A comparative study on nasal packing after septoplasty: does it matter in terms of patient comfort, bleeding, and crust or synechia formation?

Koç, Ayça E Özbal; Babakurban, Seda Türkoğlu; Kibar, Sermin; Büyüklü, Fuat

doi:10.5606/kbbihtisas.2016.62444

Cited by 11 publications

(11 citation statements)

References 11 publications

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“…Figure shows the flow chart of the search results. Of the 281 studies identified, 20 studies met our criteria for thorough review …”

Section: Resultsmentioning

confidence: 99%

“…Many different packing materials have been invented and used to prevent complications of septoplasty such as bleeding, synechia, septal hematoma, and infection. There have been several meta‐analyses examining the efficacy of nasal packing after septoplasty . Certal et al discussed the transseptal suturing technique compared to nonabsorbable packing method.…”

Section: Introductionmentioning

confidence: 99%

“…Quinn et al reported a systematic review about postoperative complications after septoplasty; however, the only referred outcomes were hematoma, perforation, adhesion, and pain . A further important consideration is that many RCTs have been reported after these meta‐analyses and systematic reviews, indicating that the debate is still active . In this regard, a more cohesive and holistic meta‐analysis about complications after septoplasty according to packing method is needed.…”

Section: Introductionmentioning

confidence: 99%

“…Typical nonabsorbable packing materials include Merocel and gauze packing, whereas many trials have explored the use of Silastic sheet insertion or transseptal sutures to minimize the discomfort of nasal packing. Nonabsorbable packing is quite uncomfortable, affects the patient's quality of life, and lengthens the hospital stay .…”

Section: Introductionmentioning

confidence: 99%

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Is nonabsorbable nasal packing after septoplasty essential? A meta‐analysis

Kim

Kwon

2016

The Laryngoscope

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“…Figure shows the flow chart of the search results. Of the 281 studies identified, 20 studies met our criteria for thorough review …”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is nonabsorbable nasal packing after septoplasty essential? A meta‐analysis

Kim

Kwon

2016

The Laryngoscope

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“…In the study undertaken by Koc et al in 2016 (18), the problems such as pain, bleeding, nasal obstruction, mucosal synechia and anesthesia complications were examined in the patients with and without nasal packing during the first week after septoplasty. The results revealed less bleeding and nasal obstruction in the patients without nasal packing and more pain and discharge in packing group.…”

Section: Discussionmentioning

confidence: 99%

Comparing the Effect of Septoplasty with and without Nasal Packing on Outcomes and Complications of Surgery

Shariatpanahi

Yousefnejad

Moradi

2020

J Adv Med Biomed Res

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10.30699/jambs.28.129.212 Background & Objective: Septoplasty is one of the most common nasal surgeries. After septoplasty, the nasal pack is routinely used to control bleeding, which can lead to complications such as pain and anxiety. This study aims to compare the effect of septoplasty with and without nasal packing on outcomes and complications of the surgery. Materials & Methods: In this randomized clinical trial, 50 patients undergoing septoplasty surgery at Besat Hospital, Hamadan, Iran, (during 2018 and 2019) were selected among the patients and randomly allocated in two groups of septoplasty with nasal pack (group A, 25 patients) and septoplasty without nasal pack (group B, 25). Anxiety score, pain score, bleeding rate, hematoma, respiratory status and local infection were compared in both groups. Data were analyzed by SPSS 16. Results: The incidence of complications of throat irritation, tearing and headache and facial pain during the first 24 hours after septoplasty in group A was 48%, 76% and 64%, respectively, and in group B, it was 12%, 0% and 0%, respectively (P<0.05). Mean score of anxiety and pain in the patients during 24 hours and first week after septoplasty and mean score of nasal obstruction during 24 hours, first week and three months after septoplasty in group A were significantly higher than those in group B (P<0.05). Conclusion: The use of nasal packs following septoplasty can cause throat irritation, tearing, increased pain, anxiety and respiratory problems in patients and it seems to have no effects on the duration of bleeding during 24 hours after the surgery.

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Hot saline irrigation in comparison to nasal packing after sinus surgery

Nordström

Jangard

Svedberg

et al. 2021

Laryngoscope Investig Oto

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Objectives: Previous studies have shown that hot saline solution (HSS) nasal irrigation is effective against nasal bleeding and is used to treat nasal hemorrhage. In a pilot study, we evaluated hot saline nasal irrigation in comparison to a routinely used nasal packing in terms of self-reported complications and mucosal healing after functional endoscopic sinus surgery.Methods: Patients undergoing surgery for bilateral chronic rhinosinusitis received polyvinyl acetate (PVA) nasal packing in the left nostril, and the right nostril was rinsed with 47 C sterile saline immediately after surgery. Patients' experiences of pain, bleeding, and other types of uncomfortable experiences were measured using a visual analog scale for each nostril before, during, and immediately after nasal packing removal. Two weeks post-surgery, the assessments were repeated including an endoscopic evaluation of the mucosa by the surgeon.Results: Twenty-seven patients completed the study. Prior to removal of the packing, the patients experienced significantly more pain and other uncomfortable experiences in the nostril treated with nasal packing, as compared to the nostril solely rinsed with hot saline. After removal, patients reported significantly more uncomfortable experiences from the packing treated nostril. Two weeks post-surgery, no difference in mucosal healing was observed between the two nostrils. Conclusions:The results from this study indicate that irrigation with HSS could be an alternative postoperative treatment to conventional PVA nasal packing. Hot saline irrigation may contribute to patients experiencing improved control of postoperative bleeding, pain, and less suffering of other causes as well as health-economic benefits, without affecting the mucosal healing up to 2 weeks post-surgery.

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A comparative study on nasal packing after septoplasty: does it matter in terms of patient comfort, bleeding, and crust or synechia formation?

Cited by 11 publications

References 11 publications

Is nonabsorbable nasal packing after septoplasty essential? A meta‐analysis

Is nonabsorbable nasal packing after septoplasty essential? A meta‐analysis

Comparing the Effect of Septoplasty with and without Nasal Packing on Outcomes and Complications of Surgery

Hot saline irrigation in comparison to nasal packing after sinus surgery

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