Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Rآza ضnder Günaydآn · Erdinc Aygenc · Selma Karakullukcu · Fatih Fidan · Serdar Celikkanat
- چاپ و سال / کشور: 2011
Description
The objective of this study is to compare the nasal packing and the transseptal suturing techniques regarding the extubation diYculty evaluation scores, follow- up times in post-anaesthesia care unit (PACU), pain scores, and postoperative complications. Two hundred patients who underwent septoplasty from January 2009 to October 2009 were randomly assigned either to have nasal packs (n: 100) or transeptal sutures (n: 100). In the transseptal suture group, extubation was easier and PACU follow- up times were shorter, when compared to the nasal packing group (p < 0.001). Patients with nasal packing had signiWcantly higher pain scores (p < 0.001). Minor bleeding was signiWcantly higher in the transseptal group with seven cases, compared to the nasal packing group without any bleeding cases (p = 0.014). There were two patients who had postoperative major bleeding, and two patients who had septal hematoma in the transseptal suture group. One patient with nasal packing had postoperative infection. Septal perforation was not seen in any of the cases. While patients in both groups experienced postoperative crusting, patients in the transseptal suture group also complained about foreign body sensation. Extubation was more comfortable; post-anaesthesia monitorization duration was shorter, and postoperative pain was less, but minor bleeding was seen more with transseptal sutures. There was no signiWcant diVerence in terms of major bleeding, hematoma, infection or perforation. Foreign body sensation was the main cause of postoperative discomfort in the transseptal suture group. Transseptal suturing might be a signiWcantly comfortable, cost-eVective and reliable alternative to nasal packing.
Eur Arch Otorhinolaryngol (2011) 268:1151–1156,Received: 27 July 2010 / Accepted: 14 February 2011 / Published online: 2 March 2011 © Springer-Verlag 2011
