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

Abstract

1B Laryngoscope, 127:1026-1031, 2017.

Effect of Fentanyl Nasal Packing Treatment on Patients With Acute Postoperative Pain After Nasal Operation: A Randomized Double-Blind Controlled Trial

“…The most commonly reported adverse effects are GI disturbance of nausea, vomiting, drowsiness, confuse, and pruritus. 7 In our studies, GI disturbance were rarely observed in fentanyl groups. Additional adverse effects from nasal mucosa drip were also not observed in this study.…”

“…Therefore, it is important to control pain after nasal surgeries regardless of the type of packing material used. Although the advantage of postoperative nasal packing over stents or simple sutures has recently been challenged, 7 nasal packing is still necessary in some situations such as extensive sinus surgery, revision surgery, epistaxis due to anticoagulants or clotting disorder, or complex fracture requiring packing for stability. 8,9 The use of nasal packing for postoperative bleeding control thus cannot be fully replaced, and further research to reduce pain in applying and removing packing materials should thus be conducted.…”

Patterns in Pain and Opiate Use after Endoscopic Sinus Surgery

“…It has been shown that the use of nasal packing significantly increases pain experienced during the postoperative period. 27 Other factors that may affect pain levels in the period after sinus surgery have been identified. One study demonstrated increased opiate requirements for patients reporting higher baseline ear and facial symptoms as assessed by the SNOT-22.…”

The effect of different nasal packings applied after septoplasty on pain

“…[10] Yapılan sistemik literatür taramasında transseptal splint kullanımının ağrı üzerinde olumlu etkilerinin olduğu gösterilmiştir. [11] Yaptığımız bu çalışmada merosel tampon ve nazal splint kullanılan hastaların ameliyat sonrası 6, 12, 18. ve 24. saatlerdeki ağrı seviyeleri değerlendirildi ve 24. saatteki GAÖ skorlarında iki grup arasında anlamlı farklılıklar olduğu sonucuna varıldı. Altı, 12. ve 18. saatlerdeki değerlendirmelerde farklılıklara rastlanmadı.…”