Clinical Significance of Anatomical Variations in Ostiomeatal Complex As Detected By MDCT

Moorthy, Dr N.L.N

doi:10.18535/jmscr/v4i8.67

Cited by 1 publication

(1 citation statement)

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“…Commonest type of DNS was C-shaped in both group; 29 (75.5%) in quilting versus 31(77.5%) in PVA packing. The study by Moorthy et al found that 40% of patients had C-shaped DNS which was the most common in his study which is lower than our study 18 .…”

Section: Discussioncontrasting

confidence: 87%

Study of nasal packing versus quilting following septoplasty surgery

2022

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Introduction: Nasal packing is a commonly performed procedure after septoplasty. Quilting is alternative procedure which reduces the complications of nasal packing. This study aims to compare the post-operative outcome of quilting and nasal packing following septoplasty. Methods: This is a prospective comparative study carried on 80 patients divided into two equal groups who had undergone quilting and nasal packing randomly after septoplasty surgery for symptomatic deviated nasal septum. Post-operative nasal outcome score, pain, haemorrhage, anxiety, infection was compared between two groups at 1st, 3rd, 7th and 30th post-operative days. Results: There was significant improvement in nasal obstruction post-operatively in quilting group (p<0.05). Polyvinyl acetate sponge nasal packing group patients experienced significantly higher intensity of pain on 1st and 3rd post-operative days (p<0.05). Post-operative bleeding was also relatively higher in nasal packing group compared to quilting group at 3rd post-operative day. Patients had significantly higher levels of anxiety in the nasal packing group throughout a week post-operatively compared to the quilting group. Similarly, no statistically significant difference was noted in terms of adhesion between group A and group B on 7th and 30th post-operative day. Conclusions: Quilting technique following septoplasty showed higher improvement of post-operative nasal obstruction compared to Polyvinyl acetate sponge packing. It also decreased post-operative pain, bleeding, anxiety and adhesion. Quilting suturing following septoplasty can be recommended as an effective and comfortable alternative to nasal packing.

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Section: Discussioncontrasting

confidence: 87%