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Updated: May 9, 2026

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

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

Published on: June 20, 2018

Septoplasty with or without postoperative nasal packing? Prospective study.

Maria Teresa Bernardo¹, Sandra Alves, Nuno Barros Lima

¹Otolaryngology Ward-Vila Nova de Gaia Hospital Centre/Espinho, EPE, Rua Conceição Fernandes 4434-502, Vila Nova de Gaia, Portugual.

Brazilian Journal of Otorhinolaryngology

|August 10, 2013

Summary

Anterior nasal packing after septoplasty increases pain without significant benefit. This study suggests challenging its routine use to improve patient recovery and quality of life following nasal surgery.

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Area of Science:

Otolaryngology
Surgical Innovation
Patient Outcomes

Background:

Anterior nasal packing is common after septoplasty but its benefits are debated.
The procedure can be associated with complications and discomfort.

Purpose of the Study:

To evaluate the necessity of anterior nasal packing in septoplasty.
To assess its impact on patient quality of life and postoperative outcomes.

Main Methods:

A randomized prospective study involving 73 patients undergoing septoplasty.
Patients were assigned to receive or not receive anterior nasal packing postoperatively.
Postoperative pain, bleeding, and quality of life were assessed.

Main Results:

Patients with nasal packing reported more immediate postoperative pain and headache.
75.7% of packed patients experienced moderate/intense pain during packing removal.
While bleeding was more frequent without packing, only one patient required it. All patients showed improved quality of life.

Conclusions:

Septoplasty effectively improves quality of life for patients with nasal obstruction.
Routine anterior nasal packing following septoplasty lacks proven benefits and should be reconsidered.