Abstract
Septoplasty is routinely performed for symptomatic deviated nasal septum. The most unpleasant part of this procedure is the pain during removal of nasal pack. The objective of this study was to compare the results of septoplasty with and without post-operative nasal packing and thereby assess the necessity of nasal packing after septoplasty. This descriptive study was carried out in ENT Department of D.Y. Patil Hospital, Kolhapur. 50 patients between the age groups of 18–50 years, having symptomatic deviated septum were selected. Out of which 25 patients underwent septoplasty with packing and 25 patients underwent septoplasty without packing with quilting sutures taken on the septum. Patients who underwent septoplasty without packing, experienced less pain and bleeding was minimal. Only one patient developed septal hematoma postoperatively. All the patients were satisfied at the end of 3 months. Simple DNS can be safely treated with septoplasty without Anterior Nasal Packing and by taking Quilting sutures on the septum. The sutures are also useful for closing any inadvertent tears of the septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. Nasal packing should be should be reserved only for the patients with increased risk of bleeding.
Similar content being viewed by others
References
Ardehali MM, Bastaninejad S (2009) Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 38(10):1022–1024
Yilmazer C, Sener M, Yilmaz I, Erkan AN, Cagici CA, Donmez A, Arslan G, Ozluoglu LN (2007) Pre-emptive analgesia for removal of nasal packing: A double-blind placebo controlled study. Auris Nasus Larynx 34(4):471–475
Hari C, Marnane C, Wormald PJ (2008) Quilting sutures for nasal septum. J Laryngol Otol 122:522–523
Price JC (1990) Septoplasty. In: Johns ME, Price CP, Mattox DE (eds) Atlas of head and neck surgery, vol 1. BC Decker, Philadelphia, pp 109–120
Von Schoenberg M, Robinson P, Ryan R (1993) Nasal packing after routine nasal surgery: is it justified? J Laryngol Otol 107(10):902–905
Samad I, Stevens HE, Maloney A (1992) The efficacy of nasal septal surgery. J Otolaryngol 21(2):88–91
Nunez DA, Martin FW (1991) An evaluation of post-operative packing in nasal septal surgery. Clin Otolaryngol Allied Sci 16(6):549–550
Illum P, Grymer L, Hilberg O (1992) Nasal packing after septoplasty. Clin Otolaryngol Allied Sci 17(2):158–162
Leek JH (1985) How I do it: combine Merocel and gel film as a nasal pack. Laryngoscope 95:99–105
Hwang JH, Liu CM, Liu TC, Hsu MC (2003) Sphenopalatine ganglion block before removal of nasal packing. Laryngoscope 113(8):1423–1424
Kuo MJ, Zeitoun H, Macnamara M, Wagstaff K, Carlin WV, Turner N (1995) The use of topical 5 % lignocaine ointment for the relief of pain associated with post-operative nasal packing. Clin Otolaryngol Allied Sci 20(4):357–359
Bajaj Y, Kanatas AN, Carr S, Sethi N, Kelly G (2009) Is nasal packing really required after septoplasty? Int J Clin Pract 63(5):757–759
Sessions R (1984) Membrane approximation by continuous mattress sutures following septoplasty. Laryngoscope 94:702–703
Lee IN, Vukovic L (1988) Hemostatic suture for septoplasty: how we do it. J Otolaryngol 17:54–56
Jan Beekhuis G (1973) Nasal septoplasty. Otolaryngol Clin N Am 6:693–710
Naghibzadeh Bijan, Peyvandi Ali Asghar, Naghibzadeh Ghazal (2011) Does post septoplasty nasal packing reduce complications? Acta Medica Iranica 49(1):10–12
Shaw CL, Dymock RB, Cowin A, Wormald PJ (2000) Effect of packing on nasal mucosa of sheep. J Laryngol Otol 114(7):506–509
Genc E, Ergin T, Bilezikci B (2004) Comparison of suture and nasal packing in rabbit noses. Laryngoscope 114:639–645
Nunez DA, Martin FW (1991) An evaluation of post-operative packing in nasal septal surgery. Clin Otolaryngol 16:549–550
Al-Raggad DK, El-Jundi AM, Al-Momani OS, Al-Serhan MM, Nawasrah OO, Qhawi MA, Husban AM (2007) Suturing of the nasal septum after septoplasty, is it an effective alternative to nasal packing? Saudi Med J 28:1534–1536
Lemmens W, Lemkens P (2001) Septal suturing following nasal septoplasty, a valid alternative for nasal packing? Acta Otorhinolaryngol Belgium 55:215–221
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mane, R.S., Patil, B. & Mohite, A. Comparison of Septoplasty With and Without Nasal Packing and Review of Literature. Indian J Otolaryngol Head Neck Surg 65 (Suppl 2), 406–408 (2013). https://doi.org/10.1007/s12070-013-0626-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-013-0626-x