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Abstract
Introduction: Deviated nasal septum is a common condition in otorhinolaryngology, often requiring septoplasty. The side effects of nasal packing have led to an increasing preference for septoplasty without packing.
Objective: To compare the advantages and disadvantages of septoplasty with or without nasal packing.
Methodology: A prospective, comparative study was conducted in the Ear, Nose, and Throat Department at Universal College of Medical Sciences Teaching Hospital, Siddharthanagar, Rupandehi, Nepal, over 18 months (2016 November to 2018 April) after getting institutional ethical clearance. Total 40 patients (aged 15–70 years) with symptomatic deviated nasal septum undergoing septoplasty were included in this study using non-probability convenient sampling. Lottery method was used to divide patients into two groups: Group A, who underwent septoplasty with nasal packing and Group B, who underwent septoplasty without nasal packing. Post-operative pain and bleeding were assessed on the first, second, fifth, seventh, and 30th post-operative days, while synechiae formation was evaluated on the seventh and 30th post-operative days. Data analysis was performed using SPSS v.17, applying the Chi-square test, with statistical significance level set at p ?0.05.
Result: The mean age of patients was 33.4 ± 15.3 years. Pain was significantly higher in the nasal packing group on the first post-operative day (p = 0.013). Synechiae formation was more frequent in the packing group on the seventh (p = 0.035) and 30th post-operative days (p = 0.042).
Conclusion: Septoplasty with packing increases morbidity (pain and synechiae). Therefore, septoplasty without packing may be a preferable alternative.
References
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