Effects of nasal pack use on surgical success in septoplasty.

OBJECTIVES: This study aims to evaluate the effects of nasal packs on surgical success and related complications in septoplasty. PATIENTS AND METHODS: Thirty-eight patients (21 males, 17 females; mean age, 36.6 years, range 18 to 61 years) were included in the study. Septoplasty candidates were prospectively divided into two groups. Nasal packing and transseptal suture technique was applied to patients in group 1 (n=16) and group 2 (n=22), respectively. Postoperative pain was assessed with the visual analog scale. The success of surgery was questioned using the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale. Surgical success was defined as a 50% decrease in the NOSE scores.
RESULTS: There was no statistically significant difference in surgical success and complication rates between the groups (p>0.05). Pain scores were significantly higher in group 1 (p=0.015).
CONCLUSION: Our study results suggest that nasal pack use does not affect surgical success and complication rates in septoplasty. Pack-free septoplasty with the transseptal suture technique is an effective method in the treatment of septal deviation.

RCT Entities:   Population Interventions Outcomes