Efficacy, Post-Operative Pain and Complications of Quilting Septal Sutures versus Intranasal Pres-sure Splints in Cases of Septoplasty without Nasal Packing; A Randomized Control Trial

摘要

OBJECTIVE: To compare efficacy, post-operative pain and complications of quilting septal sutures versus intranasal pressure splintsin cases of septoplasty without nasal packing.STUDY DESIGN: A Randomized Controlled Trial.PLACE AND DURATION: At Department of ENT, CMH Bahawalpur from 1st January 2015 to 1st January 2016.METHODOLOGY: Total 105 patients who underwent septoplasty and fulfilled the inclusion criteria were randomly divided in twogroups. Patients of Group A underwent septal suturing technique and Group B had intranasal pressure splints. Both the techniqueswere compared for their efficacy, post-operative pain and complications (synechie, septal perforation) on the operation day, 1stpost op day and 1 week after operation. Efficacy of both the techniques was assessed in terms of prevention of bleeding and septalhematoma. Complications including adhesions/synechie and septal perforations were also observed and compared.RESULTS: On the operation day 7.6% patients of Group A had nasal bleeding while only 1.8% patients in group B. No bleeding wasseen on first post-operative day or even after that. Group A patients had significantly less pain on the evening of operation dayas compared to Group B, and also on day 7 when intranasal splints were removed from patients in Group B. No patient of eithergroup developed septal hematoma or septal perforations. However, there were 11.5% cases of group A who developed synechie/adhesions as compared to 1.8% of Group B.CONCLUSION: Although Intranasal pressure splints are more painful than septal sutures but show fewer complications making it apreferred way of septoplasty.