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Journal articles on the topic 'Nasal packing'

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Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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1

Bandhauer, Florian, Daniela Buhl, and Rudolf Grossenbacher. "Antibiotic Prophylaxis in Rhinosurgery." American Journal of Rhinology 16, no. 3 (May 2002): 135–39. http://dx.doi.org/10.1177/194589240201600302.

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Background This study investigated the in vivo efficacy of nasal packing containing an antibiotic substance after septal and turbinate surgery on the potentially infectious nasal flora (Staphylococcus aureus, etc.) without systemic administration of antibiotics. Methods The study was designed as an exploratory randomized trial. Three types of packings were used on 110 patients because of septoplasty and/or turbinate surgery. Packings were distributed randomly among three groups. The first and second groups received an antibiotic-free sample (polyvinyl acetate sponge and cotton gauze strips with sea-salt ointment) and the third group received an antibiotic one (cotton gauze strips with polymyxin-B-sulfate and oxytetracycline ointment). The nasal flora was determined by microscopy and cultures, both preoperatively and after elimination of the packing. Results Significantly less growth of the potentially infectious nasal flora overall and of S. aureus in particular was found in the group with the antibiotic packing. Conclusion Antibiotic-containing nasal packing effectively inhibits potentially infectious germs (including S. aureus) in the nasal flora and secondarily may diminish the incidence of postoperative infections.
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2

Yew Richard, Wong Kim, and Shamim Rahman Bin SMA Abdul Rasheed. "The Mystery of the Disappearing Nasal Packs." International Journal of Human and Health Sciences (IJHHS) 6, no. 4 (September 18, 2022): 442. http://dx.doi.org/10.31344/ijhhs.v6i4.485.

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Nasal packing is commonly used for hemostasis post nasal surgeries. It is cheap, easily available and is routinely practiced in many centres. However, they may be associated with complications. Some of the complications include pain during nasal packing removal, damage or injury to the nasal mucosa leading to synechiae formation, crusting, and septal perforation. We describe a case of a 39-year-old gentleman who underwent a septoturbinoplasty procedure, to address his nasal problem and subsequently nasal packing was inserted into bilateral nasal cavity for hemostasis. However, prior to extubation, it was noted that the nasal packing were not in situ. Nasoendoscopy and direct laryngoscopy were performed but were unable to trace the missing nasal packs. An Oesophagogastroduodenoscopy (OGDS) was done and revealed the presence of the nasal packing in the stomach. This case highlighted the risk of nasal packing to be dislodged from the nasal cavity into the stomach if not secured properly, and therefore we recommended securing the nasal packing in its position by tying a knot using the strings attached with the nasal packing together.International Journal of Human and Health Sciences Vol. 06 No. 04 Oct’22 Page: 442-444
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3

Seol, J. H., J. M. Kim, S. S. Kim, B. R. Na, H. Jung, J. H. Cho, and J. K. Kim. "Comparison of polyvinyl alcohol coated nasal packing with non-absorbable nasal packing." Rhinology journal 51, no. 2 (June 1, 2013): 137–42. http://dx.doi.org/10.4193/rhino12.176.

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Background: A number of different nasal packing materials are available for prevention of nasal bleeding after endoscopic sinus surgery. Polyvinyl alcohol (PVA) coated nasal packing is an expandable packing for use in rhinological surgery. This innovative surf- ace treatment helps to reduce the possibility of adherence to tissue and of blood clotting within the sponge. The present study investigated the effects of PVA coated packing and non-absorbable packing with respect to pain, healing site and postoperative bleeding following endoscopic sinus surgery. Methodology: Patients between 18-80 years of age undergoing sinus surgery were enrolled. Each patient`s ethmoid cavities were randomised to receive PVA coated packing material or the standard non-absorbable sinus packs. The remaining nasal packing material was removed on the 2nd day in the clinic. We determined visual analog scale score, bleeding time and wound healing status. A single rhinologist graded postoperative endoscopic appearance. Length of follow-up was 3 months. Results: Thirty three patients were recruited. There was a significant difference in the bleeding time between the two groups, but pain and wound healing were not significantly different between the two groups. Conclusion: PVA-coated nasal packing presents comparable characteristics with traditional nasal packing.
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4

Johnson, Hugh A. "THE PERFECT NASAL PACKING." Plastic and Reconstructive Surgery 77, no. 2 (February 1986): 337. http://dx.doi.org/10.1097/00006534-198602000-00039.

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5

De Palma, Anthony T. "THE PERFECT NASAL PACKING." Plastic and Reconstructive Surgery 78, no. 2 (August 1986): 262. http://dx.doi.org/10.1097/00006534-198608000-00030.

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6

Fairbanks, David N. F. "Complications of Nasal Packing." Otolaryngology–Head and Neck Surgery 94, no. 3 (March 1986): 412–15. http://dx.doi.org/10.1177/019459988609400337.

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7

ILLUM, PETER, LUISA GRYMER, and OLE HILBERG. "Nasal packing after septoplasty." Clinical Otolaryngology 17, no. 2 (April 1992): 158–62. http://dx.doi.org/10.1111/j.1365-2273.1992.tb01065.x.

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8

Burke, Robert H. "A simplified nasal packing." Journal of Oral and Maxillofacial Surgery 43, no. 7 (July 1985): 555. http://dx.doi.org/10.1016/s0278-2391(85)80040-9.

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9

List, R. J., T. C. Biggs, and L. E. Postans. "Anterior nasal packing simulators." Clinical Otolaryngology 36, no. 6 (December 2011): 593–94. http://dx.doi.org/10.1111/j.1749-4486.2011.02404.x.

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10

Banglawala, Sarfaraz M., Mandeep S. Gill, Navpreet Dhillion, James S. Khan, Michael K. Gupta, Alkis Psaltis, Rodney Schlosser, and Doron D. Sommer. "Nasal Packing After Septoplasty." JAMA Otolaryngology–Head & Neck Surgery 140, no. 3 (March 1, 2014): 253. http://dx.doi.org/10.1001/jamaoto.2013.6335.

