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Comparative study of complete nasal packing with and without airways
1Department of ENT, Gian Sagar Medical College & Hospital, Ramnagar, Banur Distt. Patiala, Punjab. manishgupta1217@gmail.com
B-ENT
|August 16, 2011
Summary
Nasal packing with an airway significantly reduces post-operative issues like hypoxemia and discomfort compared to complete nasal packing. This method improves patient outcomes after nasal procedures.
Area of Science:
- Otolaryngology
- Surgical Complications
- Respiratory Physiology
Background:
- Nasal packing is common after epistaxis or nasal surgery.
- Complete nasal packing can lead to complications like hypoxemia and discomfort.
- Airway incorporation in nasal packing is a potential solution.
Purpose of the Study:
- To compare the effects of complete nasal packing versus nasal packing with airways.
- To assess impacts on blood pressure, oxygen saturation, middle ear pressure, and patient comfort.
Main Methods:
- 90 patients undergoing nasal packing were randomized into three groups.
- Group A: bilateral complete nasal packing.
- Groups B & C: nasal packing with uni/bilateral airways using endotracheal tubes.
Main Results:
- Complete packing caused obstruction, dry mouth, dysphagia, and sleep disturbance in most patients.
- Airway groups reported significantly fewer subjective complaints (33-40%).
- Complete packing led to hypertension (67%) and hypoxemia (33%); airway groups showed no changes.
Conclusions:
- Nasal packing with an airway reduces post-operative morbidity.
- Incorporating an airway minimizes the risk of hypoxemia.
- This technique improves patient comfort and physiological stability.
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