A comparison of the effects of packing or transseptal suture on polysomnographic parameters in septoplasty

Abstract

Our objective is to examine the effects of using nasal packing or transseptal suture in septoplasty in young patients, specifically on the polysomnographic parameters in the post-operative period. A total of 43 patients who had undergone septoplasty surgery after a diagnosis of septum deviation were included in the study. Packing was inserted in 23 patients, and transseptal suture was performed in the other 20 patients. A polysomnography test was performed on the patients on the first day after surgery and during the post-operative period. A post-operative increase was found in the apnea-hypopnea index (AHI) within both the packing and suture groups. The AHI increase in the packing group was statistically significant (p < 0.05). In the post-operative period, the fall in average oxygen desaturation in the packing group was significantly higher compared to suture group (p < 0.001). In addition, the arousal index was significantly higher in the packing group (p < 0.05). The use of nasal packing in young patients after septoplasty surgery reduced the quality of life after surgery and had negative effects on respiration during sleep. The finding that nasal packing caused obstructive sleep apnea syndrome even in young patients leads us to hypothesise that the effect of the packing on comorbid patients' respiratory function during sleep would be even more severe.

Comparison of Trans-septal Suturing Technique With Polyvinyl Alcohol Sponge-Based Nasal Packing for Hemostasis in Septoplasty

“…These results were consistent with the study by Said et al [ 9 ]. There were significant sleep disturbances and dysphagia on the first postoperative day in the packing group compared to the suturing group, consistent with the results of Turhan et al [ 13 ] and Korkut et al [ 14 ], respectively. If a patient swallows with the nasal passages blocked (Toynbee maneuver), air cannot pass anteriorly and is insufflated into the middle ear.…”

The role of antibiotic therapy and nasal packing in septoplasty

“…This procedure has been proposed to minimize postoperative complications such as hemorrhage, formation of synechiae, and septal hematoma [3]. However, currently, there are no general standards concerning the indications for intranasal packing, duration of packing, or the type of material used [4], and a large number of complications have been reported using this procedure [5].…”

Determination of the difficult intubation incidence and its affecting factors in patients undergoing septal deviation surgery – Prospective controlled trial

“…[22] Previous studies have shown a wide variation in the prevalence of OSAS, which, in general, is high. [23,24] Our findings showed that in multivariate analysis, the presence of OSAS reached statistical significance in the assessment of difficult airway, which emphasizes the importance of taking a detailed history and examining the patient for OSAS during pre-anesthetic check-up in predicting difficult airway.…”