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11

Sheen, Tzung-Shiahn, Jenq-Yuh Ko, and Yung-Hsiang Hsu. "Pyogenic Granuloma—An Uncommon Complication of Nasal Packing." American Journal of Rhinology 11, no. 3 (May 1997): 225–28. http://dx.doi.org/10.2500/105065897781751839.

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Nasal packing is a very common procedure in the otolaryngologic service for nasal bleeding and postoperative hemostasis. However, a pyogenic granuloma complicated from nasal packing has not been reported in the literature. A 50-year-old man underwent nasal packing by use of vaseline gauze due to nasal bleeding. Two weeks later, a dark brown nasal tumor was found in his nasal cavity. He underwent partial turbinectomy for removal of the tumor. The pathology demonstrated a pyogenic granuloma. It is the first case of a confirmed pyogenic granuloma complicated from nasal packing in the literature. To prevent complications and decrease the discomfort, we strongly recommend the use of inflatable balloons or nontraumatic materials for nasal packing.
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12

Seol, J. H., J. Kim, S. S. Kim, B. R. Na, H. Jung, J. H. Cho, and J. K. Kim. "Comparison of polyvinyl alcohol coated nasal packing with non-absorbable nasal packing." Rhinology Journal 51, no. 2 (January 1, 2013): 137–42. http://dx.doi.org/10.4193/rhin12.176.

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13

Mathew, P. J., and K. K. Gombar. "Neonatal nasal polypectomy - consequence of nasal packing." Acta Anaesthesiologica Scandinavica 50, no. 4 (April 2006): 522. http://dx.doi.org/10.1111/j.1399-6576.2005.00892.x.

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14

Sah, Kusheswar, Brihaspati Sigdel, and Rajendra Nepali. "Study of nasal packing versus quilting following septoplasty surgery." Journal of Gandaki Medical College-Nepal 15, no. 1 (July 25, 2022): 37–43. http://dx.doi.org/10.3126/jgmcn.v15i1.43225.

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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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15

Lubianca-Neto, José Faibes, Geraldo Druck Sant'anna, Marcelo Mauri, Jaime Luís Freitas Arrarte, and Carlos Alberto Brinckmann. "Evaluation of Time of Nasal Packing After Nasal Surgery: A Randomized Trial." Otolaryngology–Head and Neck Surgery 122, no. 6 (June 2000): 899–901. http://dx.doi.org/10.1016/s0194-59980070021-0.

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A randomized, prospective trial was carried out to compare the rate of hemorrhagic complications after removal of nasal packing left for 24 and 48 hours. A total of 104 patients underwent nasal surgery and were randomly assigned to 1 of 2 groups: group 1, 24 hours of nasal packing; group 2, 48 hours of nasal packing. No statistical difference was observed between the groups in terms of occurrence of hemorrhagic complications. Hypertension was the only prognostic factor for postoperative bleeding. The routine use of 48-hour postoperative nasal packing after nasal surgery is not justified because of the low incidence of bleeding and the potential associated morbidity. At the end of the procedure, surgeons should evaluate the risk of postoperative bleeding (ie, presence of hypertension) and decide whether 24-hour nasal packing is enough.
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16

Awan, Mohammad Sohail, and Moghira Iqbal. "Nasal Packing after Septoplasty: A Randomized Comparison of Packing versus no Packing in 88 Patients." Ear, Nose & Throat Journal 87, no. 11 (November 2008): 624–27. http://dx.doi.org/10.1177/014556130808701108.

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The once-common practice of packing the nose after septoplasty was based on a desire to prevent postoperative complications such as bleeding, septal hematoma, and adhesion formation. However, it was since found that not only is nasal packing ineffective in this regard, it can actually cause these complications. Although the consensus in the world literature is that packing should be avoided, to the best of our knowledge, no truly randomized study has been undertaken in Southwest Asia upon which to justify this recommendation here. Therefore, we conducted a prospective randomized comparison of the incidence of a variety of postoperative signs and symptoms in 88 patients, 15 years of age and older, who did (n = 44) and did not (n = 44) undergo nasal packing following septoplasty. We found that the patients who underwent packing experienced significantly more postoperative pain, headache, epiphora, dysphagia, and sleep disturbance on the night of surgery. Oral and nasal examinations 7 days postoperatively revealed no significant difference between the two groups in the incidence of bleeding, septal hematoma, adhesion formation, and local infection. Finally, the packing group reported a moderate to high level of pain during removal of the packing. Our findings confirm that nasal packing after septoplasty is not only unnecessary, it is actually a source of patient discomfort and other signs and symptoms.
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17

Singh, Piyush Kant, and Preeti Singh. "Comparison of Efficacy of Nasal Septal Splints with Clip versus Nasal Packing after Septoplasty." Bengal Journal of Otolaryngology and Head Neck Surgery 29, no. 1 (June 3, 2021): 36–42. http://dx.doi.org/10.47210/bjohns.2021.v29i1.314.

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Introduction It has always been a concern of ENT surgeon to prevent post operative complications like nasal bleeding, septal hematoma and septal abscess after septoplasty. Traditionally nasal packing has been done to avoid these complications. Although the nasal pack itself has been a concern for several reasons, packing apart from causing breathing distress, has resulted in epiphora, dysphagia, sleep disturbance, post-operative pain, headache, septal infection, septal abscess and even toxic shock syndrome. Materials and Methods This study has compared the efficacy of a newly designed septal splint with clip with nasal packs. This study was done on 60 patients, nasal packing was done in 30 patients and septal splints with clip were applied in 30 patients. Results Post-operative pain, epiphora, dysphagia, dryness of mouth and sleep disturbance was found to be significantly less in patients with septal splints with clip as compared to those with nasal packing. Conclusion Septal splints with clip is more efficacious alternative to nasal packing in patients undergoing septoplasty.
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18

Cassano, Michele, Francesco Di Taranto, Giuseppe Maria Russo, Cosimo De Filippis, and Pasquale Cassano. "Cytological alterations of nasal mucosa after nasal packing." American Journal of Otolaryngology 35, no. 3 (May 2014): 366–72. http://dx.doi.org/10.1016/j.amjoto.2013.12.009.

