Postoperative pain with or without nasal splints after septoplasty and inferior turbinate reduction

Law, Richard H.; Ko, Alvin B.; Jones, Lamont; Peterson, Edward L.; Craig, John R.; Deeb, Robert

doi:10.1016/j.amjoto.2020.102667

Cited by 6 publications

(7 citation statements)

References 16 publications

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“…The median post-operative pain VAS score was 3.0 for the splint group and 4.0 for the no-splint group (p = .906) with no statistically significant differences in scores between the two groups. Nasal obstruction was evaluated using the NOSE score, all patients experienced significant reductions in their scores with no difference between groups 12. Our results regarding higher pain scores post-operatively in patients with splints are corroborated by studies by Cook et al and Malki et al7,11 Cook et al looked at the use of trimmed Silicone Medasil splints compared to no splints in 100 randomised patients and found higher mean pain scores in patients with nasal splints compared to without 7.…”

supporting

confidence: 77%

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The use of different intranasal splints Doyle splints versus Reuter bivalve splints versus no splints in primary septal surgeries: A randomised clinical trial looking at morbidity

Daou

Zaytoun

Hadi

et al. 2023

Clinical Otolaryngology

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ObjectiveThe objective of this study is to compare the morbidity of different types of intranasal splints (Doyle splints and Reuter bivalve splints) with no intranasal splints in primary septal surgeries and concomitant submucosal reduction of the inferior turbinate.DesignRandomised clinical trialSettingSingle‐Center trial at a tertiary care facilityParticipantsIn this randomised clinical trial, 123 consecutive patients underwent primary septoplasty with bilateral submucosal reduction of the inferior turbinate, with no other concurrent procedure. Patients were randomised into three groups: Doyle splints, Reuter bivalve splints and patients with no splints placed.Main Outcome MeasuresFollowing surgery, the patients were seen at three consecutive visits. During each visit, the Visual Analogue Scale score for headache, nasal obstruction, overall pain and bleeding and an endoscopic score for secretions, oedema and synechiae was filled.ResultsPatients were randomised into three groups, 42 received Doyle splints, 41 Reuter bivalve splints and 40 had no splints inserted. When comparing the three groups, the first two post‐op visits were scheduled significantly earlier in patients with splints (p < .05). The scores from both groups with splints were statistically higher for headache, nasal obstruction and pain, for the first visit only (p < .05). There was no statistical difference between groups when looking at each subset of the endoscopic score, at each visit (p > .05).ConclusionIncreased post‐operative pain, headaches and nasal obstruction scores were encountered in patients who had splints after surgery. However, endoscopic scores were statistically similar across the three groups with no difference in post‐operative endoscopic scores at each visit. and no difference was seen in symptom scores and endoscopic scores between patients with different splints.

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supporting

confidence: 77%

“…Recent articles advocate using splints sparingly as they could increase post‐operative pain with no significant added benefit on mucosal healing 9–11 . However, other studies found no difference in pain or mucosal healing with or without splint use 12,13 …”

Section: Introductionmentioning

confidence: 99%

The use of different intranasal splints Doyle splints versus Reuter bivalve splints versus no splints in primary septal surgeries: A randomised clinical trial looking at morbidity

Daou

Zaytoun

Hadi

et al. 2023

Clinical Otolaryngology

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“…They concluded that the transseptal suture technique without nasal packing was more effective due to a better postoperative period for the patients. Law et al 9 studied differences in postoperative pain and NOSE scores between similar groups on a smaller scale and found no significant difference. Kuboki et al 10 studied the quilting suture versus nasal silicone splint in 23 patients.…”

Section: Discussionmentioning

confidence: 98%

The efficacy of silastic sheet nasal splints in endoscopic nasal septal repair surgery: a prospective, randomized, single‐blinded controlled trial

Al-Asousi

Fan

Pascual

et al. 2021

Int Forum Allergy Rhinol

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“…One article was identified from citation searching. Eventually, 28 articles were included in the qualitative analysis, as conformed to the aforementioned eligibility criteria, and all of them were used to calculate the best‐evidence regarding septoplasty outcomes evaluated using the NOSE score 29–56 . The reasons justifying the exclusion of 55 studies are reported in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Septoplasty in Patients with Nasal Obstruction: A Systematic Review and Meta‐analysis

et al. 2023

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ObjectiveSeptoplasty is the most frequently performed ENT surgery to correct nasal septal deviation (NSD). The present study aimed to quantify the effectiveness of septoplasty with or without turbinate surgery according to NOSE questionnaire scores, with the hypothesis that it is able to clinically improve patient‐reported nasal obstructive symptoms in the post‐operative follow‐up.MethodsAn electronic search was performed on PubMed/MEDLINE, Embase, and Cochrane Library. The primary outcome was the change in NOSE score at 6 months after surgery. It was assessed with the mean difference (MD) between baseline and postoperative results.ResultsA total of 2577 patients (males: 65.1%, 95% CI: 59.9–70.2) with a mean age of 33.3 years (n = 1456, 95% CI: 30.4–36.2) were included in this meta‐analysis. The pooled baseline NOSE mean score was 68.1 (n = 2577, 95% CI: 64.3–71.9). The pooled MD in NOSE score at 6‐months follow‐up compared to baseline was −48.8 (n = 1730, 95% CI: −54.6 to −42.9).ConclusionsFunctional septoplasty with or without turbinate surgery shows a critical improvement of obstructive symptoms and quality of life according to the validated NOSE score.Level of EvidenceNA Laryngoscope, 2023

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Postoperative pain with or without nasal splints after septoplasty and inferior turbinate reduction

Cited by 6 publications

References 16 publications

The use of different intranasal splints Doyle splints versus Reuter bivalve splints versus no splints in primary septal surgeries: A randomised clinical trial looking at morbidity

The use of different intranasal splints Doyle splints versus Reuter bivalve splints versus no splints in primary septal surgeries: A randomised clinical trial looking at morbidity

The efficacy of silastic sheet nasal splints in endoscopic nasal septal repair surgery: a prospective, randomized, single‐blinded controlled trial

Efficacy of Septoplasty in Patients with Nasal Obstruction: A Systematic Review and Meta‐analysis

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