Nasal splinting using silicone plates without gauze packing following septoplasty combined with inferior turbinate surgery

作者：Asaka Daiya^*; Yoshikawa Mamoru; Okushi Tetsushi; Nakayama Tsuguhisa; Matsuwaki Yoshinori; Otori Nobuyoshi; Moriyama Hiroshi

来源：Auris Nasus Larynx, 2012, 39(1): 53-58.

DOI：10.1016/j.anl.2011.01.024

• Septoplasty
• No gauze packing
• Silicone plate
• Septal deviation

Objective: Nasal packing after septoplasty is uncomfortable and painful for patients. The aim of this study was to determine the efficacy of nasal splinting using silicone plates to prevent complications and decrease the pain after septoplasty compared with the conventional gauze packing. %26lt;br%26gt;Materials and methods: Thirty-five adult patients who had undergone septoplasty were included in this study. The patients were allocated into two groups: Group S, silicone plates were used (13 males, 2 females); and Group G, gauze packing smeared with an antibiotic ointment was used (19 males, 1 female). We evaluated and compared the postoperative pain, pain due to postoperative cleaning, nasal bleeding, postnasal drip, body temperature, effect on stay in the hospital, effect on food intake and sleep disturbance using visual analogue scale (VAS) scores. %26lt;br%26gt;Results: The postoperative pain score in Group S was significantly lower than in Group G on days 1 and 2 after the septoplasty. And the pain due to postoperative cleaning score was significantly lower than in Group G on days 2 and 3 after operation. No statistically significant differences were found between the two groups in regard to nasal bleeding, postnasal drip, body temperature, effect on stay in the hospital, effect on food intake or sleep disturbance. Objective evaluation performed at 4 weeks postoperatively revealed that nasal crusting occurred at a significantly higher incidence in Group G compared with Group S. %26lt;br%26gt;Conclusion: The use of silicone plates in lieu of conventional gauze packing decreased post-septoplasty nasal pain and pain due to postoperative cleaning of the nasal cavity. We conclude that nasal splinting using silicone plates after septoplasty is an effective method for managing pain and preventing complications.

• 出版日期2012-2