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19

Wasim, Muhammad Fahad, Naeem Riaz, Sohail Aslam, Syed Muhammad Asad Shabbir Bukhari, Humza Mumtaz, and Iqbal Husain. "POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI." Pakistan Armed Forces Medical Journal 70, no. 6 (December 15, 2020): 1629–33. http://dx.doi.org/10.51253/pafmj.v70i6.3696.

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OBJECTIVE To compare the possibility of Post-operative hemorrhage in septoplasty with and without nasal packing among the patients operated at PNS SHIFA hospital Karachi STUDY DESIGN: Comparative Study SETTING: PNS SHIFA hospital Karachi DURATION OF STUDY: Six months, 21-04-2019 to 20-10-2019 PATIENTS AND METHODS: Ninety two patients who underwent septoplasty due to deviation of nasal septum at ENT department of PNS SHIFA were included in the analysis. Patients were randomly divided into two groups. Group one did not undergo nasal packing after the surgery and group two underwent nasal packing after the surgical procedure. Chi-square was used to see the difference in post-operative hemorrhage, headache, discomfort and septal perforation between the two groups. RESULTS Out of 92 patients included in the final analysis 61 were male and 31 were female. Pot operative bleeding was found in three patients in group one while thirteen patients in group two had bleeding after the procedure. With Pearson chi-square test, we found that post-operative bleeding, headache and discomfort was significantly more in the patients with nasal packing after the procedure of septoplasty due to deviated nasal septum. CONCLUSION Nasal packing emerged as a procedure linked with more complications rather than benefits among the patients undergoing septoplasty in our study. Not only post-operative hemorrhage but also headache and discomfort were more common among the patients with nasal packing as compared to those without nasal packing. Nasal packing after septoplasty should be discouraged without any obvious indication in the patients undergoing septoplasty.
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20

Arora, Pankaj, Manish Munjal, Ajit Singh Khurana, Shubham Munjal, and Tulika Saggar. "Comparative study of nasal packs, quilts and splints in septal surgery." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 10 (September 23, 2020): 1793. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20204177.

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<p><strong>Background</strong>: Nasal packing, quilting and splinting are utilized in septal surgery to have a patent airway. The effects on the patient have been studied.</p><p><strong>Materials and Methods: </strong>60 subjects with deviated nasal septum requiring septal surgery were selected from the Rhinology division of otorhinolaryngology services of Dayanand Medical College and Hospital, Ludhiana. Comparison between nasal packing, nasal splints and quilt suturing was carried out in a period of one and a half years.</p><p><strong>Results: </strong>All the 20 patients (100%) of anterior nasal packing had severe local discomfort but no postoperative hematoma. 1 patient (5%) of quilt stitching showed septal swelling in 1 patient (5%) of anterior nasal packing suffered from moderate degree of fever. There was no such episode in any of the patients in whom quilt stitching and splints were used. 6 patients (30%) of anterior nasal packing had crust formation which was not seen in quilt stitching and splint patients. 7 patients (35%) of nasal packing had ulceration of nasal mucosa on removal of pack, while none had in the quilt stitching or nasal splint group. 2 (10%) patients with anterior nasal packing had postoperative synechiae formation.</p><p><strong>Conclusion: </strong>Quilting and splinting are the ideal tamponade post septal intervention As except for mild discomfort they do not experience the unpleasant sequel of accordion nasal packs. Moreover, it makes the procedure a day care surgery.</p>
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Moon, Kyo Gab, Hwan Koo Lee, Kyung Rae Kim, Chul Won Park, and Sun Kon Kim. "Effect of Nasal Packing on Eustachian Tube Function." Journal of Clinical Otolaryngology Head and Neck Surgery 4, no. 2 (November 1993): 299–303. http://dx.doi.org/10.35420/jcohns.1993.4.2.299.

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22

Jawaid, Arafat, Muhammad Tahir, Ameer Abdullah, Farhan Akbar, and Muhammad Jamalullah. "Intranasal pressure splints - a reliable alternative to nasal packing in septal sur." Bangladesh Journal of Otorhinolaryngology 18, no. 2 (November 24, 2012): 124–28. http://dx.doi.org/10.3329/bjo.v18i2.11985.

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Objective: To compare the outcome of nasal packing and intranasal pressure splints in patients undergoing septoplasty. Study design: Randomized controlled trial.Place and Duration of Study: The study was carried out at otorhinolaryngology department of Combined Military Hospitals, Bahawalpur and Murree from June 2010 to November 2011.Methods: A total of 160 patients aged 15 to 50 years, undergoing septoplasty, were included in the study and distributed in two equal groups. Group A with nasal packing, was compared with group B in which nasal splints were placed and no nasal packing was done. Post operative morbidity in terms of pain, headache, epiphora, dysphagia and sleep disturbance along with post operative complications including nasal bleed, septal hematoma and synechiae formation were assessed over a follow up period of four weeks.Results: Patients in which nasal packing was done had significantly more post operative pain (p < 0.05) and a significantly higher incidence of headache, epiphora, dysphagia and sleep disturbance on the night of surgery (p < 0.05). There was no significant difference between two groups with respect to nasal bleeding, septal hematoma and synechiae formation.Conclusion: Pressure splints around nasal septum are effective alternative to nasal packing. With the use of these splints, nasal packing can be easily avoided following septal surgery, thus minimizing post operative discomfort of the patient. DOI: http://dx.doi.org/10.3329/bjo.v18i2.11985 Bangladesh J Otorhinolaryngol 2012; 18(2): 124-128
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23

Titirungruang, C. K., N. Charakorn, B. Chaitusaney, and P. Hirunwiwatkul. "Is postoperative nasal packing after septoplasty safe? A systematic review and meta-analysis of randomized controlled studies." Rhinology journal 59, no. 4 (August 1, 2021): 340–51. http://dx.doi.org/10.4193/rhin21.057.

