Murtaza Ahsan Ansari, Umairul Islam, Ismail Hirani, Iqbal A Muhammad Khayani, Ziauddin A Kashmiri.
Trans-septal suturing technique without intra-nasal packing in nasal septal surgery.
Pak J Surg Jan ;29(2):123-6.

Objective: To compare the effi cacy of trans-septal suturing technique with conventional nasal packing in septoplasty surgery. Design: Quasi experimental study. Place and duration of study: The study was conducted in the department of ENT, Head & Neck Surgery, Dow University of Health Sciences, and Civil Hospital Karachi, from September 2010 to September 2012. Methods: Patients were randomly divided in two groups. Classic septoplasty was performed in all patients. Post-operative nasal packing was done for all patients who were included in group A. But patients included in group B, both flaps were apposed together by septal suturing technique. Post-operative pain, discomfort, septal hematoma and septal adhesions were assessed as main outcome parameters. Results: Out of 140 patients, 84 (60%) were male. Post-operative discomfort was the main complain which occured in most patients 64.3% (n=45) in gruop A (with itra nasal pack), and 22.86% (n=16) in group B (with trans septal suture & without nasal pack) with p<0.05). Pain was the next common complain which occurred in 21.43% (n=15) in group A, and 11.43% (n=8) in group B patients (p<0.05). Post operative bleeding was noticed in 11.43% (n=8) in group A, and 7.14% (n=5) in group B. Septal hematoma was the most rare complication in this study, which occurred in one patient (1.43%) only which was included in group B. Conclusion: Septoplasty can be safely performed using trans-septal suturing technique without nasal packing.

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