Transeptal suturing – a cost-efficient alternative for nasal packing in septal surgery

Plasencia, Daniel Pérez; Falcón, Juan Carlos Suárez; Barreiro, Silvia Borkoski; Bocanegra-Pérez, María Sacramento; Barrero, Mario Manuel Vicente; Macías, Ángel Ramos

doi:10.1016/j.bjorl.2015.05.016

Cited by 8 publications

(3 citation statements)

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“…Various types of nasal packing and/or septal sutures can be used to help wound recovery and prevent complications such as adhesion of nasal cavities and septal hematoma and to stabilize the newly created septum at the end of surgical procedures on the nasal septum. [9,10] However, nasal packing decreases postoperative patient comfort significantly, causes pain, anxiety and a feeling of pressure on the face. [2,11] The pain and discomfort due to nasal packing gradually increase during the time that it remains in the nose, and become severe while withdrawing the packing material.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Nasal Tampon Use on Cognitive Functions

Arslan

2020

ENT Updates

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Objective: It is known that the use of nasal packing has many disadvantages. The aim of this study was to investigate the effects of short-term nasal obstruction due to nasal packing on cognitive functions. Methods: The study group consisted of 40 patients who had nasal congestion due to unilateral nasal septal deviation and for whom septoplasty was planned with a merocel pack to be used as a nasal pack at the end of surgery. All surgeries were performed under local anesthesia using 10 cc of jetocaine ampoule. Brief Symptom Inventory Test (BSI), Visual Analog Scale (VAS), Serial Digit Learning Test (SDL), Stroop Test, Visual Aural Digit Span Test (VADS) and P300 test were used to evaluate cognitive functions, symptoms of concentration difficulties and blunted affect both preoperatively and peroperatively before nasal pack removal. Results: All symptoms showed significant per-operative (with a nasal pack in place) deterioration in all patients (p<0.001) on the VAS. The mean per-operative SDL (16.34±5.77), Stroop Test (26.67±3.39), BSI (22.25±11.95) and VADS (21.13±3.44) scores showed significant deterioration compared with mean preoperative Stroop Test (20.06±3.14), SDL (22.38±4.34), VADS (25.86±2.92) and BSI (32.58±12.49) scores (p<0.001). The peroperative and preoperative P300 latency and amplitude values showed a significant difference (p<0.001). Conclusion: The use of a nasal pack, which closes both nasal passages fully, such as a merocel pack, has negative effects on cognitive functions such as the ability to focus and maintain concentration.

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Section: Discussionmentioning

confidence: 99%

The Effect of Nasal Tampon Use on Cognitive Functions

Arslan

2020

ENT Updates

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“…A 2015 study on 49 patients who underwent septoplasty found that those who received transmucosal sutures instead of intranasal tamponade had sufficient outcomes, with only three patients experiencing postoperative nasal synechiae [ 25 ]. A 2016 study of 92 patients compared the use of a tamponade (i.e., Merocel) with that of transmucosal sutures and observed no postoperative bleeding and statistically significantly lower levels of pain and headache in the group treated with transmucosal sutures; moreover, transmucosal sutures were more cost-effective than the tamponades [ 26 ].…”

Section: Reviewmentioning

confidence: 99%

Nasal Packing in Septal Surgery: A Narrative Review

Ivanova¹,

Iliev²

2023

Cureus

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Recently, alternatives to intranasal packing following septoplasty and rhinoseptoplasty have been widely used and promoted. Here, we aimed to systemically review and compare the different types of nasal packing used in these two surgeries. To assess patient comfort and surgical outcomes, we conducted a comprehensive search of multiple databases such as PubMed, MEDLINE, Web of Science, and Google Scholar to identify and evaluate relevant articles. A detailed and extensive search was performed with the help of the keywords "nasal packing," "septoplasty," "rhinoseptoplasty," "nasal splints," and "intranasal packing." Overall, our review findings indicate that alternative methods (e.g., trans-septal suturing and insertion of intranasal splints) are better options than intranasal packing.

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“…While assessing the use of NTs in sports as a temporary solution to anterior epistaxis, 5 alongside the application of pressure to the nose bridge, 6 potential respiratory complications from the use of nasal packing need to be considered, 7 as well as the existence of other treatment methods such as transeptal suturing. 8 …”

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confidence: 99%