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Objectives: To systemically review and compare post-septoplasty complications between total nasal packing and other techniques. Methodology: We searched electronic databases (PubMed, Scopus, and Cochrane Library) and additional sources. The most recent search was on November 30th, 2020. Randomized controlled trials (RCTs) comparing adverse events after post-septoplasty nasal packing versus other techniques were included. The outcomes were adverse events, including respiratory distress, oxygen desaturation, pain severity, bleeding, hematoma, sleep disturbance, infection, crusting, epiphora, dysphagia, perforation, adhesion, and residual septal deviation. Results: There were 47 studies (4,087 participants) in this systematic review. Nasal packing was more likely to cause adverse events than other techniques. There were significant increases in respiratory distress, pain, sleep disturbance, crusting, epiphora, dysphagia, and adhesion. There were no statistically significant differences in oxygen desaturation, bleeding, hematoma, infection, perforation, and residual septal deviation. Subgroup analysis found that trans-septal suture was less likely to cause post-operative complications compared with total nasal packing. Conclusion: Nasal packing after septoplasty was more likely to cause adverse events, including respiratory distress, pain, sleep disturbance, crusting, epiphora, dysphagia, and adhesion. Furthermore, there were no benefits of nasal packing in preventing bleeding, hematoma, and residual septal deviation when compared with other techniques. Routine nasal packing after septoplasty should be avoided. Trans-septal suture should be considered instead.
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Hernandez, Maria I. M., Alejandro G. Ojeda, Fernando A. Lopez-Dellamry Toral, Joaquin G. Estrada, Jose C. V. Jimenez, Miguel R. O. Plascencia, and Hector Marcias-Reyes. "Chitosan Membrane for Nasal Packing." Otolaryngology–Head and Neck Surgery 145, no. 2_suppl (August 2011): P254. http://dx.doi.org/10.1177/0194599811415823a389.

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25

Vaghela, H. M. "Foley catheter posterior nasal packing." Clinical Otolaryngology 30, no. 2 (April 12, 2005): 209. http://dx.doi.org/10.1111/j.1365-2273.2005.00986.x.

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26

Sugarman, P. M., and D. J. Alderson. "Training model for nasal packing." Emergency Medicine Journal 12, no. 4 (December 1, 1995): 276–78. http://dx.doi.org/10.1136/emj.12.4.276.

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27

Burke, Robert H. "Origin of nasal packing technique." Journal of Oral and Maxillofacial Surgery 44, no. 4 (April 1986): 256. http://dx.doi.org/10.1016/0278-2391(86)90074-1.

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28

Eipe, Naveen, and Ashish Choudhrie. "Airway examination after nasal packing." Journal of Clinical Anesthesia 18, no. 6 (September 2006): 479–80. http://dx.doi.org/10.1016/j.jclinane.2006.03.002.

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29

Acıoğlu, Engin, Deniz Tuna Edizer, Özgür Yiğit, Fırat Onur, and Zeynep Alkan. "Nasal septal packing: which one?" European Archives of Oto-Rhino-Laryngology 269, no. 7 (December 9, 2011): 1777–81. http://dx.doi.org/10.1007/s00405-011-1842-1.

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Bista, Meera. "Effects of Bilateral Nasal Packing on Oxygen Saturation and Blood Pressure." Journal of Nepal Medical Association 56, no. 208 (December 31, 2017): 442–6. http://dx.doi.org/10.31729/jnma.3355.

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Introduction: Nasal packing is one of the most common rhinological procedures in ENT practice exerting local in nose and systemic effects. Systemic effects may be due to poor sleep quality, respiratory difficulty, decreased oxygen saturation, circulatory problems and toxic shock syndrome which can threaten the life of a person.The study was done to investigate the effect on bilateral nasal packing on blood oxygen saturation and blood pressure changes. Methods: A cross-sectional prospective study was undertaken in Kathmandu Medical College from January 2017 to June 2017. The ethical approval was taken from institutional review committee of KMC and verbal consent was taken from each patient. Thirty patients were included in the study by simple randomized sampling. The association between nasal packing and oxygen saturation and blood pressure was done using ANNOVA and Fisher Exact test. P value of <0.005 was considered statistically significant. SPSS version 20 for windows OS was used for analysis. Results: Blood oxygen saturation on four different days was compared using ANNOVA and paired sample tests. It showed a significant dip on the day of bilateral nasal packing compared to other readings (P value <0.001). Likewise, systolic and diastolic blood pressures showed a significant rise on the day of bilateral nasal packing compared to readings on other days (P value <0.001). Conclusions: Bilateral nasal packing can lead to significant rise in systolic and diastolic blood pressure and a dip in blood oxygen saturation. Thus care has to be taken while performing bilateral nasal packing in normal patients but much more in high risk patients. Keywords: blood pressure; nasal obstruction; nasal packing; oxygen saturation; pulse oximetry.
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31

Gangwar, Navneeta. "Study of cardiovascular effects of occlusive nasal packing versus minimal packing following nasal surgeries." MedPulse International Journal of ENT 5, no. 2 (2017): 32–37. http://dx.doi.org/10.26611/1016522.

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Sari, Kamran, Ali Irfan Gul, Yunus Kantekin, Ozgul Karaaslan, and Zeliha Kapusuz Gencer. "Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing." Acta Medica (Hradec Kralove, Czech Republic) 59, no. 4 (2016): 133–36. http://dx.doi.org/10.14712/18059694.2017.40.

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Background: We measured postoperative anxiety in patients who underwent transseptal suturing or nasal packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of nasal packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and nasal packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the nasal packing group; the difference was found significant (p < 0.05). The STAI-T scores were found 42.6 in the transseptal suturing group and 45.7 in the nasal packing group; the difference was not found significant (p > 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with nasal packing) with only a minor increase in operating time and hemorrhage.
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33

Shaw, Chi-kee Leslie, Robert B. Dymock, Allison Cowin, and Peter-John Wormald. "Effect of packing on nasal mucosa of sheep." Journal of Laryngology & Otology 114, no. 7 (July 2000): 506–9. http://dx.doi.org/10.1258/0022215001906246.

