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DOI: 10.1590/S1809-48722011000200008
Evaluation About the Requirement to Use a Pack After Septoplasty with Turbinectomy
Avaliação da Necessidade do Uso do Tampão Nasal após Septoplastia com TurbinectomiaPublikationsverlauf
05. November 2010
05. Februar 2011
Publikationsdatum:
12. Februar 2014 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00026220/201102/lookinside/thumbnails/10-1590-s-1809-48722011000200008_150208-1.jpg)
Summary
Introduction: Septoplasty associated with a partial inferior turbinectomy is one of the most frequent surgeries performed in patients with nasal obstruction. The nasal pack has been used to control primary bleeding in these surgeries. Several complications have been related to the nasal pack, besides causing pain and a relevant discomfort. Some studies have investigated both the efficiency of the nasal pack to control bleeding and the complications after septoplasty and turbinectomy.
Objective: To compare the degree of nasal bleeding among patients submitted to septoplasty with partial bilateral inferior turbinectomy, whether using the nasal pack or not.
Method: An outlook study was performed to evaluate 60 patients diagnosed of a deviated nasal septum with an inferior concha hypertrophy. The patients were submitted to bilateral turbinectomy septoplasty under direct visualization. They were divided into 2 groups: without pack and with pack (Merocel* and protective sheath). These were evaluated after surgery, based on the evaluation of bleeding intensity.
Result: It was observed that the post-surgical bleeding degree of the group submitted to partial bilateral inferior turbinectomy, who used the nasal pack, was lower than the group not using a pack.
Conclusion: Patients submitted to septoplasty with partial bilateral inferior turbinectomy, not using a post-surgical nasal pack, appeared to bleed more than patients using a nasal pack.
Resumo
Introdução: A septoplastia associada a turbinectomia inferior parcial é uma das cirurgias mais realizada no pacientes com obstrução nasal. O tampão nasal tem sido usado para controle primário do sangramento nestas cirurgias. Várias complicações têm sido relacionadas com o uso do tampão nasal, alem de causarem dor e desconforto importante com seu uso. Alguns estudos têm questionado a eficácia do tampão nasal no controle do sangramento e das complicações após septoplastia e turbinectomia.
Objetivo: Comparar o grau de sangramento nasal entre os pacientes submetidos à septoplastia com turbinectomia parcial inferior bilateral que usaram ou não tampão nasal.
Método: Foi realizado estudo prospectivo no qual foram avaliados 60 pacientes com diagnóstico de desvio do septo nasal com hipertrofia das conchas inferiores. Os pacientes foram submetidos à septoplastia com turbinectomia bilateral com visualização direta. Foram divididos em 2 grupos: sem tampão e com tampão (Merocel® e dedo de luva). Estes foram avaliados no pós-operatório, a partir da avaliação da intensidade do sangramento.
Resultado: Foi observado que o grau de sangramento no pós-operatório no grupo submetido à turbinectomia inferior parcial bilateral e que usou tampão nasal foi menor, do que no grupo que não usou tampão.
Conclusão: Pacientes submetidos à septoplastia com turbinectomia parcial inferior bilateral e não usaram tampão nasal no pós-operatório apresentaram mais sangramento do que os pacientes que usaram tampão nasal.
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Bibliographical References
- 1 Maniglia AJ, Maniglia JJ, Maniglia JV. Indicações e técnicas cirúrgicas de septoplastia. Em: Maniglia AJ, Maniglia JJ, Maniglia JV. Rinoplastia - Estética-Funcional-Reconstrutora. Rio de Janeiro: Revinter; 2002
- 2 Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, Johnson JT. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004; 130: 283-90
- 3 Bhandarkar ND, Smith TL. Outcomes of surgery for inferior turbinate hypertrophy. Curr Opin Otolaryngol Head Neck Surg 2010; 18: 49-53
- 4 Ardehali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009; 38: 1022-4
- 5 Basha SI, Gupta D, Kaluskar SK. Routine nasal packing following nasal surgery - is it necessary?. Indian J Otolaryngol Head Neck Surg 2005; 57: 69-71
- 6 Lubianca-Neto JF, Sant'Anna GD, Mauri M, Arrarte JLF, Brinckmann CA. Evaluation of time of nasal packing after nasal surgery: a randomized trial. Otolaryngol Head Neck Surg 2000; 122: 899-901
- 7 Chheda N, Kartz AE, Gynizio L, Singer AJ. The pain of nasal tampon removal after nasal surgery: a randomized control trial. Otolaryngol Head Neck Surg 2009; 140: 215-7
- 8 Berlucchi M, Castelnuovo P, Vincenzi A, Morra B, Pasquini E. Endoscopic outcomes of resorbable nasal packing after functional endoscopic sinus surgery: a multicenter prospective randomized controlled study. Eur Arch Otorhinolaryngol 2009; 266: 839-45
- 9 Awan MS, Iqbal M. Nasal packing after septoplasty: a randomized comparison of packing versus no packing in 88 patients. Ear Nose Throat J 2008; 88: 624-7
- 10 Bresnihan M, Mehigan B, Curran A. An evaluation of Merocel and series 5000 nasal packs in patients following nasal surgery: a prospective randomized trial. Clin Otolaryngol 2007; 32: 352-5
- 11 Sampaio PL, Galindo C, Voegels RL. Tratamento Cirúrgico das Conchas Nasais. Em: Campos CAH, Costa HOO. Tratado de Otorrinolaringologia. 1° Ed. São Paulo: Editora Roca; 2003. , vol 5, pp. 260–8
- 12 Bajaj Y, Kanatas AN, Carr S, Sethi N, Kelly G. Is nasal packing really required after septoplasty? Int J Clin Pract. 2009; 63: 757-9