Pack free septoplasty: functional outcomes and complications

Area of Science:

• Otolaryngology
• Surgical Innovation

Background:

• Nasal septum deviation often causes significant obstruction.
• Traditional septoplasty may involve nasal packing, which can be uncomfortable.

Purpose of the Study:

• To assess functional outcomes and complications of pack-free septoplasty.
• To evaluate the efficacy of the transseptal suture technique in septoplasty.

Main Methods:

• Prospective study of 49 adult patients undergoing pack-free septoplasty.
• Nasal Obstruction Symptom Evaluation (NOSE) scores preoperatively and at 1 and 3 months postoperatively.
• Complications were systematically recorded.

Main Results:

• Significant improvement in NOSE scores post-surgery (p<0.05).
• High recovery rate of 81.63%.
• Low complication rates: minor hemorrhage (34.7%), nasal synechiae (6.1%), flap overposition (4.1%).

Conclusions:

• Pack-free septoplasty with transseptal suture technique is effective for septum deviation.
• This technique demonstrates safety and efficacy for septum surgery.