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The effects of packing with ribbon gauze and neuropatties on the nasal mucosa was assessed using sheep as an animal model. Fourteen sheep either underwent ribbon gauze or neuropattie nasal packing. Trauma to nasal mucosa caused by ribbon gauze and neuropatties was compared to mucosa on the lateral aspect of the middle turbinate which was not in contact with any packing. This tissue was used as a control. Ribbon gauze packing resulted in significant loss of 68 per cent of the ciliated surface of the mucosa when compared with the control group with a 15 per cent loss of ciliated surface (p < 0.005). Neuropattie packing also resulted in significant loss of 50 per cent of the ciliated surface of the mucosa when compared with the control group (p < 0.005). There was no significant difference in loss of ciliated mucosa in the specimens packed with ribbon gauze or neuropatties (p = 0.25).Nasal packing results in a significant mucosal injury with loss of cilia. This may influence the mucociliary clearance of the nose in the post-operative healing phase. Pre-operative nasal packing should be used circumspectly and if possible avoided.
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Pandurangarao, Santosh Uttarkar, Mallikarjunappa Ajjampura Murugendrappa, Dheeraj Kumar Jonnalagadda, Raga Panicker, and Sridurga Janarthanan. "A comparative study between conventional nasal packing versus nasal splint with clip after septoplasty with bilateral reduction of inferior turbinates with bipolar cautery." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 4 (June 23, 2018): 986. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181992.

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<p class="abstract"><strong>Background:</strong> Nasal packing is an important step after septal surgeries. Conventional nasal packing with vaseline gauze is associated with significant morbidity. Of late, the nasal splint with clip has been tried as an alternative in an attempt to prevent this morbidity. The aim of our study is to compare post-operative morbidities of conventional nasal packing (using vaseline gauze) and nasal splint with clip following septoplasty and cauterization of inferior turbinates.</p><p class="abstract"><strong>Methods:</strong> A comparative study was conducted on 50 patients who underwent septoplasty surgery with reduction of both inferior turbinates using bipolar cautery. In the postoperative period, patients were assessed for pain, nasal obstruction, head ache and ear complaints. </p><p class="abstract"><strong>Results:</strong> Patients in whom nasal splint with clip were used, were found to have a more comfortable postoperative period when compared to conventional nasal packing, which was found to be statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> Post-operative morbidity has been found to be significantly lower with nasal splint with clip in comparison to conventional nasal packing using vaseline gauze.</p>
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Pandit, Jayeeta, Vignesh Kumar, Amlanjyoti Nath, and Abhinandan Bhattacharjee. "Comparative study on the effect of various anterior nasal packing on ear compliance and ear canal volume." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 3 (February 24, 2020): 558. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20200635.

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<p class="abstract"><strong>Background:</strong> Anterior nasal packing (ANP) is a commonly used procedure by otorhinolaryngologist for the control of post-operative bleeding post septoplasty and nasal surgery. However there remains an ambiguity regarding the effect of various nasal packings on the Eustachian tube dysfunctions. The present study intends to compare and evaluate the effects of ribbon gauge nasal packing (RNP), merocel nasal packing (MNP) and merocel with airway packing (MAP) on the eustachian dysfunction such as changes in the compliance and ear canal volume.</p><p class="abstract"><strong>Methods:</strong> Ninety patients were selected for the study, and randomly divided into 3 groups of 30 patients each where the patients were treated with RNP, MNP and MAP. The pack was kept insitu for 48 hrs and the compliance and ear canal volume was measured at before pack is applied (pre pack), with ANP insitu at 48 hrs (with pack), and after removal of the nasal pack at 5th day (post pack). </p><p class="abstract"><strong>Results:</strong> The percentage of patients with abnormal compliance level as well as ear canal volume was found to be the highest among the patients in RNP group followed by patients from the MNP group. The least number of patients with abnormal compliance and ear canal volume was observed among the patients in the MAP groups.</p><p class="abstract"><strong>Conclusions:</strong> MAPs are better than ribbon gauge and MNPs in terms of maintaining the compliance level and ear canal volume.</p><p align="center"> </p>
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Singh, Jagat, SPS Yadav, Ankit Gulati, Surender Singh, and Anamika Bishnoi. "To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation." An International Journal of Otorhinolaryngology Clinics 7, no. 2 (2015): 41–44. http://dx.doi.org/10.5005/jp-journals-10003-1185.

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ABSTRACT Objective To study the effect of nasal packing on blood oxygen saturation. Materials and methods Study was conducted on 30 patients of deviated nasal septum, who underwent septoplasty under local anesthesia followed by anterior nasal packing. The pulse oximetry was carried out three times on each patient to record the blood oxygen saturation (SpO2) by using digital pulse oximeter. The first reading of SpO2 was taken before nasal packing, second after 24 hours of nasal packing and third 3 weeks after surgery. Statistical analysis was done by Chi-square test and paired t-test. Results A total of 33.3% patients were below 20 years of age, whereas 60% were between 20 and 30 years of age and 6.7% were above 30 years. Males were 80%. It was observed that preoperative mean SpO2 was 98.3 ± 0.794%, after 24 hours of nasal packing was 97.17 ± 1.744% and 3 weeks after surgery was 98.87 ± 0.629%. On statistical analysis, the difference in SpO2 was highly significant (p < 0.001). Conclusion The application of nasal packs can be risky in old patients, more so having cardiopulmonary disease. The use of packs with airflow is recommended in these patients who should ideally be monitored with pulse oximetry. How to cite this article Singh S, Singh J, Kakkar V, Yadav SPS, Bishnoi A, Kathuria B, Gulati A, Sharma C. To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation. Int J Otorhinolaryngol Clin 2015;7(2):41-44.
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Lange, Jessica L., Erin H. Peeden, and Scott P. Stringer. "Are Prophylactic Systemic Antibiotics Necessary with Nasal Packing? A Systematic Review." American Journal of Rhinology & Allergy 31, no. 4 (July 2017): 240–47. http://dx.doi.org/10.2500/ajra.2017.31.4454.

