Background: One of the major consequences of nasal septum surgery is bleeding so bilateral nasal packing is extensively done following nasal surgery to control this postoperative bleeding. This therapeutic blockage of nasal cavity results in discomfort associated with nasal obstruction while pack is in place. Patients also experience varying degrees of discomfort while pack is removed. Aim: To compare the outcome of using innovative breathable nasal packs with bismuth iodoform paraffin paste soaked gauze packs. Setting: Department of Otorhinolaryngology Unit II Sir Ganga Raam Hospital, Fatima Jinnah Medical University, Lahore. Duration: Six months from July 2021 to December 2021. Study design: Randomized Controlled Trial Methods: A total of 112 patients undergoing intranasal septal surgery, due to deviated nasal septum, under general anaesthesia were randomly allocated into two groups. Group A was consisted of patients who were postoperatively packed bilaterally with innovative breathable nasal packs and group B patients were packed bilaterally with conventional bismuth iodoform paraffin paste soaked gauze packs. All the packs were removed after 24 hours. Visual analogue scale was used to record outcome measures. All the information was recorded on proforma. Results: The average age of the patients was 29.60±9.18 years. Mean nasal blockage and sleep disturbance was significantly low in group A than group B [41.79±17.17 vs. 51.07 ± 22.86; p=0.017] and [51.61±14.74 vs. 61.79 ± 24.05; p=0.008]. Conclusion: Innovative breathable nasal packs are a good option for nasal packing as it causes less discomfort to the patient as compared to conventional nasal packs in terms of nasal blockage and sleep distrubance. Keywords: - Nasal septum surgery, Innovative breathable nasal packs, bismuth iodoform paraffin paste soaked gauze packs.
Background: Endoscopic Sinus Surgery is a minimally invasive procedure that involves the use of an endoscope to improve sinus airflow and drainage as well as the removal of polyps. The extent of surgery varies depending on the severity of the condition and the surgeon's experience. This method has been utilized to treat sinonasal problems for over a decade. Aim: To find the frequency of success of Endoscopic Surgery in patients of Nasal Polyposis. Study design: Descriptive (Prospective) case series. Setting & duration: Department of ENT Unit II, Sir Ganga Ram Hospital, Lahore from 27-01-2021 to 26-07-2021. Methods: In current study, 80 patients of Nasal Polyposis were enrolled. All Patients were undergone Endoscopic Surgery procedure, following the patient at 3 weeks post-operatively as per operational definition addressed by success. Post-stratification chi-square test was applied. Results: Regarding age distribution, mean age was observed 37.60±4.479 years ranged from 30 to 45 years.35 patients were below 38 years of age whereas 45 patients were either 38 years or above. Out of 80 patients, 44 patients (55%) were male while remaining 36 patients (45%) were female. Frequency of patient success after Endoscopic surgery in Nasal polyposis was 64(80%). Conclusion: In conclusion, the success of the patients was considered to be high and comparable to recent literatures both local and international. The percentage of success of patients was higher i.e. 80%. Key words: Success, Endoscopic sinus surgery, Nasal Polyposis.
Aim: To determine the histopathologic healing patterns after tonsillectomy done by dissection ligation versus electrocautery technique. Setting: ENT Unit II of Fatima Jinnah Medical University Sir Ganga Raam Hospital Lahore Duration: 1st July 2021 to 30th June 2022 Study Design: Randomised control trial Sampling: Total of 106 patients were included and divided into 2 groups with probability simple random sampling. Methods: All patients of 10 to 18 years of age with history and examination that was consistent with recurrent tonsillitis were included. Group A underwent tonsillectomy with dissection-ligation technique and Group B with electrocautery. At 7th post operative day tissue samples were taken from palatopharyngeal arch and sent for histopathologic evaluation and healing was graded as good, fair and poor. Patients with acute inflammatory conditions of tonsil or suspicion of malignancy, post tonsillectomy hemorrhage and those with co morbidities were excluded. Results: Mean age of Group A was 13.79 years and in Group B mean age was 13.54 years. When we calculated the association of inflammation, granulation tissue formation, pattern and orientation of collagen fibers between the two groups, the resulting p value was <0.05 in each category. This shows that all the parameters that favors healing were scored high in Group A. Mean of healing score of each group was also calculated. Mean of healing score of Group A is 10.8302 and of Group B is 9.5849. Practical implication As in our study healing outcomes of tonsillectomy done by dissection ligation technique is better as compared to electrocautery, better healing in dissection method will result in quick recovery and decreasing chances of secondary hemorrhage. Which means that patient can resume regular oral intake early in post operative period. Less inflammation in dissection method will result in less pain and odynophagia and hence improves patient’s comfort and quality of life in immediate post operative period. Conclusion: Dissection ligation technique has better healing outcomes than the electrocautery technique of tonsillectomy. Keywords: Recurrent tonsillitis, tonsillectomy, dissection ligation technique, electrocautery technique, healing outcomes.
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