Should intranasal splints be used after nasal septal surgery?

Tang, Stephen; Kacker, Ashutosh

doi:10.1002/lary.23324

Cited by 26 publications

(22 citation statements)

References 6 publications

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“…Merocel and intranasal septal splints are frequently used after septoplasty operations (16). Merocel is a foam-type nasal packing material made from a polymer of hydroxylated polyvinyl acetate (17).…”

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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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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“…Intranasal splints are widely used after septal surgery for the prevention of intranasal adhesions between the nasal septum and lateral nasal wall and to support the septal position [7]. Although these endonasal materials play an important role during the postoperative period, they are synthetic and foreign objects in the human body.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, all investigated strains of two common nasal colonizers, S. aureus and M. catarrhalis, had the ability to produce biofilm on intranasal splints with different capacities (Table I). Postoperative nasal packing may be performed by various types of packing materials including Vaseline gauze, bismuth iodoform paraffin paste, Merocel nasal packs, SS, and others [7,21]. Dag et al [5] investigated biofilm formation capacity of two different nasal materials [Merocel packs (made of polyvinyl acetal) and SS] and showed that biofilm formation on Merocel is significantly higher than on SS, mainly due to the different texture and surface properties of these materials.…”

Section: Discussionmentioning

confidence: 99%

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Quantification of biofilm formation on silicone intranasal splints: An in vitro study

Pavlović

Božić

Milovanović

et al. 2016

Acta Microbiologica et Immunologica Hungarica

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Objectives: Biofilms are associated with persistent infections and resistant to conventional therapeutic strategies. The aim of this study was to investigate the quantity of biofilm produced on silicone intranasal splints. Methods: Quantity of biofilm formation on silicone splints (SS) was tested on 15 strains of Staphylococcus aureus and Moraxella catarrhalis, respectively. Antimicrobial susceptibility testing was performed in accordance with European Committee on Antimicrobial Susceptibility Testing recommendations. Results: All tested strains formed different amounts of biofilm on SS: 66.7% S. aureus and 93.3% M. catarrhalis were weak biofilm producers and 33.3% S. aureus and 6.7% M. catarrhalis were moderate biofilm producers. S. aureus formed significantly higher quantity of biofilm compared with M. catarrhalis (p < 0.05). Multidrug resistant S. aureus produced significantly higher amount of biofilm compared with non-multidrug resistant strains (p < 0.05). Conclusion: Quantity of biofilm on SS is highly dependent on bacterial species and their resistance patterns. Future studies are needed to ascertain another therapeutic option for prophylaxis prior to SS placement.

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“…Intranasal splints are widely used after nasal septal surgery for the prevention of intranasal adhesions between the nasal septum and lateral nasal wall and to support the septal position [12]. However, the value of its use after partial inferior turbinectomy without septal surgery was not adequately addressed in the literature before.…”

Section: Introductionmentioning

confidence: 99%

The Value of Intranasal Splints After Partial Inferior Turbinectomy

Awad

Hamid

2014

Indian J Otolaryngol Head Neck Surg

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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.

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Should intranasal splints be used after nasal septal surgery?

Cited by 26 publications

References 6 publications

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

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

Quantification of biofilm formation on silicone intranasal splints: An in vitro study

The Value of Intranasal Splints After Partial Inferior Turbinectomy

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