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Effects of nasal packing and transseptal suturing on swallowing after septoplasty

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

This clinical trial aimed to investigate the effects of different nasal packing methods and transseptal suture technique on swallowing after septoplasty.

Methods

This randomized prospective study consists of 180 consecutive patients with septal deviation. All the patients underwent septoplasty. All the patients were randomly assigned to three groups. In group A, transseptal sutures were used for septal stabilization. In group B, both nasal passages were packed with Merocel tampons for septal stabilization. In group C, both nasal passages were packed with Doyle silicone splints for septal stabilization. For the evaluation of swallowing, the Eating Assessment Tool (EAT-10) questionnaire and a visual analog scale (VAS) were administered to all the patients preoperatively and on the second and seventh postoperative days.

Results

One hundred and twenty two of the patients (67.7%) were female and 58 of them (32.2%) were male. The mean age was 32.41 ± 12.37 years (range: 18–57 years). Both EAT-10 and VAS scores on the second postoperative day were significantly higher than the preoperative scores in all the groups (p < 0.05). The transseptal suture group had significantly lower EAT-10 and VAS scores on the second postoperative day than the Merocel packing and silicone packing groups (p < 0.05). Both EAT-10 and VAS scores on the postop 7th day significantly decreased in all groups compared to the postop second day (p < 0.05).

Conclusions

Septoplasty affects swallowing, regardless of whether a tampon is applied. Transeptal suturing has a lesser effect on swallowing than other techniques. Although silicone packing is a less invasive method, it negatively affects swallowing, similar to Merocel packing. The transseptal suture technique is more comfortable than the other techniques in terms of swallowing function in the postoperative period.

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Funding

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Authors and Affiliations

  1. Otorhinolaryngology Department, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey

    Hüseyin Sari, Yavuz Atar, Tolgar Lütfi Kumral, Ugur Uygan & Yavuz Uyar

  2. Department of Otorhinolaryngology-Head and Neck Surgery, Bulanik State Hospital, Zafer Mahallesi, Yeni Hastane Caddesi, 49530, Bulanık, Muş, Turkey

    Semih Karaketir

  3. Director of Malazgirt District Health Directorate, Public Health Specialist, Istanbul, Turkey

    Şeyma Gorcin Karaketir

Authors
  1. Hüseyin Sari
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  2. Yavuz Atar
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  3. Tolgar Lütfi Kumral
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Corresponding author

Correspondence to Semih Karaketir.

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The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the local ethic committee (Okmeydanı training and research hospital) (No:1378).

Informed consent

The study design was a prospective randomized study and performed with human participants. Informed consent was obtained from all the participants.

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Sari, H., Atar, Y., Kumral, T.L. et al. Effects of nasal packing and transseptal suturing on swallowing after septoplasty. Eur Arch Otorhinolaryngol 279, 267–273 (2022). https://doi.org/10.1007/s00405-021-06854-x

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  • DOI: https://doi.org/10.1007/s00405-021-06854-x

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