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Updated: Aug 17, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
An evaluation of post-operative packing in nasal septal surgery
1North Riding Infirmary Research Foundation, Middlesbrough, Cleveland, UK.
Abstract:
The need for nasal packing in septal surgery is not proven though its use is widespread. Post-operative complications, while uncommon, are frequently pack related. Consenting adults were prospectively randomized to one of the following: Vaseline gauze nasal packing or 30 Dexon mucosal suture. All patients were operated on by one surgeon who was made aware of the randomization decision only when the corrective surgery was complete. Details of post-operative morbidity were collected and pain scored subjectively by a visual analogue scale the morning after surgery. The first 50 available pain scales illustrated a difference between the groups (P less than 0.05), means 4 and 3 in the pack and suture group respectively. There was no demonstrable difference in post-operative haemorrhage, adhesions, nasal crusting or mucosal atrophy. The need for nasal packing is not supported.
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