Sayed Sadiq Hussain, Syed Maisam Ali, Altaf Hussain, Muhammad Abkar Khan, Khalid Mehmood Khan, Junaid Shahzad

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



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