Formation in Post-Operative Septoplasty Patients
Sayed Sadiq Hussain, Syed Maisam Ali, Altaf Hussain, Muhammad Abkar Khan, Khalid Mehmood Khan, Junaid Shahzad
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ABSTRACT
Background:
Septoplasty is performed for the treatment of septal
deviation. Nasal packing is used to minimize complications like bleeding,
hematoma and adhesions. However, Nasal packing causes pain and epiphora.
Intranasal septal splints cause little discomfort as compared to nasal packing.
Aim: To compare nasal splints and nasal packing in avoiding nasal adhesion.
Study
Design: Randomized
control trial
Duration
and Place of Study: Department
of ENT, Head and Neck Surgery, Pakistan Institute of
Medical Sciences, Islamabad from 1st September 2016 to 30th
September 2017.
Methods: A
total of 120 patients fulfilling the inclusion criteria were included in this
study. After Pre-operative assessment treatment options were explained and
consent was taken. Standard septoplasty was done after dividing the patients
into two groups. In Group A (n=60) patients only nasal packing was done while
nasal splints were applied in Group B (n=60). After 6 weeks patients were
examined for nasal adhesions and compared through chi square test.
Results: Mean age was 23.47±5.33 years. There were 41 (68.3%) males and 19 (31.6%) were females in group A.
While in group B, 44 (73.3 %) were males, 16(26.6%) were females. Nasal
adhesion was seen in 7 (11.7%) patients of group A while 1 (1.7%) patient of
group B. P-value was 0.028 which is statistically significant.
Conclusion: Nasal septal splints are more effective as compared to nasal packing in
preventing nasal adhesion formation in septoplasty.
Key words: Septoplasty, Nasal packing, Nasal septal splints, Nasal adhesion, Deviated nasal septum
ABSTRACT
Background:
Septoplasty is performed for the treatment of septal
deviation. Nasal packing is used to minimize complications like bleeding,
hematoma and adhesions. However, Nasal packing causes pain and epiphora.
Intranasal septal splints cause little discomfort as compared to nasal packing.
Aim: To compare nasal splints and nasal packing in avoiding nasal adhesion.
Study
Design: Randomized
control trial
Duration
and Place of Study: Department
of ENT, Head and Neck Surgery, Pakistan Institute of
Medical Sciences, Islamabad from 1st September 2016 to 30th
September 2017.
Methods: A
total of 120 patients fulfilling the inclusion criteria were included in this
study. After Pre-operative assessment treatment options were explained and
consent was taken. Standard septoplasty was done after dividing the patients
into two groups. In Group A (n=60) patients only nasal packing was done while
nasal splints were applied in Group B (n=60). After 6 weeks patients were
examined for nasal adhesions and compared through chi square test.
Results: Mean age was 23.47±5.33 years. There were 41 (68.3%) males and 19 (31.6%) were females in group A.
While in group B, 44 (73.3 %) were males, 16(26.6%) were females. Nasal
adhesion was seen in 7 (11.7%) patients of group A while 1 (1.7%) patient of
group B. P-value was 0.028 which is statistically significant.
Conclusion: Nasal septal splints are more effective as compared to nasal packing in
preventing nasal adhesion formation in septoplasty.
Key words: Septoplasty, Nasal packing, Nasal septal splints, Nasal adhesion, Deviated nasal septum