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KMID : 0900220190260010016
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2019 Volume.26 No. 1 p.16 ~ p.20
Usefulness of Unilateral Nasal Packing for Recurred Septal Deviation within a Month after Septoplasty: Preliminary Study
Lee Yoon-Hee

Chang Jin-Soon
Jung Joo-Hyun
Kim Seon-Tae
Kang Il-Gyu
Abstract
Background and Objectives: To investigate the effect of unilateral nasal packing on the correction of recurred septal devia- tion after septoplasty.

Materials and Method: We analyzed 12 patients who had undergone septoplasty and developed septal deviation recurrence. Polyvinylacetate and Vaseline gauze were inserted into the nasal passage on the convex side of the septum for 4 days in order to shift the septum to the midline. We analyzed nasal symptoms, acoustic rhinometric results, and endoscopic findings before and after unilateral packing in order to evaluate the treatment outcomes.

Results: Ten (83%) out of 12 patients showed improvements in nasal obstruction, acoustic rhinometric results, and endoscopic findings. The mean visual analogue scale (VAS) score for nasal obstruction was 5.25¡¾1.60 before and 2.08¡¾1.50 after packing (p=0.004). The minimal cross-sectional area (MCA) improved from 0.17¡¾0.14 to 0.27¡¾0.13 (p=0.002), and the mean endo- scopic score improved from 2.0¡¾0.43 to 1.08¡¾0.29 (p=0.002).

Conclusion: Unilateral nasal packing was a safe, easy, and effective method for correcting recurred septal deviation after sep- toplasty.
KEYWORD
Septal deviation, Packing, Acoustic rhinometry
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