Removing intranasal splints after septal surgery
| Autor: | Asm Kaytaz, Gediz Murat Serin, Senol Polat, Elif Aksoy |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Turbinates Rhinoplasty Hematoma Postoperative Complications Risk Factors medicine Nasal septum Humans Synechia Device Removal Nasal Septum Retrospective Studies Chi-Square Distribution business.industry Postoperative complication Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Septoplasty Splints medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Anesthesia Female business |
| Zdroj: | The Journal of craniofacial surgery. 22(3) |
| ISSN: | 1536-3732 |
| Popis: | Background: The aim of this retrospective chart review of the patients who had septal surgery with or without turbinate surgery was to compare the postoperative complication rates according to the time of intranasal-splint (INS) removal. Methods: The data of 137 patients who underwent septal surgery with or without turbinate surgery at 2 different hospitals of AcNbadem Health Care Group between January 2007 and March 2009 were retrospectively evaluated. The patients who had these risk factors were eliminated, and 96 patients were included in this study. The patients were divided into 2 groups according to splint-removal time. The first group comprises patients whose nasal splints were removed in 24 hours after surgery, and the second group comprises patients whose splints were removed 5 days after the surgery. Any bleeding, septal hematoma, and synechia after pack removal were recorded. Analysis of the rate of complications was done with the W 2 test. Results: Sixty-five male and 31 female patients with a mean age of 32.4 years (range, 18Y57 years) were included in the study groups. Septal surgeries were performed in association with turbinate surgery in all 96 patients. These patients were divided into 2 groups. In the first group (n = 50), INSs were removed in 24 hours after surgery. In the second group (n = 46), INSs were removed 5 days after surgery. Bleeding within the first postoperative week was not recorded in both groups. Late bleeding was recorded in 2% (n = 1) of group 1 and in 2.17% (n = 1) in group 2. Septal hematoma and synechia were not recorded in none of the groups. The results were not statistically significant (P =1 ). Conclusions: The routine use of INSs after septoplasty and removing them 24 hours after septoplasty are sufficient to avoid postoperative complications, and it minimizes postoperative discomfort. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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