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© Georg Thieme Verlag KG Stuttgart · New York
Kombinierte Splint-Tamponaden bei Septumplastik und submuköser MuschelplastikCombined Splint-Packings in Septoplastik and Surgery of the Inferior Turbinate
27 January 2006 (online)
Background: Septoplasty is often combined with surgery of the inferior turbinate. To avoid complications like serious bleeding and hematoma nasal splints and several kinds of nasal packing is used. The splints have to be fixed, which can leed to infections around the suture and at the edge of the splints. The removal of the packings and the splints mostly done at different days, is a very unpleasent procedure.
Tipps & Tricks: We examined 20 patients prospective, after septoplasty and submucosal surgery of the inferior turbinate, which were randomly allocated in two groups. One group with nasal airway splints and glove finger packings, the other with combined splint-packings. The splint-packings had a double silicon tube covered with hemostatic gel. They were fixed at the nasal dorsum.
Results: Nasal obstruction ((by visual analogue scale (VAS)) was lower in the splint-packings group during the whole period of examination, so was pain (VAS) at the fifth day of examination. infections of the columella were much lower in this group too. As serious complication one hematoma of the septum was noted in each group. Removal of the nasal packing was felt to be most unpleasant in the control group, whereas the daily cleaning of the nose by suction was felt to be in the splint-packing group.
Conclusions: Combined splint-packings used after septoplasty and surgery of the inferior turbinate are practical for doctors and more pleasant for patients then other established packings or splints.
- 1 Daneshrad P . Chin GY . Rice DH . Fibrin glue prevents complications of septal surgery: Findings in a series of 100 patients. Ear Nose Throat. 2003; 82 196-197
- 2 Boenisch M . Nolst Trenité GJ . Fibrinkleber bei Septumplastik. HNO. 2004; 52 963-967
- 3 Carraway JH . Mellow CG . Simple suction drainage: an adjunct to septal surgery. J Laryngol Otol. 1990; 24 191-193
- 4 Lemmens W . Lemkens P . Septal suturing following nasal septoplasty, a valid alternative for nasal packing? . Acta Otorhinolaryngol Belg. 2001; 55 215-221
- 5 Lee IN . Vukovic L . Hemostatic suture for septoplasty: how we do it. J Otolaryngol. 1988; Feb 17(1) 54-56
- 6 Pringle MB . The use of intra-nasal splints: a consultant survey. Clinical Otolaryngol Allied Sci. 1992; 17 535-539
- 7 Malki D . Quine SM . Pfleiderer AG. Nasal splints, revisited. J Laryngol Otol. 1999; 113(8) 725-727
- 8 Ridenour BD . Pfleiderer AG. Nasal splints, revisited. The nasal septum. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE, eds. Otolaryngology Head and Neck Surgery. St. Louis, MO: Mosby;. 1998; 921-948
- 9 von Schoenberg B . Robison P . Ryan R . Nasal packing after routine nasal surgery- is it justified?. J Laryngol Otol. 1993; 107 902-905
- 10 Cuyuron B . Vaughan C . Evaluation of stents following septoplasty. Aesth Plast Surg. 1995; 19 75-77