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Inferior turbinate resection: the need for a nasal pack
1Armed Forces Hospital, Saudi, Arabia.
The Journal of Laryngology and Otology
|October 1, 1993
Summary
Nasal packing after inferior turbinate resection significantly reduces post-operative bleeding. Retaining nasal packs for 48 hours resulted in zero hemorrhage cases in this study.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Rhinology
Background:
- Chronic nasal obstruction affects quality of life.
- Inferior turbinate resection is a common surgical intervention.
- Post-operative hemorrhage is a potential complication.
Purpose of the Study:
- To investigate the impact of nasal packing duration on post-operative hemorrhage after inferior turbinate resection.
- To determine the optimal nasal packing strategy to minimize bleeding complications.
Main Methods:
- A prospective randomized study involving 180 patients undergoing inferior turbinate resection.
- Patients were divided into three groups: no nasal pack, 24-hour pack, and 48-hour pack.
- Hemorrhage rates were compared across the groups.
Main Results:
- The group with no nasal pack had an 11.7% hemorrhage rate.
- The 24-hour nasal pack group showed an 8.3% hemorrhage rate.
- The 48-hour nasal pack group had a 0% hemorrhage rate.
Conclusions:
- A 48-hour nasal pack significantly reduces post-operative hemorrhage following inferior turbinate resection.
- Prolonged nasal packing is a safe and effective method to prevent bleeding.
- This finding supports a revised post-operative care protocol for turbinate surgery.