Study the effect of Bilateral Nasal Packing on Systemic Blood Pressure and Prevalence of Complications Associated with Nasal Packing in Patients who had Undergone Septoplasty

Abstract

Aim: The main objective of this study was to determine the effect of bilateral nasal packing on systemic blood pressure in patients treated with septoplasty surgical procedure. Study Design: Retrospective study. Place and Duration: This study was conducted at the department of ENT/ Head & Neck Surgery, Lady Reading Hospital MTI, Peshawar and Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore for duration of one year from October 2020 to September 2021. Methods: One hundred and two men and women who had undergone nasal septoplasty following a clinical assessment were included in this research. From 18 to 48 years of age, the patients comprised this group. Detailed information about each patient, such as age, gender, and place of residence, was gathered after informed consent was obtained from each patient. Group C had no nasal packing placed, whereas typical anterior nasal packing was used in Group D. Both groups were evenly split. A 24-hour ambulatory monitoring of blood pressure was performed on all patients before to and during septoplasty. SPSS 23.0 was used to do statistical analysis on all of the data. Results: 60 (58.8%) of the 102 patients were male, and 42 (41.2%) of the patients were female. A total of 41 (40.2 percent) patients were under the age of 30, 35 (34.3 percent) were between the ages of 31 and 40, and 26 (25.5 percent) were above the age of 40. Rural residents comprised 52% of the patients. Study participants in Group D were found to have higher mean blood pressure (p-Value 0.05) following septoplasty therapy than those in Group C (P-Value >0.05). Group D patients had bleeding, vestibulitis, and septal perforations as a result of their nasal packing procedure. Conclusion: It is determined that bilateral nasal packing was associated with an elevation in either systolic or diastolic blood pressure in individuals who had septoplasty treatment. Patient who did not get nasal packing showed no statistically significant change from the rest of the group. Keywords: Septoplasty, Bilateral Nasal Packing, Systemic blood pressure

Cardio-Respiratory and Metabolic Implication of Intranasal Packing in Patients Undergoing Sino-Nasal Surgery

“…Naseem et al demonstrated an increase in mean systolic and diastolic arterial blood pressures before and after surgery, respectively. 13 Banglawala et al in a meta-analysis of 2 randomized controlled trials and 12 prospective observational researches, only 9 demonstrated statistically significant variation in at least 1 of the cardio-respiratory parameters studied, the aggregate results being inconsistent with no major cardio-respiratory event. 14 Ribbon gauze impregnated with Vaseline® nasal packs are plagued with significant ingress of mucosal tissue inside its webbed outline often causing bleeding upon removal.…”

Effects of Nasal Packing on Patients’ Post-operative Vital Signs

“…The practice also reduces the possibility of complications such as adhesions and septal hematoma. Although nasal packing stabilizes the septum and thus reduces the risk of post-operative deviation [8], this practice can also cause hypoxemia and hypercapnia [9]. Furthermore, since nasal packing causes nasal obstruction, the resulting obligatory mouth breathing may have systemic effects such as insomnia, breathing difficulty, decreased oxygen levels in the blood, and toxic shock syndrome [10].…”