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The morbidity from nasal splints in 105 patients
M von Schoenberg1, P Robinson, R Ryan
1Department of Otolaryngology, Ferens Institute, Middlesex Hospital, London, UK.
Clinical Otolaryngology and Allied Sciences
|December 1, 1992
Summary
Intranasal splints increase post-operative pain and complications like septal perforation. Careful nasal toilet at one week offers similar benefits in preventing adhesions without the added morbidity.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Intranasal splints are commonly used after nasal surgery.
- Their associated morbidity is not fully characterized.
- Preventing intranasal adhesions is a key surgical goal.
Purpose of the Study:
- To investigate the morbidity associated with intranasal splints.
- To compare the efficacy of splints versus nasal toilet in preventing adhesions.
Main Methods:
- Randomized prospective trial.
- 105 patients undergoing nasal procedures.
- Analysis of post-operative pain, septal perforation, vestibulitis, and intranasal adhesions.
Main Results:
- Intranasal splints significantly increased post-operative pain.
- Higher incidence of septal perforation and vestibulitis observed with splints.
- Splints reduced intranasal adhesions, but nasal toilet achieved similar results.
Conclusions:
- Intranasal splints are associated with considerable morbidity.
- Careful nasal toilet is a viable alternative to splints for preventing adhesions.
- Consideration of splint-related complications is crucial in patient management.