Study of nasal packing versus quilting following septoplasty surgery

Authors

  • Kusheswar Sah Department of Otolaryngology & Head and Neck Surgery, Gandaki Medical College, Nepal
  • Brihaspati Sigdel Department of Otolaryngology & Head and Neck Surgery, Gandaki Medical College, Nepal
  • Rajendra Nepali Department of Otolaryngology & Head and Neck Surgery, Gandaki Medical College, Nepal

DOI:

https://doi.org/10.3126/jgmcn.v15i1.43225

Keywords:

Quilting, PVA nasal Packing, Septoplasty

Abstract

Introduction: Nasal packing is a commonly performed procedure after septoplasty. Quilting is alternative procedure which reduces the complications of nasal packing. This study aims to compare the post-operative outcome of quilting and nasal packing following septoplasty.

Methods: This is a prospective comparative study carried on 80 patients divided into two equal groups who had undergone quilting and nasal packing randomly after septoplasty surgery for symptomatic deviated nasal septum. Post-operative nasal outcome score, pain, haemorrhage, anxiety, infection was compared between two groups at 1st, 3rd, 7th and 30th post-operative days.

Results: There was significant improvement in nasal obstruction post-operatively in quilting group (p<0.05). Polyvinyl acetate sponge nasal packing group patients experienced significantly higher intensity of pain on 1st and 3rd post-operative days (p<0.05). Post-operative bleeding was also relatively higher in nasal packing group compared to quilting group at 3rd post-operative day. Patients had significantly higher levels of anxiety in the nasal packing group throughout a week post-operatively compared to the quilting group. Similarly, no statistically significant difference was noted in terms of adhesion between group A and group B on 7th and 30th post-operative day.

Conclusions: Quilting technique following septoplasty showed higher improvement of post-operative nasal obstruction compared to Polyvinyl acetate sponge packing. It also decreased post-operative pain, bleeding, anxiety and adhesion. Quilting suturing following septoplasty can be recommended as an effective and comfortable alternative to nasal packing.  

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Published

2022-07-25

How to Cite

Sah, K., Sigdel, B., & Nepali, R. (2022). Study of nasal packing versus quilting following septoplasty surgery. Journal of Gandaki Medical College-Nepal, 15(1), 37–43. https://doi.org/10.3126/jgmcn.v15i1.43225

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Original Articles