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Effect of Chitosan-Based Biodegradable Nasal Packs on Eustachian Dysfunction after Septoplasty
Halil Elden1, Mahmut S Yilmaz1, Ahmet Cihan1
1Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, Türkiye.
International Archives of Otorhinolaryngology
|September 12, 2025
Summary
Chitosan-based biodegradable nasal packs offer a good alternative for nasal packing after septoplasty. These packs resulted in less middle ear pressure changes compared to silicone nasal septal splints.
Area of Science:
- Otolaryngology
- Biomaterials
Background:
- Bioabsorbable nasal packs are increasingly preferred over removable ones post-nasal surgery.
- Eustachian dysfunction is a concern following nasal packing after septoplasty.
Purpose of the Study:
- To compare chitosan-based biodegradable nasal packs with silicone nasal septal splints.
- To evaluate their effects on middle ear ventilation and pressure post-septoplasty.
Main Methods:
- Patients with normal otoscopic exams and tympanograms undergoing septoplasty were randomized.
- Group P received chitosan packs; Group S received silicone splints.
Main Results:
- Tympanometric pressures decreased in both groups within 24 hours post-surgery.
- Silicone splints (Group S) showed a more significant pressure decrease than chitosan packs (Group P).
- Statistically significant differences in pressure were observed between groups within 48 hours.
Conclusions:
- Chitosan-based biodegradable nasal packs are a viable alternative for nasal packing post-septoplasty.
- They may lead to less eustachian dysfunction compared to silicone splints.
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