Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

Sarı, Kamran; Gül, Ali; Kantekin, Yunus; Karaaslan, Özgül; Gencer, Zeliha Kapusuz

doi:10.14712/18059694.2017.40

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Whilst suturing is effective, it has been described as time consuming (5) . Complications reported after suturing include septal perforations and synechiae formation (5,6) .…”

Section: Introductionmentioning

confidence: 99%

Complications and number of follow-up visits after using septal stapler in septoplasty

Sainio

Blomgren

Lundberg

2019

Rhin

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Background: Septoplasties have traditionally been closed with transseptal sutures, silicone splints, or packing with nasal tamponade. In 2015, our clinic began to employ a septal stapler. The stapler adheres the mucosa to the septal cartilage with bioresorbable staples, replacing both sutures and silicone splints and limiting the use of nasal tamponade for bleeding cases.The complications of stapler versus other methods have not been reported on previously. Thus, the aim of this study was to investigate whether the use of stapler in septoplasties makes a difference in complication rates, operation time, or number of follow-up visits when compared to the traditional closure or filling methods.Methodology: Patient records from 101 septoplasties in which the stapler had been used, and a reference group of 356 septoplasties in which the stapler had not been used, were retrospectively reviewed and analysed.Results: No significant difference was seen in the complication rate between the stapler and the control group. Overall follow-up visits were fewer in the stapler group when compared to the control group, however there was no significant difference in the number of unplanned follow-up visits between the groups. Conclusions: By using the stapler in septoplasty, the number of postoperative follow-up visits might be reduced. Neither complication rate, nor operation time differed when using the stapler as compared to the traditional methods of closure.

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“…Whilst suturing is effective, it has been described as time consuming (5) . Complications reported after suturing include septal perforations and synechiae formation (5,6) .…”

Section: Introductionmentioning

confidence: 99%

Complications and number of follow-up visits after using septal stapler in septoplasty

Sainio

Blomgren

Lundberg

2019

Rhin

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“…Most of the previous studies mainly investigated the preoperative anxiety due to rhinologic surgeries. [11][12][13] However, when various surgical interventions of ENT were evaluated as in our study, we see that patients are more likely to be anxious about head and neck surgeries. In contrast, patients undergoing head and neck surgeries were less relaxed and less pleasant compared to rhinologic and otologic surgeries, according to the "positively worded" items analysis.…”

Section: Discussionmentioning

confidence: 98%

The assessment of morning anxiety before different otorhinolaryngological surgical procedures

Bınar¹

2018

KBB Uygulamaları

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ÖZAmaç: Bu çalışmada kulak burun boğaz ameliyatı olacak hastalarda ameliyat günü sabahı ameliyat öncesi anksiyete ve farklı ameliyatlar için farklı kaygı düzeylerinin gelişip gelişmediği araştırıldı. Hastalar ve Yöntemler:Çalışmaya 162 hasta ve 24 kontrol olmak üzere toplam 186 birey alındı. Ameliyat planlanan sıralı hastalardan, ameliyat sabahında Durumluk-Sürekli Kaygı Envanterini (STAI) doldurmaları istendi. Çalışma popülasyonu planlanan cerrahi işlemlerin ana başlıklarına göre beş gruba ayrıldı: (i) rinoloji, (ii) otoloji, (iii) baş-boyun cerrahisi, (iv) genel kulak burun boğaz ve (v) kontrol grubu. Toplam anksiyete puanları karşılaştırıldı ve STAI formundaki her bir madde özel olarak analiz edildi. Bulgular: STAI-Durumluk (S) ve STAI-Sürekli (T) formlarının toplam puanlarının analizine göre, cerrahi gruplar arasında anksiyete düzeylerinde anlamlı bir fark yoktu. Ayrıca, herhangi bir cerrahi grubu ile kontrol grubu arasında anlamlı bir fark bulunamadı. Spesifik madde analizi yapıldığında ise, STAI-S formundaki toplam 20 maddeden 13'ü (%65) gruplar arasında anlamlı olarak farklıydı ve baş-boyun cerrahisi geçirecek hastaların diğer cerrahi girişimlere göre daha fazla ameliyat öncesi anksiyete yaşadığını gösterdi (p<0.05).Sonuç: Farklı cerrahi işlemler farklı anksiyete seviyelerine neden olabilmektedir. Klinik personeli, kulak burun boğaz ameliyatı olacak hastaların hazırlanması ve yönetimi sırasında bu çalışmanın sonuçlarını dikkate almalıdır.Anahtar sözcükler: Anksiyete; aydınlatılmış onam; kulak burun boğaz; cerrahi işlemler. ABSTR ACTObjectives: This study investigated preoperative anxiety on the morning of surgery and whether or not different anxiety levels for different surgeries occurred in patients undergoing otorhinolaryngology surgeries. Patients and Methods:A total of 186 individuals including 162 patients and 24 controls were included in the study. The consecutive patients scheduled for surgery were requested to complete a State-Trait Anxiety Inventory (STAI) form on the morning of surgery. The study population was divided into five groups according to the major headings of planned surgical procedure: (i) rhinology, (ii) otology, (iii) head and neck surgery, (iv) general otolaryngology, and (v) control group. Total anxiety scores were compared and each item of the STAI form was specifically analyzed. Results:According to the analysis of total scores from the STAI-State (S) and the STAI-Trait (T), there was no significant difference in the level of anxiety among the surgery groups. Additionally, we could not find any difference between any of the surgery groups and the control group. When the specific item analysis was performed, 13 (65%) of the total 20 items of the STAI-S form were significantly different among the groups, and patients who underwent head and neck surgery showed more preoperative anxiety than those undergoing other surgical interventions (p<0.05).Conclusion: Different surgical procedures may cause different levels of anxiety. The clinical staff should consider the outcomes of this s...

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“…Our outcome is concordance with the study done by Sarik et al, whose State-Trait Anxiety Inventory clinical assessment state (STAI-S) scores were found to be 35 in transseptal suturing group and 43.8 (higher level in nasal packing group; the difference was found to be statistically significant (p < 0.05). 25 On 30 th POD in both group A and group B, approximately all the patients were free of anxiety related to this procedure. In our study, it seems that quilting provided higher improvement in somatic status followed by psychological status post-operatively which directly affect the patient's attitude, feeling, emotional experiences, finally improving the quality of life and decrease anxiety.…”

Section: Original Research Article Nasal Packing Versus Quiltingmentioning

confidence: 88%

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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Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

Cited by 6 publications

References 18 publications

Complications and number of follow-up visits after using septal stapler in septoplasty

Complications and number of follow-up visits after using septal stapler in septoplasty

The assessment of morning anxiety before different otorhinolaryngological surgical procedures

Study of nasal packing versus quilting following septoplasty surgery

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