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Updated: Jul 3, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Nasal packing in cosmetic and functional nasal surgery
Ahmad A Al-Arfaj1, Jamil N Al-Swiahb, Sami Al-Harthy
1Department of Otorhinolaryngology, Head & Neck Surgery, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
Objective:
To evaluate the routine use of nasal packing after cosmetic and functional nasal surgery.
Methods:
Prospective collection from 2005 to 2006 at King Abdulaziz University Hospital in Riyadh for 54 patients post-septorhinoplasty with and without submucous diathermy or lateralization of inferior turbinate were evaluated for efficacy and complications of nasal packing which kept for different duration.
Results:
All 54 patients had septoplasty, 21 with rhinoplasty, 12 with SMD, and 24 patients had inferior turbinate lateralization. Eight cm slim Merocel packed in 67 nasal cavity sides, 8 cm regular Merocel packed in 24 sides and 10 cm regular Merocel packed in 6 sides. Thirty-seven patients had the pack for 6 hours then removed and 17 patients had it for 24 hours. Forty-one patients with no significant discomfort, 13 patients with mild to moderate discomfort.
Conclusion:
Septorhinoplasty and SMD or lateralization of inferior turbinate can be managed without packing or any other hemostatic measures.
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