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The impact of using intranasal splints on morbidity and prevalence of adhesions
1ORL Department, King Abdulaziz University Hospital, Riyadh 11622, Kingdom of Saudi Arabia. kmazrou@ksu.edu.sa
Insights
Intranasal splints did not significantly reduce adhesions but increased pain and crusting. Individualized use and nasal irrigation are recommended to manage potential morbidity from these devices.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Adhesions and septal deviation are common complications following nasal surgery.
- Intranasal splints are sometimes used to prevent these complications.
- Assessing the morbidity associated with splint use is crucial for patient care.
Purpose of the Study:
- To evaluate the efficacy of intranasal splints in preventing adhesions post-surgery.
- To determine the morbidity associated with the use of intranasal splints.
Main Methods:
- Retrospective study of 114 patients across two tertiary hospitals (1988-1995).
- Patients were divided into two groups: one with splints (10 days) and one without.
- Outcomes measured included adhesions, perforation, bleeding, pain, crusting, and septum position.
Main Results:
- No significant difference in adhesion formation or septum medialization between groups.
- Perforation rates were similar in both splinted and non-splinted groups.
- Increased incidence of pain and crusting was observed in the splinted group (p<0.001).
Conclusions:
- The routine use of intranasal splints may not be beneficial for adhesion prevention.
- Individualized patient selection is advised for splint use.
- Nasal irrigation is important for managing crusting and improving patient comfort.
Objective:
To study the effect of using intranasal splints for prevention of adhesions and to assess the morbidity associated with their use.
Methods:
A retrospective study based on 2 tertiary hospitals from 1988-1995. One hundred and fourteen patients were divided into 2 groups. Group one with splints and group 2 without. The splints were used for 10 days and nasal toilet was carried out twice. Score of adhesions, perforation, bleeding, pain, crusting, and septum position were recorded.
Results:
Adhesions in both groups were almost the same as well as septum medialization and perforation scores. Pain and crusting were more common in the splinted group (p-value <0.001).
Conclusion:
The use of intranasal splints should be individualized. Nasal irrigation is of importance to prevent crusting. The morbidity associated with intranasal splints should be considered before use.
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