Anterior Nasal Packing Post Submucous Resection (Smr): A Comparison Between Removal on 1st Versus 2nd Post Operative Day

Abstract

Objective: To evaluate the effect of removal of nasal packs after sub mucous resection (SMR) on the first postoperative day versus second post operative day in terms of bleeding control and prevention of septal hematoma formation.
 Study Design: Comparative cross sectional study.
 Place and Duration of Study: ENT department, Combined Military Hospital Jhelum Pakistan, from Oct 2017 toOct 2018.
 Methodology: Total 100 patients of both genders, ages from 16 to 35 years with a deviated nasal septum wereincluded. Written informed consent was taken and hospital ethical committee approval was obtained. Patientswere randomly divided into two groups of 50 patients each by simple random sampling. Patients in both groupsunderwent submucous resection. Patients in whom sub mucous resection was combined with other procedureslike rhinoplasty, turbinectomy, polypectomy were excluded. In group A the nasal packs were removed on thefirst post operative day. In group B the nasal packs were removed on the second post operative day. Nasal packing in all patients was done with vaseline gauze rolls. The groups were compared for bleeding at the time of nasal pack removal and septal hematoma formation in the follow up period.
 Results: There was no statistically significant difference between the two groups in terms of bleeding (p-value0.40) and septal hematoma formation (p-value 0.49).
 Conclusion: After sub mucous resection, removal of nasal packs on 1st versus 2nd post operative day is notassociated with any significant difference in bleeding and septal hematoma formation.

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

“…15 Akhter and Gul invalidated significant correlation between hemorrhage and time of packs retrieval after sub-mucoperichondrial resection operation. 16 However Abdelghani et al highlighted its benefit if retrieved within six hours after surgical intervention. 17 Toxic shock syndrome has been described in patients having nasal packing in situ.…”