Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives
| Autor: | Fatih Fidan, Selma Karakullukcu, Rıza Önder Günaydın, Serdar Celikkanat, Erdinç Aygenç |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Perforation (oil well) Postoperative Hemorrhage Pacu Young Adult Hematoma Suture (anatomy) medicine Humans Tampons Surgical Prospective Studies Prospective cohort study Anesthetics Nasal Septum Pain Postoperative biology business.industry Suture Techniques Nose Deformities Acquired General Medicine Middle Aged Rhinoplasty biology.organism_classification medicine.disease Hemostasis Surgical Surgery Septoplasty Epistaxis Treatment Outcome Otorhinolaryngology Anesthesia Female Neurosurgery business Follow-Up Studies |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 268:1151-1156 |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | The objective of this study is to compare the nasal packing and the transseptal suturing techniques regarding the extubation difficulty 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 significantly higher pain scores (p < 0.001). Minor bleeding was significantly 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 significant difference 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 significantly comfortable, cost-effective and reliable alternative to nasal packing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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