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Background The use of prophylactic systemic antibiotics with nasal packing has been a controversial topic. There are few evidence-based studies to determine the need for prophylactic systemic antibiotics. We performed a systematic literature review to determine the role of prophylactic systemic antibiotics with nasal packing in the prevention of toxic shock syndrome and local nasal infections. Objective The purpose of this study was to perform a systematic literature review to determine the role of prophylactic systemic antibiotics with nasal packing in the prevention of toxic shock syndrome and local nasal infections. Methods A search for studies that reviewed the efficacy of prophylactic systemic antibiotics in the prevention of toxic shock or nasal infections and/or sinusitis for patients with nasal packing for epistaxis and postoperative septoplasties was performed. This was conducted in a number of medical literature data bases by following the methods of the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only English publications and human studies that were randomized control trials, quasi-randomized control trials, controlled clinical trials, retrospective studies, and case series were included. Results Six studies, with a total of 990 patients, met the inclusion criteria for the review and were included. Primary outcomes were signs and symptoms of nasal or sinus infections in patients who underwent nasal packing for epistaxis or septoplasty. There were no reports of toxic shock syndrome in any patients, and there was no statistical difference in purulent drainage in patients who had septoplasty (9.9 versus 11.2%) treated with or without antibiotics. Conclusion There is a paucity of literature that reviewed the need for prophylactic systemic antibiotics with nasal packing. The available literature does not show a significant benefit to the use of antibiotics with nasal packing, but the studies were underpowered to detect such a difference. One must consider the associated risks of prophylactic antibiotics to the patient as well when deciding to prescribe prophylactic antibiotics.
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Basha, S. I., D. Gupta, and S. K. Kaluskar. "Routine nasal packing follwoing nasal surgery—Is it necessary?" Indian Journal of Otolaryngology and Head and Neck Surgery 57, no. 1 (January 2005): 69–71. http://dx.doi.org/10.1007/bf02907637.

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Yildirim, Altan, Mehmet Yasar, Ali Ihsan Bebek, Ercan Canbay, and Tanfer Kunt. "Nasal Septal Suture Technique versus Nasal Packing after Septoplasty." American Journal of Rhinology 19, no. 6 (November 2005): 599–602. http://dx.doi.org/10.1177/194589240501900612.

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Background The aim of this study was to compare eustachian function and blood gas changes with nasal packing (NP) and nasal septal suturing (NSS) after septoplasty. Methods Eighty patients who have nasal septal deviation and who otherwise are healthy were studied. Forty of these patients had finger glove NPs in their nasal cavities for 48 hours after septoplasty. Another 40 patients had NSS performed after septoplasty. Acoustic tympanometry and pH, PCO2, and PO2 analyses of arterial blood were performed preoperatively and 48 hours postoperatively. Results We observed a statistically significant increase in middle ear pressure (p < 0.001) and a significant reduction of PO2 (p < 0.001) and increase of PCO2 (p = 0.041) in the NP group but no difference in the NSS group, postoperatively. Conclusion NSS should be preferred as an alternative to intranasal packing.
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Sharma, R. K., K. O. Paulose, Salman Al-Khalifa, and P. Shenoy. "Pre-operative nasal preparation—nasal packing and spraying compared." Journal of Laryngology & Otology 106, no. 1 (January 1992): 39–41. http://dx.doi.org/10.1017/s0022215100118547.

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AbstractFifty patients were included in a single blind study to evaluate the effectiveness of ephedrine-naphazoline (0.5 and 0.125 per cent respectively) nasal spray as against nasal packing with lignocaine (4 per cent) and adrenaline solution (1:50,000).
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Schoenberg, Marcelle Von, Philip Robinson, and Rowena Ryan. "Nasal packing after routine nasal surgery—is it justified?" Journal of Laryngology & Otology 107, no. 10 (October 1993): 902–5. http://dx.doi.org/10.1017/s0022215100124740.

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AbstractNinety-five patients undergoing routine nasal surgery were enrolled into a randomized, prospective trial to investigate the efficacy and morbidity of nasal packing. The patients were randomized to receive a bismuth iodoform paraffin paste (BIPP) pack, a Telfa pack or no pack. Patients for septal surgery were randomized between the BIPP and Telfa groups only. They were independently randomized to receive or not receive, a silastic nasal splint for the first post-operative week.Post-operative pain levels were analysed using a visual analogue scale. Mean pain scores were increased 50 per cent by the use of nasal packs and pack removal, particularly BIPP which, was a most painful event (p<0.001).Reactionary haemorrhage occurred in only two patients (2.1 per cent), both of whom had packs in situ. Vestibulitis was unique to the patients with a silastic splint, who were packed with BIPP, occurring in 21 per cent of them. Similarly septal perforation was unique to this group. There was no significant difference in the incidence of adhesions between the groups which received packs and those who did not.Routine nasal packing, especially with BIPP, would seem difficult to justify in view of the increased pain levels and increased complications which occur without any demonstrable benefit in the majority of patients. Therefore packing should be reserved for cases where there is concern about persistent haemorrhage. In these cases Telfa would be preferable to BIPP.
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Tewari, Vertika. "QUILTING, AS AN ALTERNATIVE TO NASAL PACKING, OUR EXPERIENCE AT A GOVERNMENT DISTRICT HOSPITAL IN NORTH INDIA." First Issue 2022 Volume 10, Issue 1 (June 30, 2022): 28–35. http://dx.doi.org/10.36611/upjohns/volume10/issue1/5.

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We aimed to study the efficacy of transseptal suturing in patients undergoing septoplasty and to compare the surgical outcome and complications of transseptal suturing with nasal packing. We c o n d u c t e d a p r o s p e c t i v e , c o m p a r a t i v e , randomized study in Deen Dayal Upadhyaya hospital New Delhi from July 2016 to May 2017.A total of 60 patients with symptomatic Deviated nasal septum within age group of 18 to 60 years were included in our study. All these patients underwent septoplasty and were randomly divided into two group of nasal packing and transseptal suturing. Patients were interviewed and assessed for nasal pain, nasal bleeding, epiphora, dryness of mouth, sleep disturbances. Mean Pain score using VAS was 8 in nasal packing group and 2.3 in transseptal suturing group in 48 hours observation period, moreover mean score of 8 on VAS was observed during pack removal in nasal packing group. None of the patient in transseptal suturing group underwent nasal bleeding thus none of them required add on nasal packing.100% patients in medicated gauze nasal packing group presented with epiphora, headache, sleep disturbances, and dryness of mouth in 48 hours observation period, whereas none of the patient in transseptal suturing group presented with such symptom. None of the patient in either group presented with postoperative septal perforation, synechiae foramation, crusting, s t t h septal haematoma during 1 and 4 week diagnostic nasal endoscopy. Even with limited resources of a government district hospital we were able to conclude transseptal suturing as better and efficient method to minimize the sufferings of patients undergoing septoplasty. KEYWORDS Quilting, Transseptal suturing, Septoplasty
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Sriprakash, Vinnakota. "Comparison of anterior nasal packing and absence of packing after rhinoplasty." International Journal of Otorhinolaryngology and Head and Neck Surgery 3, no. 4 (September 22, 2017): 943. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20173671.

