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Related Experiment Video

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Removing intranasal splints after septal surgery.

Elif Aksoy¹, Gediz Murat Serin, Senol Polat

¹Department of Otorhinolaryngology, Maslak Hospital, Istanbul, Turkey.

The Journal of Craniofacial Surgery

|May 12, 2011

Summary

Removing intranasal splints (INS) 24 hours after septoplasty is as effective as removing them after 5 days for preventing complications. Early INS removal minimizes patient discomfort without increasing risks like bleeding or synechia.

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Area of Science:

Otolaryngology
Rhinology
Surgical Complications

Background:

Septal surgery, often combined with turbinate surgery, aims to improve nasal airflow.
Postoperative intranasal splints (INS) are used to support the nasal septum and reduce complications.
The optimal timing for intranasal splint removal after septal surgery remains a subject of investigation.

Purpose of the Study:

To compare postoperative complication rates following septal surgery based on the timing of intranasal splint (INS) removal.
To evaluate the efficacy of early (24 hours) versus delayed (5 days) INS removal in managing septal surgery outcomes.

Main Methods:

Retrospective chart review of 96 patients undergoing septal surgery with or without turbinate surgery.
Patients were divided into two groups: early INS removal (24 hours) and delayed INS removal (5 days).
Complications including bleeding, septal hematoma, and synechia were recorded and analyzed using the chi-squared test.

Main Results:

No statistically significant difference in postoperative complication rates between early and delayed INS removal groups (P = 1).
Late bleeding occurred in 2% of the early removal group and 2.17% of the delayed removal group.
No instances of septal hematoma or synechia were observed in either group.

Conclusions:

Routine use of intranasal splints (INS) after septoplasty is effective in preventing postoperative complications.
Removing INS 24 hours after septoplasty is sufficient and minimizes patient discomfort.
Early INS removal does not increase the risk of complications such as bleeding, septal hematoma, or synechia.