Rizwan Akbar Bajwa, Muhammad Ilyas, Farrukh Mehmood.
Comparison of Septoplasty with and without Nasal Packing and Review of Literature.
Pak J Med Health Sci Jan ;13(2):507-9.

Background: Septal surgery is a procedure that is commonly performed regarding symptomatic deflected nose septum. Pain is much horrid element of septal surgery during removal of packs from nose . Aim: To compare septal surgery outcomes with and with no post-operative packs in the nose and thus to evaluate requirement of packs in the nose after the septal surgery . Methods: It was descriptive research conducted in Department of ENT, Avicenna Medical College Hospital , Lahore in which 50 (fifty) respondents aged 18-50 years old with symptomatic deflected nose septum were included . Results: Among these patients, 25 underwent septal surgery with packing while 25 patients experienced septal surgery with no packing with figure of 8 stitching employed on septum. Among whom septal surgery was performed with no packing had minor bleeding and pain. Septal hematoma was developed postoperatively merely in 1 patient. After three months, all patients were found satisfied. Study concluded that simple deflected nose septum can safely be treated along with septal surgery with no anterior packing of nose and through taking the figure of 8 stitching on nose septum. Also, stitches are helpful to close any unintended trauma to septal mucosa as well as offering further assistance to cartilage parts retain in the septal surgery. Among patients who have enhanced bleeding risk , nasal packing must be reserved. Conclusion: It is believed that utilization of nasal packing after septal surgery stabilizes remaining septum and avoids complications, for example, bleeding, synechiae formation and septal hematoma. Figure of 8 stitching can successfully serve all above purpose and also decrease hospital stay. Simple deflected nose septum can safely be treated along with septoplasty with no anterior packing of nose and by taking the figure of 8 stitching on nose septum. There is need to reserve nasal packing just for selected patients.

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