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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Increased safety in the anesthesia and its techniques as well as the improved newer techniques, better outcome of this surgery have prompted many to undergo cosmetic surgeries such as rhinoplasty. The side effects observed are nasal obstruction, edema of the face, periorbital swelling and ecchymosis, which are of a great concern, and said to be aggravated with the anterior nasal packing. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">100 patients between 18-45 years of age, with nasal trauma were included in the study. Bilateral lateral osteotomies was performed in all patients, with anterior nasal packing done for control group and only external immobilization was done for the study group. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">No statistical difference was found between the two groups with regards to age and sex. However, there was a significant difference in severity and duration of periorbital ecchymosis in the different groups. On the 3rd day after the operation, more than one half of the unpacked study group (58.0%) showed ecchymosis of grade 1 or less compared with only 14.0%. in the control group. On the 7th post-operative day however, both sides showed improvement to grade 1 or less in 98.0% and 40.0% of unpacked and packed sides, respectively. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Anterior nasal packing post rhinoplasty with lateral osteotomies plays a significant role in the resultant ecchymosis and it should be only used when necessary.</span></p>
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Kurle, Geeta, Shruthi Patil V., and Manjunath N. "A comparative study between nasal clips and anterior nasal packing in septoplasty/submucosal resection patients at VIMS Bellary, Karnataka." International Journal of Otorhinolaryngology and Head and Neck Surgery 3, no. 2 (March 25, 2017): 364. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20171194.

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<p class="abstract"><strong>Background:</strong> Nasal packing is used primarily to control bleeding, for internal stabilization and to prevent postoperative complications in endonasal surgeries. Nasal septal clip is one of the alternatives, whose effectiveness in surgical practice is less studied upon.<strong> </strong>To compare the effectiveness between nasal septal clip and anterior nasal packing following septoplasty/submucous resection.</p><p class="abstract"><strong>Methods:</strong> Prospective Randomised Controlled Study was conducted in Department of Otolaryngology at Vijayanagara Institution of Medical Sciences, Bellary, between November 2014 to May 2016. Study involved 100 patients fulfilling inclusion and exclusion criteria. Adopting sealed envelope technique, patients were allotted into two equal groups for anterior nasal pack and nasal septal clip following septoplasty or submucosal resection. Interventions were done following standard procedures and data was collected by using pre-tested proforma. </p><p class="abstract"><strong>Results:</strong> Mean age of anterior nasal pack group and nasal septal clip group was 27.86 and 25.24 years respectively. Intra-operatively, packing with nasal septal clip was easier with significantly less trauma to mucous membrane (X<sup>2</sup>= 6.353, P= 0.011), consuming significantly less time (t= 9.329, P&lt;0.0001) and support provided to septum could be assessed visually when compared to anterior nasal packing. During immediate post-operative period and while pack removal, nasal septal clip had significantly less complications (P &lt; 0.001). Follow-up complications like septal haematoma, synaechiae &amp; septal perforations were lesser in nasal septal clip group</p><p><strong>Conclusions:</strong> During intra-operative period, immediate post-operative period, during nasal pack removal and during follow-up period nasal septal clip provided technical superiority, smooth post-operative experience and lesser complications compared to anterior nasal packing proving nasal septal clip to be a better choice for nasal packing. Limitations of NSC are its availability and cost. </p>
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Park, Hyo Jin, Dae Young Kim, Kung Chul Lee, Sung Min Jin, and Yong Bae Lee. "Bacteriological Study in Nasal Packing after Endoscopic Sinus Surgery." Journal of Clinical Otolaryngology Head and Neck Surgery 7, no. 2 (November 1996): 368–73. http://dx.doi.org/10.35420/jcohns.1996.7.2.368.

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Peyvandi, Ali Asghar, Mahbobeh Oroei, and Shahrokh Khoshsirat. "Comparison results of nasal septum suturing and nasal packing following septoplasty." Romanian Journal of Rhinology 9, no. 34 (June 1, 2019): 97–99. http://dx.doi.org/10.2478/rjr-2019-0012.

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Abstract BACKGROUND. Septoplasty is routinely used to resolve the deviated nasal septum. To obviate postoperative complications, some surgeons pack both nasal cavities and some other use suturing techniques after septoplasty. OBJECTIVE. To investigate the efficacy of septal suturing and packing in patients post-septoplasty. MATERIAL AND METHODS. This study was conducted in the Department of Otorhinolaryngology, Loghman Hakim, Tehran, Iran. 146 patients aged 17 years and above were enrolled for septoplasty. Septal suture was performed in 73 patients (group A) and nasal packing in the other 73 patients (group B). The principal outcomes in terms of bleeding, pain, respiratory problems, septal hematoma, adhesion and perforation were measured over a post-operative follow-up period. RESULTS. A total of 146 patients, 74% female and 26% male, were enrolled. There were statistically significant differences between the two groups with respect to respiratory problems and patient comfort (p<0.001). The patients in both groups had no septal perforation. CONCLUSION. Septoplasty using trans-septal suturing without packing can be safe and suitable to prevent or minimize postoperative complications.
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De Freitas, R. P., B. C. Hanna, and S. J. Hall. "Comparison of Co-phenylcaine Spray or Lidocaine/Epinephrine Nasal Packing for Flexible Laryngoscopy." Clinical medicine. Ear, nose and throat 3 (January 2010): CMENT.S4533. http://dx.doi.org/10.4137/cment.s4533.

