Nasal septal packing: which one?

Acıoğlu, Engin; Edızer, Deniz Tuna; Yiğit, Özgür; Onur, Fırat; Alkan, Zeynep

doi:10.1007/s00405-011-1842-1

Cited by 51 publications

(59 citation statements)

References 12 publications

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“…[5][6][7] Moreover, it was reported that nasal packing could increase hemorrhage following pack removal by causing nasal mucosal injury, and could cause serious hemorrhage that would require pack reapplication. [8] In their study comparing splints, suturing and Merocel® packing after septoplasty, Cayonu et al [3] reported that there was no difference among these three applications in terms of development of major hemorrhage. In addition, they reported a statistically significant increase in the suturing group in terms of development of minor hemorrhage compared to packing and suturing group.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6] Other researchers have suggested that they are superior to packing in the prevention of nasal synechiae and postoperative hemorrhage. [7,8] Numerous studies have compared the effects of sutures, splints and packing on postoperative complications following septoplasty. [3][4][5][6] However, not much emphasis was put on which application was more effective in preventing postoperative complications after combined septoplasty and inferior turbinate surgery and a consensus has yet to be reached in this regard.…”

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confidence: 99%

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The comparison of trans-septal suture, Merocel nasal packing and septal splint following septoplasty combined with inferior turbinate surgery

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2016

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Bulgular: Septoplasti ile eşzamanlı yapılan RFTA sonrası splint, Merocel tampon ve trans-septal sütür alt gruplarında, ameliyat sonrası ağrı hariç diğer araştırma parametrelerinde istatistiksel farklılık yoktu. Parsiyel inferior turbinektomi yapılan grupta Merocel tampon uygulanan beş, trans-septal sütür uygulanan altı, splint uygulanan bir hastada nazal sineşi gelişmesine rağmen sineşi ve diğer araştırma parametreleri arasındaki fark istatistiksel olarak anlamlı bulunmadı. Splint, trans-septal sütür ve Merocel tampon uygulanan gruplarda, ameliyat sonrası ağrı düzeyi en yüksek tampon gruplarında ve en düşük trans-septal sütür gruplarında tespit edildi.Sonuç: Septoplasti ile kombine RFTA cerrahilerinde trans-septal sütür uygulamasının, septoplasti ile kombine PİT cerrahilerinde ise splint kullanımının nazal tampon uygulamasına tercih edilmesi, tamponun neden olduğu ağrı, rahatsızlık ve komplikasyonların engellenmesine ve hastalara daha konforlu ameliyat sonrası dönem sunulmasına katkı sağlayacaktır.Anahtar sözcükler: Merocel nazal tampon; nazal splint; parsiyel inferior türbinektomi; radyofrekans termal ablasyon; septoplasti; trans-septal sütür. ABSTR ACTObjectives: This study aims to investigate the efficacy of nasal splint, Merocel nasal packing and trans-septal suturing applications in septoplasty combined with inferior turbinate surgeries in the prevention of postoperative pain and complications. Patients and Methods:Between January 2014 and October 2015 a total of 180 patients (129 male, 51 female; mean age 31.32±10.27 years; range 18 to 55 years) for which septoplasty concurrent with inferior turbinate surgery was planned were included in this study. Following septoplasty, patients were divided into two equal groups to apply Radiofrequency Thermal Ablation (RFTA) and Partial Inferior Turbinectomy (PIT). Both patient groups were separated into three subgroups in themselves to apply nasal splint, Merocel packing and trans-septal suturing, so that each group would have 30 patients. The duration of surgery, minor and major hemorrhage, postoperative pain evaluated at the 6 th hour, on the 1 st , 2 nd and 3 rd day, and postoperative complications in the 6 th week (septal perforation, hematoma, infection, crusting, nasal synechiae) were compared.Results: There was no statistical difference in research parameters except for the postoperative pain in three subgroups applied splint, Merocel packing, and trans-septal suture after RFTA concurrent with septoplasty surgery. Although nasal synechia developed in five patients who were applied Merocel packing, in six patients who were applied trans-septal suture and in one patient who was applied splint in the group in which PIT was performed, the difference between synechiae and other research parameters was statistically insignificant. The highest level of postoperative pain was determined in the Merocel packing groups, and the lowest level was determined in the groups that were applied trans-septal suture at the groups in which splint, Merocel packing, and trans-septal s...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The comparison of trans-septal suture, Merocel nasal packing and septal splint following septoplasty combined with inferior turbinate surgery

