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Updated: Jun 24, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Postoperative packing after septoplasty: is it necessary?
Marika R Dubin1, Steven D Pletcher
1Department of Otolaryngology, Head and Neck Surgery, University of California, 400 Parnassus Avenue, Box 0342, San Francisco, CA 94143, USA. mdubin@ohns.ucsf.edu
Abstract:
The use of nasal packing following septoplasty has been proposed to serve multiple purposes. One of the most common reasons for use of packing is to prevent postoperative complications such as bleeding and formation of either synechiae or a septal hematoma. Stabilization of the remaining cartilage to prevent postoperative deviation is another reason that packing may be used. Although it appears intuitive that packing may prevent or decrease the incidence of these complications, evidence supporting this assertion is limited at best. Furthermore, certain types of nasal packing have been demonstrated to increase postoperative pain and have been implicated as a causative factor of catastrophic complications, such as toxic shock. With limited evidence to suggest a beneficial effect and a potential for deleterious side-effects, the routine use of postoperative packing following septoplasty should be questioned.
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