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Background Nasal preparation prior to flexible laryngoscopy is a common ENT practice. Co-phenylcaine is increasingly used because it is safe and has both anaesthetic and vasoconstrictive properties. Lidocaine 4% and epinephrine 1:1000 nasal packing is another method used in our department. Methods A prospective case series was performed on eighty-one patients requiring flexible laryngoscopy. Patients were enrolled into either a co-phenylcaine or a lidocaine/epinephrine packing group. Visual analogue scales (VAS) were used to record unpleasantness of nasal preparation and flexible laryngoscopy. Decongestion and ease of endoscope passage were recorded by the doctors. Results Bad taste was statistically significantly worse when using cophenylcaine for nasal preparation ( P = 0.001). However, there was no statistically significant difference in overall unpleasantness from nasal preparation or from subsequent flexible laryngoscopy between the two groups. There was no statistically significant difference in degree of decongestion or ease of endoscope passage between the two groups. Conclusion There is no statistically significant advantage of using cophenylcaine spray over non-proprietary lidocaine 4% and epinephrine 1:1000 nasal packing. However cost and bad taste is less with nasal packing.
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Shoba K, Anuradha P, and Srinivasan K. "Structured Nasal Packing Module Training Using Intubation Mannequin For Undergraduate Students." International Journal of Research in Pharmaceutical Sciences 11, SPL2 (July 31, 2020): 267–70. http://dx.doi.org/10.26452/ijrps.v11ispl2.2692.

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Nasal packing is a skill which all primary care physicians should possess. The current curriculum does not include this skills training in undergraduate studies. The aim of this study is to evaluate the efficacy of structured nasal packing module for 3rd MBBS students in the skills lab and to evaluate the improvement of student's confidence level in managing . Project proposal approval was obtained from the Institutional review board in Saveetha Medical College &amp; Hospital. After obtaininginformed consent, 114 students of III MBBS-Part I was included in the study. They were divided into 3 batches. Students were given study material and video at least one day before the session. A brief lecture followed by a demonstration of nasal packing was done. Students were allowed to practice nasal packing on mannequins in the presence of faculty. Confidence level questionnaire were given to assess their confidence level before and after practicing on mannequins. Question 1 was on instrument use, 2 on traditional anterior nasal packing, 3 on pack and 4 on postnasal pack with ’s catheter. The mean confidence level scores before and after hands on training on mannequin were 9.18 and 12.45 respectively. T-test and Wilcoxon Signed Ranks Test was done to compare the results. There was a statistically significant improvement in the confidence level of students following hands on training (p value: 0.000). Practicing nasal packing on mannequins improved the confidence level of students in managing patients with
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Kumar, Amrat, Ashok Kumar, Shabir Mehar, Dileep Kumar, and Muhammad Wasi Ullah Khan. "Comparison of septoplasty with and without packing and splints." Professional Medical Journal 28, no. 04 (April 10, 2021): 459–63. http://dx.doi.org/10.29309/tpmj/2021.28.04.6175.

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Objective: During septoplasty, nasal packing is routinely used by surgeons for hemostasis and balancing the cartilage and bony skeleton of the nose. However, these new techniques are not totally mild and therefore new ways are adopted to check their efficiency and reason their value. The study was performed to compare the use of plastic intranasal splints with or without anterior nasal packing to determine the need of nasal packing after septoplasty. Study Design: Comparative Study. Setting: ISRA University Hyderabad. Period: March 2018 to April 2019. Material & Methods: A total of 50 patients presenting with nasal septum in this period were prospectively examined. For the purpose of comparative study, we divided the patients into two groups: Group A –Patients who underwent septoplasty with packing and Group-B –Patients who underwent septoplasty without packing. We recorded the pain felt using Visual analogue scale before and after the surgery and also noted the Mean Age gender wise and recorded treatment results for statistical analysis using SPSS Version-20. Results: In our data, a total fifty (50) patients comprising 28 Males (68%) and 22 Females (32%) were listed in the study. The mean± standard deviation VAS scores of Group-A was at 5.2 ±0.9 and Group-B is 2.9±0.61 showing less pain in Group B-without splints and packing. However the complication rate in patients without Splints and packing was only 18%. Conclusion: Thus we find septoplasty without nasal splints and packing is more effective and cause lesser bleeding and pain to patients.
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Ikram, Aamir, Haitham Akaash, Arslan Akhtar, Syed Jawad Hussain Shah, Asmara Hussain, and Mehreen Babar. "Comparison of Transseptal Suture and Anterior Nasal Packing after Septoplasty in Terms of Postoperative Crusting." Pakistan Journal of Medical and Health Sciences 16, no. 1 (January 18, 2022): 287–89. http://dx.doi.org/10.53350/pjmhs22161287.

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Objective: The objective of this study was to compare transseptal suture and anterior nasal packing after septoplasty in terms of frequency of postoperative crusting. Design: It’s a randomized controlled trial. Study Settings: Research was conducted at Department of ENT and Head & Neck Surgery Abbas Institute of Medical Sciences (AIMS) Muzaffarabad, Azad Kashmir for a period of six months from 26/5/2020 to 25/11/2020. Patients and Methods: This study involved 132 patients of both the genders undergoing septoplasty for deviated nasal septum. These patients were randomly divided into two groups. Patients in Group-A were treated with transseptal suturing of mucoperichondrial flaps while patients in Group-B were treated with anterior nasal packing. A written informed consent was obtained from every patient. Results: The mean age of patients was 28.44±6.16 years in the range of 18 years to 40 years. The study group had 53 (40.2%) female and 79 (59.8%) male with a female to male ratio of 1:1.5. In terms of gender distribution and mean age both the groups were comparable (p-value=0.859 and 0.978 respectively). In patients treated with transseptal suturing, the frequency of post-operative nasal crusting was significantly lower (4.5% vs. 27.3%; p=0.000) as compared to anterior nasal packing. This difference was observed across all age and gender groups. Conclusion: This study has reported transseptal suturing to be better than anterior nasal packing in terms of significantly lower frequency of post-operative nasal crusting regardless of patient’s age and gender in patients undergoing septoplasty for deviated nasal septum. The results of this study thus advocate the use of transseptal suturing in future practice. Keywords: Deviated Nasal Septum, Septoplasty, Transseptal Suturing, Anterior Nasal Packing, Post-Operative Nasal Crusting
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