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2016

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“…Nasal packs are used to reduce bleeding and prevent complications, such as septal hematoma and adhesion (12). Although some authors do not recommend the use of nasal tampons following septoplasty, these are still employed by many otorhinolaryngologists.…”

Section: Discussionmentioning

confidence: 99%

“…Although some authors do not recommend the use of nasal tampons following septoplasty, these are still employed by many otorhinolaryngologists. In addition to exhibiting the desired benefits, an ideal tampon must also be easily inserted and removed and cause minimum patient discomfort (12,13). The advantages and disadvantages vary depending on the type of nasal tampon used.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Early-period Results of Nasal Splint and Merocel Nasal Packs in Septoplasty

Bingöl¹,

Budak²,

Şimşek³

et al. 2017

Turk Arch Otorhinolaryngol

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Objective: Several types of nasal packs are used postoperatively in septoplasty. In this study, we compared two commonly used nasal packing materials, the intranasal septal splint with airway and Merocel tampon, in terms of pain, bleeding, nasal obstruction, eating difficulties, discomfort in sleep, and pain and bleeding during removal of packing in the early period. Methods:The study group included 60 patients undergoing septoplasty. Patients were divided into two groups (n=30 in each group). An intranasal splint with airway was used for the patients in the first group after septoplasty, while Merocel nasal packing was used for the second group. Patients were investigated in terms of seven different factors -pain, bleeding while the tampon was in place, nasal obstruction, eating difficulties, night sleep, pain during removal of the nasal packing, and bleeding after removal of packing. Results:There was no statistically significant difference between the groups in terms of pain 24 hours after operation (p=0.05), while visual analog scale (VAS) scores for nasal obstruction, night sleep, eating difficulties, and pain during packing removal were lower in the nasal splint group with a statistically significant difference (p<0.05). There was no statistically significant difference between the groups in terms of postoperative bleeding (p=0.23). Significantly less bleeding occurred during removal of the packing in the nasal splint group (p<0.05). Conclusion:Our study indicates that the nasal splint was more comfortable and effective in terms of causing lesser bleeding and pain during removal of packing.

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“…Various nasal packs have been used after septal surgery to stabilize the mucoperichondrium and bleeding. 1 Nasal packs increase intranasal pressure (INP). 2 The orbit, nose, and paranasal sinuses are intimately related.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Intranasal Pressure on Intraocular Pressure

Kumral¹,

Erden²,

Erçalık³

et al. 2017

Ophthalmol Open J

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Brief Research ReportABSTRACT Purpose: The aim of this study was to evaluate intraocular pressure (IOP) after the application of the nasal packing for sinonasal surgery. Methods: A total of 40 patients who underwent sinonasal surgery were enrolled in this prospective study. Patients were randomly assigned into two groups: gauze packing (group 1) and silicone nasal septal splint (group 2). All participants completed a comprehensive questionnaire and underwent an ocular examination including measurement of IOP by Goldmann applanation tonometry (GAT). All the measurements were repeated before removing the nasal packings. IOP measurements before the operation and during the nasal packing were compared with each other. Results:The study group comprised 21 males (52.5 %) and 19 females (47.5%). The mean age was 29.10±8.18 years (median 27.50) (min-max=18-51). Twenty-three (57.5%) had silicone nasal packing while 17 (42.5%) had gauze nasal packing. Mean nasal packing duration was 2.575±0.712 days. The post-operative increase in the intraocular pressure of the both eyes were not statistically significant (p>0.05). IOPs of the patients' eyes showed no significant increase, compared to the pre-operative results according to the type of nasal packing used (p>0.05). Conclusions: Increased intranasal pressure due to nasal packing did not increase intraocular pressure. The type of the nasal packing also did not differ to increase the intraocular pressure.

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Nasal septal packing: which one?

Cited by 51 publications

References 12 publications

The comparison of trans-septal suture, Merocel nasal packing and septal splint following septoplasty combined with inferior turbinate surgery

The comparison of trans-septal suture, Merocel nasal packing and septal splint following septoplasty combined with inferior turbinate surgery

Comparison of Early-period Results of Nasal Splint and Merocel Nasal Packs in Septoplasty

The Effect of Intranasal Pressure on Intraocular Pressure

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