KMID : 0361020060490090904
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Korean Journal of Otolaryngology - Head and Neck Surgery 2006 Volume.49 No. 9 p.904 ~ p.907
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Comparison of Nasal Packing and Septal Suturing Following Septoplasty
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Abstract
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Background & Objectives: Nasal packing at the completion of septoplasty is considered routine by most surgeons. However, nasal packing can cause nasal injury, hypoxia, cardiovascular change and most importantly patients¡¯ discomfort. The purpose of this study was to compare nasal packing and septal suture (through-and-through suture) with respect to immediate postoperative patients¡¯ discomfort and final outcome.
Subjects & Methods: Fifty patients undergoing routine septoplasty were randomized on the basis of sex and age to receive either nasal packing or septal suture. Fourty-two patients completed their symptom and discomfort scores according to the visual analogue scale (VAS) for 4 days after septoplasty and completed another questionnaire before and 8 weeks after septoplasty.
Results: The nasal packing group gave significantly higher scores in headache compared with the septal suturing group. The final outcome of the procedure was the same between both groups.
Conclusion: Septal suture is a good alternative for nasal packing. It does cause less pain for patients and no statistically significant differences in outcome were found between both groups.
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