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Engin Acıoğlu1, Deniz Tuna Edizer, Özgür Yiğit

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This study compared four nasal packing materials after septoplasty. Merocel packing resulted in the highest pain during removal and the most postoperative bleeding, indicating potential risks for patients undergoing nasal surgery.

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Area of Science:

  • Otolaryngology
  • Surgical Materials Science

Background:

  • Septoplasty is a common surgical procedure to correct nasal septum deviation.
  • Nasal packing is crucial for hemostasis and support post-septoplasty, but can cause discomfort and complications.
  • Various nasal packing materials exist, each with unique properties affecting patient outcomes.

Purpose of the Study:

  • To evaluate and compare the effects of four distinct nasal packing materials on pain, nasal fullness, and postoperative bleeding following septoplasty.
  • To identify the optimal nasal packing material for minimizing patient discomfort and surgical complications.

Main Methods:

  • A prospective, randomized, double-blind study involving 119 patients undergoing endonasal septoplasty under general anesthesia.
  • Four nasal packing types were used: Merocel standard, Doyle Combo Splint (DCS), Merocel in a glove finger, and Vaseline gauze.
  • Pain, nasal fullness, and bleeding were assessed post-removal of nasal packs at 48 hours (±3 h).

Main Results:

  • The Doyle Combo Splint (DCS) caused the most significant pain at early postoperative hours (1 and 6).
  • Merocel packing led to the highest pain scores during pack removal and the highest rate of postoperative bleeding.
  • Doyle Combo Splint (DCS) demonstrated the lowest nasal fullness scores, suggesting better nasal airway patency.

Conclusions:

  • Nasal packing material choice significantly impacts postoperative pain, nasal fullness, and bleeding after septoplasty.
  • Merocel packing material is associated with increased pain during removal and higher bleeding rates.
  • Further research is needed to optimize nasal packing strategies for improved patient recovery and satisfaction.