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Abstract: Packing the nose after septoplasty is common practice.The use of postoperative packing has been proposed to reduce the dead space between the subperichondrial flaps and minimize postoperative complications such as hemorrhage,septal hematoma,and formation of synechiae.Additionally,postoperative packing is thought to stabilize the remaining cartilaginous septum and minimize persistence or recurrence of septal deviation.Despite these theoretic advantages,evidence to support the use of postoperative packing is lacking.Additionally,nasal packing is not an innocuous procedure.The use of nasal packing actually cause these complications such as postoperative pain,mucosal injury,bleeding,worsening of breathing due to sleep disorders,and postoperative infections.Routine use of anterior nasal packing after septoplasty should be challenged for not presenting proven benefit.As alternatives to traditional packing,septal suturing,septal stapler and fibrin glue have been used recently.The purpose of this article is to summarize the progress of traditional packing to no packing after septoplasty.
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Key words:
- septoplasty /
- no packing /
- complications
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[1] ACIOĞLU E,EDIZER D T,YIĞIT Ö,et al.Nasal septal packing:which one[J]?Eur Arch Otorhinolaryngol,2012,269:1777-1781.
[2] DUBIN M R,PLETCHER S D.Postoperative packing after septoplasty:is it necessary[J]?Otolaryngol Clin North Am,2009,42:279-285.
[3] WHITE A,MURRAY J A M.Intranasal adhesion formation following surgery for chronic nasal obstruction[J].Clin Otolaryngol Allied Sci,1988,13:139-143.
[4] KETCHAM A S,HAN J K.Complications and management of septoplasty[J].Otolaryngol Clin North Am,2010,43:897-904.
[5] GENCE,ERGIN N T,BILEZIKCI B.Comparison of suture and nasal packing in rabbit noses[J].Laryngoscope,2004,114:639-645.
[6] BANGLAWALA S M,GILL M,SOMMER D D,et al.Is nasal packing necessary after septoplasty?A meta-analysis[J].Int Forum Allergy Rhinol,2013,3:418-424.
[7] WATSON M G,CAMPBELL J B,SHENOI P M.Nasal surgery:does the type of nasal pack influence the results[J]?Rhinology,1989,27:105-111.
[8] GIOACCHINI F M,ALICANDRI-CIUFELLI M,KALECI S,et al.The role of antibiotic therapy and nasal packing in septoplasty[J].Eur Arch Otorhinolaryngol,2014,271:879-886.
[9] ZEYYAN E,BAJIN M D,AYTEMIR K,et al.The effects on cardiac functions and arterial blood gases of totally occluding nasal packs and nasal packs with airway[J].Laryngoscope,2010,120:2325-2330.
[10] WEBER R,KEERL R,HOCHAPFEL F,et al.Packing in endonasal surgery[J].Am J Otolaryngol,2001,22:306-320.
[11] TURHAN M,BOSTANCI A,AKDAG M,et al.A comparison of the effects of packing or transseptal suture on polysomnographic parameters in septoplasty[J].Eur Arch Otorhinolaryngol,2013,270:1339-1344.
[12] MULUK N B,OGUZTURK O,EKICI A,et al.Emotional effects of nasal packing measured by the Hospital Anxiety and Depression Scale in patients following nasal surgery[J].J Otolaryngol,2005,34:172-177.
[13] HAJIIOANNOU J K,BIZAKI A,FRAGIADAKIS G,et al.Optimal time for nasal packing removal after septoplasty.A comparative study[J].Rhinology,2007,45:68-69.
[14] AKSOY E,SERIN G M,POLAT S,et al.Removing intranasal splints after septal surgery[J].J Craniofacial Surg,2011,22:1008-1009.
[15] GUYURON B.Is packing after septorhinoplasty necessary?A randomized study[J].Plastic Reconstruct Surg,1989,84:41-44.
[16] BAJAJ Y,KANATAS A N,CARR S,et al.Is nasal packing really required after septoplasty[J]?Int J Clin Practice,2009,63:757-759.
[17] DENIZ M,CIFTCI Z,ISIK A,et al.The impact of different nasal packings on postoperative complications[J].Am J Otolaryngol,2014,35:554-557.
[18] GUYURON B,VAUGHAN C.Evaluation of stents following septoplasty[J].Aesthetic Plastic Surg,1995,19:75-77.
[19] 王旻,邢志敏,袁晓培,等.鼻中隔缝合与鼻腔填塞在鼻中隔偏曲矫正术中的效果比较[J].临床耳鼻咽喉头颈外科杂志,2011,25(23):1068-1070.
[20] OZKIRISM,KAPUSUZ Z,SAYDAM L.Comparison of nasal packs with transseptal suturing after nasal septal surgery[J].Am J Otolaryngol,2013,34:308-311.
[21] KORKUT A Y,TEKER A M,EREN S B,et al.A randomised prospective trial of trans-septal suturing using a novel device versus nasal packing for septoplasty[J].Rhinology,2010,48:179-182.
[22] YILDIRIM A,YASAR M,BEBEK A I,et al.Nasal septal suture technique versus nasal packing after septoplasty[J].Am J Rhinol,2005,19:599-602.
[23] KUPPERSMITH R B,ATKINS J H,TAMI T A.The use of bioresorbable staples for mucoperichondrial flap coaptation in septoplasty[J].Otolaryngol Head Neck Surg,2009,140:599-600.
[24] YILDIRIM G,CINGI C,KAYA E.Septal stapler use during septum surgery[J].Eur Arch Oto-RhinoLaryngol,2013,270:939-943.
[25] SOWERBY L J,WRIGHT E D.A comparison of septal stapler to suture closure in septoplasty:aprospective,randomized trial evaluating the effect on operative time[C]//Int Forum Allergy Rhinol,2013,3:911-914.
[26] TAMI T A,KUPPERSMITH R B,ATKINS J.A clinical evaluation of bioresorbable staples for mucoperichondrial flap coaptation in septoplasty[J].Am J Rhinol Allergy,2010,24:137-139.
[27] VAIMAN M,EVIATAR E,SEGAL S.The use of fibrin glue as hemostatic in endonasal operations:a prospective,randomized study[J].Rhinology,2002,40:185-188.
[28] DANESHRAD P,CHIN G Y,RICE D H.Fibrin glue prevents complications of septal surgery:findings in a series of 100patients[J].Ear Nose Throat J,2003,82:196-197.
[29] HABESOGLU T E,KULEKCI S,HABESOGLU M,et al.Comparative outcomes of using fibrin glue in septoplasty and its effect on mucociliary activity[J].Otolaryngol Head Neck Surg,2010,142:394-399.
[30] QUINN J G,BONAPARTE J P,KILTY S J.Postoperative management in the prevention of complications after septoplasty[J].Laryngoscope,2013,123:1328-1333.
[31] LEIGHTON S E J,ROWE-JONES J M,HARTLEY B E J.Patient satisfaction after nasal septal surgery[J].Aus J Otolaryngol,1996,2:249-251.
[32] 刘雅凌,张敏,胡晓勋,等.鼻中隔矫正术后鼻腔不填塞的疗效分析[J].实用临床医学,2006,7(2):105-106.
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