Effect of nasal packs on nasal obstruction and complications of septoplasty
Burun tamponlarının septoplasti komplikasyonları ve nazal obstrüksiyon üzerine etkisi

Çiğdem Kalaycık Ertugay
2014 Journal of Medical Updates  
Septoplasty is one of the most frequently performed surgical procedures to overcome nasal obstruction in otorhino-laryngology clinics. Following septal surgery nasal packs are commonly inserted by surgeons to support septal flap appo-Özet Amaç: Merosel ve havayollu silikon nazal septal splint tamponlar›n›n septoplasti sonras› oluflabilecek komplikasyonlar ve nazal obstrüksiyon üzerine etkisini karfl›laflt›rmak amaçlanm›fl ve bu nedenle sinefli, septal perforasyon, rekürren deviasyon gibi
more » ... ratif komplikasyonlar araflt›r›lm›fl ve Nazal Obstrüksiyon Semptom Skalas› kullan›larak nazal obstrüksiyon de¤erlendirmesi yap›lm›flt›r. Yöntem: Nazal obstrüksiyon flikayeti ile septoplasti operasyonu uygulanan 96 hasta çal›flmaya dahil edilmifltir. Hastalar randomize olarak Grup A (merosel grubu) ve Grup B (silikon splint grubu) diye ikiye ay-r›lm›flt›r. Cerrahiden iki ay sonra hastalar tekrar de¤erlendirilmifl ve 4 farkl› de¤iflken araflt›r›lm›flt›r: (1) rekürren deviasyon, (2) sinefli, (3) septal perforasyon, (4) Nazal Obstrüksiyon Semptom Skalas›. Bulgular: Merosel grubunda daha çok postoperatif komplikasyon gözlenmifl ancak bu bulgu istatistiksel olarak anlaml› bulunmam›flt›r (p>0.05). Ayr›ca iki grup aras›ndaki Nazal Obstrüksiyon Semptom Ska-las› skorlar› aras›ndaki fark istatistiksel olarak anlaml›l›k teflkil etmemifltir (p>0.05). ‹lginç olarak, sineflisi bulunan hastalar›n Nazal Obstrüksiyon Semptom Skalas› skorlar›n›n sineflisi olmayan hastalar ile karfl›laflt›-r›ld›¤›nda anlaml› oranda daha yüksek oldu¤u saptanm›flt›r (p<0.05). Sonuç: Verilerimiz istatistiksel olarak anlaml›l›k teflkit etmese de, bizim çal›flmam›z ve önceki çal›flmalar intranazal splint kullan›m›n›n yaflam kalitesi aç›s›ndan daha iyi oldu¤unu göstermektedir ancak ilave çal›flmalar gerekmektedir. Anahtar sözcükler: Burun t›kan›kl›¤›, yaflam kalitesi, komplikasyon. Abstract Objective: We aimed to compare the use of Merocel nasal packs and airway integrated silicone nasal septal splints in the management of postoperative complications such as synechia formation, septal perforation, recurrent deviation and to evaluate nasal obstruction by using Nose Obstruction Symptom Evaluation scale following septoplasty. Methods: Ninety-six patients who complained of nasal obstruction and underwent septoplasty under general anesthesia were enrolled in the study. The patients were randomly allocated into two groups as Group A (Merocel group) and Group B (silicone splint group). A follow-up visit was scheduled two months after surgical procedure and four different variables were investigated: (1) recurrent deviation (2) synechia (3) septal perforation; and (4) Nose Obstruction Symptom Evaluation scale score. Results: We found more frequent postoperative complications in the Merocel group but this finding was not statistically significant (p>0.05). Additionally comparison of Nose Obstruction Symptom Evaluation scale scores for nasal packing materials did not detect statistically significant difference between 2 groups (p>0.05). Interestingly, we identified that in a subset of patients who had synechia formation, Nose Obstruction Symptom Evaluation scale scores had been significantly higher in comparison with the patients without synechia formation (p<0.05). Conclusion: Although our data did not reach statistical significance, our study and previous reports support a better quality of life by using intranasal splints, but that needs further studies.
doi:10.2399/jmu.2014002006 fatcat:gapbn7fmbfb5vg5j6fvxnaltty