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Nasal splints, revisited.

D Malki1, S M Quine, A G Pfleiderer

  • 1Department of Ear, Nose and Throat, Edith Cavell Hospital, Peterborough, UK.

The Journal of Laryngology and Otology
|April 5, 2000
PubMed
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Nasal splints do not significantly prevent intranasal adhesions after routine nasal surgery. Patients with splints experienced increased pain and discomfort, suggesting limited benefit for adhesion prevention.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Intranasal adhesions can complicate nasal surgery recovery.
  • Nasal splints are sometimes used to prevent these adhesions.
  • The morbidity associated with splints requires evaluation.

Purpose of the Study:

  • To compare the efficacy of nasal splints in preventing intranasal adhesions.
  • To assess the morbidity (pain and discomfort) linked to nasal splint use.
  • To determine the overall benefit-risk ratio of splints in routine nasal surgery.

Main Methods:

  • A randomized controlled trial involving 110 patients undergoing routine nasal surgery.
  • Patients were divided into two groups: one with nasal splints, one without.

Related Experiment Videos

  • Post-operative pain and discomfort were measured using a visual analogue scale at 48 hours and one week.

    • Main Results:

    • No significant difference in the incidence of intranasal adhesions between splinted and non-splinted groups.
    • Patients with nasal splints reported significantly higher levels of pain and discomfort one week post-surgery.
    • The morbidity associated with splints did not appear to be justified by improved adhesion prevention.

    Conclusions:

    • Nasal splints are not recommended for routine nasal surgery solely to prevent adhesions.
    • The increased morbidity outweighs the benefits for adhesion prevention in this context.
    • Splints may retain a role in specific procedures like septoplasty for septal stability.