Öz
Purpose: To investigate the effect of merocel nasal packing or internal nasal splint after septoplasty. Patients and Methods: The study included 197 patients who underwent septoplasty for septal deviation. At the end of the operation, merocel nasal packing was used in 98 patients 45 women, 53 men; mean age 28±10 years; range 18 to 43 years , and internal nasal splint was used in 99 patients 43 women, 56 men; mean age 31±12 years; range 18 to 44 years . Nasal packs were removed after 48 hours. Patients were asked to rate pain severity with a visual analogue scale VAS during the withdrawal of nasal packing. Both groups were compared statistically with VAS scores. Results: The assessment made by the surgeon, the internal nasal splint, is more easily observed in the application into the nose by merocele p>0.05 . The assessment made by the patient, the pain after removel of internal nasal splint is less than merocel. The difference was statistically significant p
Anahtar Kelimeler
Kaynakça
- Hwang JH, Liu CM, Liu TC, Hsu MC. Sphenopalatine ganglion block before removal of nasal packing. Laryngoscope 2003; 113: 1423- 24.
- Weber R, Keerl R, Hochapfel F, Draf W, Toffel PH. Packing in endonasal surgery. Am J Otolaryngol 2001; 22: 306-20.
- Lemmens W, Lemkens P. Septal suturing following nasal septoplasty, a valid alternative for nasal packing? Acta Otorhinolaryngol Belg 2001;55:215-21.
- Erkan AN, Çakmak Ö. Attitudes among ENT surgeons towards the use of nasal tamponade after nasal septal surgery. Kulak Burun Bogaz Ihtis Derg 2007; 17: 301-6.
- Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114: 639–45.
- İllum P, Grymer L, Hilberg O. Nasal packing after septoplasty. Clin Otolaryngol 1992; 17: 158–162.
- Chevillard C, Rugina M, Bonfils P, Bougara A, Castillo L, Pandraud L, Samardzic M, Peynegre R. Evaluation of calcium alginate nasal packing (Algosteril) versus Polyvinyl acetal (Merocel) for nasal packing after inferior turbinate resection. Rhinology 2006; 44: 58-61.
- Bresnihan M, Mehigan B, Curran A. An evaluation of Merocel and Series 5000 nasal packs in patients following nasal surgery: a prospective randomised trial. Clin Otolarygol 2007; 32: 352-55.
- Garth RJN, Brightwell AP. A comparison of packing materils used in nasal surgery. J Laryngol Otol 1994; 108: 564–66.
- Bajaj Y, Kanatas AN, Carr S, Sethi N, Kelly G. Is nasak packing really required after septoplasty? Int J Clin Pract 2009; 63: 757-59.
- Ardehali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009; 38: 1022-24.
Septoplasti Sonrası Kullanılan Merosel ve İnternal Nazal Splint Tampon Uygulamalarının Karşılaştırılması
Öz
Amaç: Septoplasti sonrası internal nazal splint ile merocel tampon kullanımının karşılaştırılması. Hastalar ve Yöntem: Çalışmaya izole septum deviasyonu nedeniyle septoplasti ameliyatı yapılan 197 hasta alındı. Ameliyat bitiminde, rastgele seçimle 98 hastanın 45 kadın, 53 erkek; ort. yaş 28±10; dağılım 18-43 burnuna merocel konulurken, 99 hastanın 43 kadın, 56 erkek; ort. yaş 31±12; dağılım 18-44 internal nazal splint tampon yerleştirildi. Tamponlar 48 saat sonra çıkarıldı. Hastalardan tamponların çekilmesi sırasında oluşan ağrı şiddetlerini vizüel analog skalası VAS ile değerlendirmeleri istendi. Her iki gruptaki VAS skorları istatistiksel olarak karşılaştırıldı. Bulgular: Cerrah tarafından yapılan değerlendirmede, internal nazal splintin, merocele göre burun içine uygulamasının daha kolay olduğunu gözlendi p>0.05 . Hasta tarafından yapılan değerlendirmede, tamponların çıkarılması sırasında internal nazal splintin, merocele göre daha ağrısız çıkarılabildiği ve farkın istatistiksel olarak anlamlı olduğu saptandı p
Anahtar Kelimeler
Kaynakça
- Hwang JH, Liu CM, Liu TC, Hsu MC. Sphenopalatine ganglion block before removal of nasal packing. Laryngoscope 2003; 113: 1423- 24.
- Weber R, Keerl R, Hochapfel F, Draf W, Toffel PH. Packing in endonasal surgery. Am J Otolaryngol 2001; 22: 306-20.
- Lemmens W, Lemkens P. Septal suturing following nasal septoplasty, a valid alternative for nasal packing? Acta Otorhinolaryngol Belg 2001;55:215-21.
- Erkan AN, Çakmak Ö. Attitudes among ENT surgeons towards the use of nasal tamponade after nasal septal surgery. Kulak Burun Bogaz Ihtis Derg 2007; 17: 301-6.
- Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114: 639–45.
- İllum P, Grymer L, Hilberg O. Nasal packing after septoplasty. Clin Otolaryngol 1992; 17: 158–162.
- Chevillard C, Rugina M, Bonfils P, Bougara A, Castillo L, Pandraud L, Samardzic M, Peynegre R. Evaluation of calcium alginate nasal packing (Algosteril) versus Polyvinyl acetal (Merocel) for nasal packing after inferior turbinate resection. Rhinology 2006; 44: 58-61.
- Bresnihan M, Mehigan B, Curran A. An evaluation of Merocel and Series 5000 nasal packs in patients following nasal surgery: a prospective randomised trial. Clin Otolarygol 2007; 32: 352-55.
- Garth RJN, Brightwell AP. A comparison of packing materils used in nasal surgery. J Laryngol Otol 1994; 108: 564–66.
- Bajaj Y, Kanatas AN, Carr S, Sethi N, Kelly G. Is nasak packing really required after septoplasty? Int J Clin Pract 2009; 63: 757-59.
- Ardehali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009; 38: 1022-24.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2011 |
| Yayımlandığı Sayı | Yıl 2011Sayı: 4 |