USE OF INTRANASAL TAMPONS AND INTRANASAL SPLINTS IN PATIENTS AFTER SEPTOPLASTY
DOI:
https://doi.org/10.32782/eddiscourses/2024-4-8Keywords:
septoplasty, nasal splint, complications, septum, nasal cavityAbstract
Nasal tamponade after septoplasty is used to minimize the risk of hematoma and provides additional stabilization of the mucous membrane and newly formed structures of the nasal septum. By its very nature, nasal tamponade should provide sufficient support for nasal structures and minimize possible postoperative complications. Recently, absorbable tampons have been widely used, this prevents mechanical trauma to the mucous membrane during their installation and removal, and reduces pain. As an alternative to classical tamponade, circular sutures and insertion of nasal splints on the nasal septum are used. Such manipulations are used alone or in combination with nasal tamponade. Despite their effectiveness, the safety of using nasal splints and suturing remains a controversial issue. This study is aimed at comparing the effectiveness of using nasal splints with conventional nasal tamponade during septoplasty. In our study, we included 58 patients who underwent septoplasty for nasal septal curvature with persistent nasal breathing disorder.Key words: septoplasty, nasal splint, complications, septum. These patients were divided into two groups: with tamponade (using intranasal tampons) and without tamponade (using nasal silicone splints without further nasal tamponade). Exclusion criteria from the study were chronic sinusitis with or without nasal polyps, neoplasms of the nasal cavity, and a history of endonasal surgery. All patients in the postoperative period were compared according to the following criteria: the presence of postoperative bleeding, the presence of hematoma of the nasal septum, infection, the occurrence of perforation and synechiae in the postoperative period, and pain levels were recorded in patients using a visual analog scale. When analyzing the data, we found no significant statistical differences between the two groups in all parameters, except for the pain level indicators in patients from the group in which nasal tamponade was performed.
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