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Anales de Otorrinolaringología Mexicana

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2014, Number 2

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Otorrinolaringología 2014; 59 (2)

Comparative Analysis Between Nasal Packing vs Transeptal Punctures in Adults Operated of Septumplasty; Assessment of Comfort and Complications

Pérez-Uribe CP, Lamadrid-Bautista EA, Del Río-Gasse F, Viloria-Vázquez A, Alarcón-Romero C
Full text How to cite this article

Language: Spanish
References: 14
Page: 85-91
PDF size: 309.41 Kb.


Key words:

transseptal puncture, nasal packing, septumplasty.

ABSTRACT

Background: Another choice after rhinoseptoplasty is transseptal puncture. Ramirez Oropeza concerns ferulization and stabilize all the septum portions, avoiding hematomas, and allowing the coping of mucosal lacerations when this presents.
Objective: To demonstrate that transseptal punctures are less discomfort and have fewer complications than nasal packing in adult patients postoperated of semptumplasty.
Material and method: A cohort, random, longitudinal and prospective study was done at Otorhynolaringology and Head and Neck Surgery of Mexican General Hospital with 50 adult patients aged from 16 to 62, with an average of 33, with topographic and clinical diagnosis of septal deviation, whom was placed nasal packing or transseptal puncture post-septumplasty with technique of upper jaw premaxilla. A measuring instrument was designed and implemented by a single observator about symptoms presented during the first seven days of postoperative, related to the use of one or another treatment modality.
Results: There was no statistically significant difference in the clinical evolution and complications with nasal packing or transseptal puncture.
Conclusion: The choice of placement of nasal packing or transseptal puncture does not affect the evolution and postoperative complications.


REFERENCES

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  2. Bajaj Y, Kanatas AN, Carr S, Sethi N, Kelly G. Is nasal packing really required after septoplasty? Department of ENT, leeds teaching hospitals NHS trust, leeds, UK. Int J Clin Pract 2009;63:757-759.

  3. Awan MS, Iqbal M. Nasal packing after septoplasty: a randomized comparison of packing versus no packing in 88 patients. Ear Nose Throat J 2008;87:624-627.

  4. Mo JH, Han DH, Shin HW, Cha W, et al. No packing versus packing after endoscopic sinus surgery: pursuit of patients’ comfort after surgery. Am J Rhinol 2008;22:525-528.

  5. Muluk NB, Apan A, Ozçakir S, Arikan OK, Koç C. Risk of respiratory distress in the patients who were applied nasal packing at the end of nasal surgery. Auris Nasus Larynx 2008;35:521-526.

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  14. Suárez LM, Gil-Carcedo J, Medina M, Ortega P, Trinidad J. Tratado de Otorrinolaringología y cirugía de cabeza y cuello. Ciencias básicas y materias afines. Rinología. 2ª ed. Médica Panamericana, 2007;156.




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Otorrinolaringología. 2014;59