Is nasal packing necessary after septoplasty? A meta‐analysis

Banglawala, Sarfaraz M.; Gill, M. S.; Sommer, Doron D.; Psaltis, Alkis J.; Schlosser, Rodney J.; Gupta, Michael

doi:10.1002/alr.21110

Cited by 39 publications

(48 citation statements)

References 23 publications

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“…3,11 There are no general standards concerning the indications of nasal packing, the duration of the packing, or the type of material used. 3 Banglawala et al 13 performed a meta-analysis on the existing literature to evaluate the role of nasal packing after septoplasty. 3,12 As an alternative application to nasal packing, different forms of hemostatic suturing techniques of the nasal septum have been described.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Ropivacaine, Bupivacaine, Prilocaine, and Lidocaine in the Management of Pain and Hemorrhage during Nasal Pack Removal

Gencer

Özkırış

Gencer³

et al. 2013

Am J Rhinol�Allergy

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Section: Discussionmentioning

confidence: 99%

Comparison of Ropivacaine, Bupivacaine, Prilocaine, and Lidocaine in the Management of Pain and Hemorrhage during Nasal Pack Removal

Gencer

Özkırış

Gencer³

et al. 2013

Am J Rhinol�Allergy

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“…These are placed after surgery to prevent bleeding, septal hematoma, and septal abscess (13,14). Although the packs afford many advantages, they increase the risk of infection and cause pain (15). Complications include eustachian tube dysfunction, middle ear effusion, and obstruction of the larynx.…”

Section: Discussionmentioning

confidence: 99%

Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

Sarı¹,

Gül²,

Kantekin³

et al. 2016

Acta Med. (Hradec Kralove, Czech Repub.)

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Summary:Background: We measured postoperative anxiety in patients who underwent transseptal suturing or nasal packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of nasal packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and nasal packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the nasal packing group; the difference was found significant (p < 0.05). The STAI-T scores were found 42.6 in the transseptal suturing group and 45.7 in the nasal packing group; the difference was not found significant (p > 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with nasal packing) with only a minor increase in operating time and hemorrhage.

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“…c, d Situation in 9 months after reconstruction of the columella and nasal septum Eur Arch Otorhinolaryngol operative nasal packing have demonstrated that packing of the nose causes significant discomfort and pain [7,8]. Furthermore, packing after septoplasty appears to increase the risk of post-operative infections [2]. Compared to postoperative nose packing, the pressure will likely be higher and the duration of packing might be longer with packing for epistaxis.…”

Section: Discussionmentioning

confidence: 99%

“…Most publications focus on potential respiratory complications associated with nasal packing [1]. The risk of developing a local infection or toxic shock syndrome has been mentioned [2,3], although the routine use of antibiotics is not recommended [4]. Here, we describe four patients in whom balloon packing caused severe damage to nasal skin, mucosa or cartilaginous structures.…”

Section: Introductionmentioning

confidence: 99%

Complications of balloon packing in epistaxis

Vermeeren

Derks

Fokkens

et al. 2015

Eur Arch Otorhinolaryngol

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Although balloon packing appears to be efficient to control epistaxis, severe local complications can occur. We describe four patients with local lesions after balloon packing. Prolonged balloon packing can cause damage to nasal mucosa, septum and alar skin (nasal mucosa, the cartilaginous skeleton and the overlying soft-tissue envelope) and should, therefore, be avoided. We suggest early nasendoscopy in general anesthesia to identify and treat the bleeding focus, if bleeding cannot be controlled with regular packing.

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Is nasal packing necessary after septoplasty? A meta‐analysis

Abstract: Nasal packing after septoplasty does not show any postoperative benefits. Fibrin products show a possibility of decreasing postoperative bleeding. Routine use of nasal packing after septoplasty is not warranted. This is the first meta-analysis conducted on this topic.

Cited by 39 publications

References 23 publications

Comparison of Ropivacaine, Bupivacaine, Prilocaine, and Lidocaine in the Management of Pain and Hemorrhage during Nasal Pack Removal

Comparison of Ropivacaine, Bupivacaine, Prilocaine, and Lidocaine in the Management of Pain and Hemorrhage during Nasal Pack Removal

Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

Complications of balloon packing in epistaxis

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