Objective Usefulness of Thin Silastic Septal Splints after Septal Surgery

Jung, Yong Gi; Hong, Ji Won; Eun, Young‐Gyu; Kim, Myung-Gu

doi:10.2500/ajra.2011.25.3584

Cited by 40 publications

(44 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study it was clear that the use of intranasal splints resulted in significant nasal pain and discomfort during the 1st week of postoperative follow-up, these results matched the results of published studies that found patients who had septoplasty (group with intranasal splints and another group without splints) with inferior turbinectomy or not, experienced a similar degree of pain within the first 48 h, but at 1 week the mean pain score was higher in the splints group [19,20]. However, Jung et al [21] reported that at 1 week, the nasal discomfort score was not significantly different on the splint and control sides. In the early postoperative period, mucosal swelling of the nasal cavity and crust formation can be a causes of nasal discomfort.…”

Section: Discussionsupporting

confidence: 56%

See 1 more Smart Citation

The Value of Intranasal Splints After Partial Inferior Turbinectomy

Awad

Hamid

2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To assess the value of using the intranasal septal splint after partial inferior turbinectomy (PIT) surgery. Prospective, randomized comparative study. The study was conducted over a period of 2 years from January 2012 to January 2014 at Minia University hospital, Minia, Egypt. A total of 100 patients underwent bilateral PIT. They were randomly divided into 2 groups. Group A included 50 patients had PIT with intranasal splints and group B included 50 patients had PIT without splints. A comparison was made between the 2 groups regarding the postoperative pain, degree of nasal obstruction and the degree of tissue healing and adhesions formation at 2 time points (2 and 4 weeks postoperatively). At 2 weeks postoperatively: visual analogue score (VAS) for the pain was 5 in group A versus 2.1 in group B (P = 0.01), VAS for nasal obstruction was 6 in group A versus 5 in group B (P = 0.328), 70 % of patients had good healing in group A versus 24 % in group B (P = 0.02). At 4 weeks postoperatively: VAS for the pain was 1.5 in group A versus 1.8 in group B (P = 0.423), VAS for nasal obstruction was 7 in group A versus 6 in group B (P = 0.353), 80 % of patients had good healing in group A versus 54 % in group B (P = 0.03). The use intranasal septal splints after PIT without septal surgery can cause increased postoperative pain in the short term follow-up period with significant evidence of decreasing rates of intranasal adhesions.

show abstract

Section: Discussionsupporting

confidence: 56%

“…However, these reports were published in the early 1990s, before development of the current-day more flexible and biocompatible splints. The key point for insertion of the septal splint is proper positioning of the splint on the septum [21]. Gunter [23] reported that splints must not touch the roof or floor of the nose.…”

Section: Discussionmentioning

confidence: 99%

The Value of Intranasal Splints After Partial Inferior Turbinectomy

Awad

Hamid

2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…In different studies comparing postoperative pain levels, packing was shown to have much higher pain scores compared to both trans-septal suturing and splints in the first 48-hour postoperative period until packing was removed. [4][5][6][7]10] In this study, the highest pain scores of both RFTA and PIT groups were seen in the Merocel® packing subgroups with a statistically significant difference compared to both splints and suturing. On the third postoperative day evaluation, the highest pain scores were observed in the splint subgroups although these were not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…Deniz et al [14] reported a nasal synechiae development rate of 19.7% in patients with Merocel packing after septoplasty versus 0% in patients with intranasal splints. In their study of 40 patients in whom only septoplasty was performed, Jung et al [10] placed silastic splints into one nasal cavity and evaluated the other nasal cavity as control. Both nasal cavities were compared in the first and second week in terms of mucosal status, which was determined to be better in the splint compared to the control side.…”

Section: Discussionmentioning

confidence: 99%

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

Tatar¹

2016

KBB Uygulamaları

View full text Add to dashboard Cite

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...

show abstract

“…Jung et al 5 conducted a study of 40 patients undergoing septoplasty alone. A 0.03-inch Silastic splint (BioPlexus, Ventura, CA), trimmed to avoid touching either the nasal roof or floor, was inserted on one side only, with the contralateral side serving as a control.…”

Section: Literature Reviewmentioning

confidence: 99%