Value of Nasal Packing After Septoplasty
Mohammed Abdel Rahman Abo Bakr;
Abstract
People undergo septorhinoplasty surgeries for functional or cosmetic reasons.
Nasal packing or transseptal sutures are used to prevent postoperative complications in septoplasty.
Nasal packing is still routinely used after septoplasty. The reasons for packing use include haemostasis, the prevention of septal haematoma, increased mucoperichondrial flap apposition, the closure of dead space, and the prevention of the displacement of replaced cartilage.
Nasal packing is not an innocuous procedure, and it may lead to several complications.
The main disadvantage of packing is patient discomfort and the need for hospital stay. Nasal packing has been reported as the leading cause of early postoperative pain and the removal of the packs is the most painful event in the postoperative period.
Other complications have been related to pack insertion, like vasovagal attack, trauma to the columella, nasal mucosa, and soft palate.
Complications related to maintaining the pack include hypoxia, hypoxemia, dysphagia, obstructive sleep apnea (OSA), vestibulitis,sinusitis, toxic shock syndrome and eustachian tube obstruction thatmay lead to otitis media with effusion and acute otitis media.
Late complications include adhesions, septal perforations, velopharyngeal incompetence or stenosis, and pack granuloma.
In 1980:Lee et al., reported forms of continuous septal suturing as an attempt to overcome some of these drawbacks of nasal packing.
Later on:Lemmens et al. used similar technique of septal suturing after nasal septoplasty without nasal packing in 226 consecutive surgical procedures and they found that the septal suturing technique was a valid alternative to intranasal packing following septal surgery.
The present meta-analysis focused on important, unresolved clinical questions on the efficacy and safety of suturing technique that could delay its adoption by most centers.
First, the meta-analysis showed that in patients submitted to septoplasty with trans-septal suturing technique, the recovery from anaesthia and the extubation markedly became easier.
Nasal packing or transseptal sutures are used to prevent postoperative complications in septoplasty.
Nasal packing is still routinely used after septoplasty. The reasons for packing use include haemostasis, the prevention of septal haematoma, increased mucoperichondrial flap apposition, the closure of dead space, and the prevention of the displacement of replaced cartilage.
Nasal packing is not an innocuous procedure, and it may lead to several complications.
The main disadvantage of packing is patient discomfort and the need for hospital stay. Nasal packing has been reported as the leading cause of early postoperative pain and the removal of the packs is the most painful event in the postoperative period.
Other complications have been related to pack insertion, like vasovagal attack, trauma to the columella, nasal mucosa, and soft palate.
Complications related to maintaining the pack include hypoxia, hypoxemia, dysphagia, obstructive sleep apnea (OSA), vestibulitis,sinusitis, toxic shock syndrome and eustachian tube obstruction thatmay lead to otitis media with effusion and acute otitis media.
Late complications include adhesions, septal perforations, velopharyngeal incompetence or stenosis, and pack granuloma.
In 1980:Lee et al., reported forms of continuous septal suturing as an attempt to overcome some of these drawbacks of nasal packing.
Later on:Lemmens et al. used similar technique of septal suturing after nasal septoplasty without nasal packing in 226 consecutive surgical procedures and they found that the septal suturing technique was a valid alternative to intranasal packing following septal surgery.
The present meta-analysis focused on important, unresolved clinical questions on the efficacy and safety of suturing technique that could delay its adoption by most centers.
First, the meta-analysis showed that in patients submitted to septoplasty with trans-septal suturing technique, the recovery from anaesthia and the extubation markedly became easier.
Other data
| Title | Value of Nasal Packing After Septoplasty | Other Titles | اهمية استعمال حشو الانف بعد عمليات تقويم الحاجز الانفى | Authors | Mohammed Abdel Rahman Abo Bakr | Issue Date | 2015 |
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