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A case against nasal packing.

F J Stucker, D G Ansel

    The Laryngoscope
    |August 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Routine nasal packing after septal and rhinoplasty surgery is often unnecessary and potentially harmful. Excluding packing in most cases is a safer approach, with fewer than 9% of over 800 patients requiring it.

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    Area of Science:

    • Otolaryngology
    • Plastic Surgery
    • Surgical Complications

    Background:

    • Nasal packing is a common practice following septal and rhinoplasty procedures.
    • Its indications and potential complications are often inadequately discussed in surgical literature.

    Purpose of the Study:

    • To evaluate the necessity and safety of routine nasal packing in septal and rhinoplasty surgery.
    • To identify specific indications for nasal packing and explore alternatives.

    Main Methods:

    • Retrospective review of over 800 cases of nasal surgery.
    • Analysis of packing indications, alternatives, and associated complications.

    Main Results:

    • Fewer than 9% of reviewed cases required nasal packing.

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  • Routine packing was found to be associated with potential problems and complications.

    • Conclusions:

    • Excluding routine nasal packing is a preferable approach for most septal and rhinoplasty procedures.
    • Nasal packing should be reserved for specific, uncommon indications.