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Routine nasal packing follwoing nasal surgery-Is it necessary?

S I Basha¹, D Gupta, S K Kaluskar

¹Department of ENT, Tyrone County Hospital, BT 79 0AP Omagh, UK.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 3, 2012

Summary

Routine nasal packing after surgery is not evidence-based and can lead to complications. This study suggests packing should only be used when continuous bleeding occurs, not as a standard procedure.

Keywords:

Adhesions Nasal Packing complications septal Haematoma

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Area of Science:

Otolaryngology
Surgical Practice

Background:

Routine nasal packing is a common practice after nasal surgery.
This practice is not supported by robust scientific evidence.
Postoperative complications, though infrequent, can be associated with nasal packing.

Purpose of the Study:

To evaluate the necessity and outcomes of routine nasal packing in patients undergoing nasal surgery.
To determine the incidence of complications when nasal packs are not routinely inserted.

Main Methods:

A retrospective analysis of 110 patients who underwent various nasal operations.
Comparison of outcomes between patients who received routine packing versus those who did not.

Main Results:

Only 8.2% of patients required nasal packing for hemostasis at the end of surgery (6 of these were revision surgeries).
3.6% of patients needed packing in the immediate postoperative period.
One patient who received packing developed a unilateral adhesion; no septal hematomas occurred.

Conclusions:

The routine use of nasal packing after nasal surgery is not supported by evidence.
Nasal packing should be reserved for cases with continuous bleeding.