A Comparative Study Between Septal Quilting Sutures Without Nasal Packing and Only Nasal Packing Post-septal Correction

  • Vijay RamalingamEmail author
  • Rajarajan Venkatesan
  • Subramaniam Somasundaram
  • Kamindan Kandasamy
  • Murugesan Rajeswari
Original Article


Septal correction is the commonest surgery by rhinologists worldwide. We aimed at studying the comfort level of the patient with standard postoperative nasal packing with Merocel and placing quilting sutures in septum leaving the nose unpacked in the postoperative period. We conducted the study in the tertiary care centre enrolling 82 patients in a quasi-randomised method of odd and even numbers placing them in the nasal packing group and the quilting group respectively. We used analogue scoring method for subjective assessment of comfort level in the postoperative period and the surgeon objectively assessed the patient on follow up. The results were tabulated and analysed. Postoperative pain, headache and sleep disturbance was significantly more in the nasal packing group. We found that the crusting is commonly seen in patients in the nasal packing group. Quilting the nasal septum and leaving the nasal cavity unpacked increases the comfort level of the patient in the postoperative period. The resultant pain, headache and sleep disturbance caused by nasal packing can be significantly avoided by using quilting the septum without nasal packing. We also observed that by avoiding nasal packing postoperatively, the patients were more comfortable and compliant with the treatment regimen and follow-up.


Septal deviation Nasal packing Quilting suture Postoperative 



The author(s) received no financial support for the research, authorship, and/or publication of this article.

Compliance with Ethical Standards

Conflict of interest

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The authors certify that they have no affiliations with or involvement in any organisation or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

Ethical Approval

The author hereby declares that there were no ethical issues involved in the publishing of this article in any journal.


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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.KMCH Institute of Health Sciences and ResearchCoimbatoreIndia
  2. 2.TN MGR UniversityChennaiIndia
  3. 3.KFMSRCoimbatoreIndia
  4. 4.JIPMERPondicherryIndia

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