A Comparative Study Between Trans-Septal Sutures and Nasal Packing After Septoplasty

Abstract

Background: Correction of deviated nasal septum is one of the commonest nasal surgery done worldwide and it is associated with many complications post operatively that are reduced by nasal packing which is the most unpleasant part of the surgery to the patient.
Trans-septal sutures proposed as an alternative.
Objective: To compare post operative outcomes of trans-septal sutures and nasal packing after septoplasty.
Patients and Method: A prospective comparative study was conducted at Al Imamain Al Kadhimain Medical city. A sample of 50 patient with age ranging 18-46 years.25 of them had been undergone nasal packing and the other 25 had been undergone trans-septal sutures.Post operative bleeding, pain, headache, hematoma, post nasal drip, sleep disturbance, epiphora as well as synechia, crustations, perforation, were assessed over period of 4 weeks.
Results: Among fifty patients 33 (66%) of them were females and 17 (34%) were males. Group of trans-septal sutures reveals less post-operative pain, headache, post nasal drip, sleep disturbance and epiphora.
There was no significant difference in bleeding, hematoma, synechia formation. Only one patient of the nasal packing group developed septal perforation.
Conclusion: Trans-septal sutures show less post-operative pain and complications thus can be safely used as a substitute to nasal packing.