Septoplasty with Nasal Packing or Transseptal Suturing: comparative study

Abstract

Objective: The aim of study is to find out the better option to manage post-operative septal hematoma between the nasal packing or quilting sutures. Methods: cross sectional comparative study of 2 groups patients, group [A]; 39 patients have septoplasty with no nasal Packing and suturing, while group [B]; 40 patients have septoplasty with nasal packing. The study has been carried out from July 2021 until February 2022 in Kirkuk General Hospital. From all patients take age, gender, pain, and bleeding occurrence after few moments after surgery, then after 1st day and then after seventh day after operation. Also, if patients have synechiae or not. Results: there is significant difference between group A and group B in bleeding at time of operation, group A patient more bleeding. There is significant difference between group A and group B in bleeding at 1st day after operation, group A patient less bleeding. There is significant difference between group A and group B in pain at 1st day after operation, group A patient less bleeding. There is significant difference between group A and group B in pain at 7th day after operation, group A patient less bleeding. Conclusion:  Nasal pain, headache, were reduced in the trans – septal suturing group as compared to packing. However, nasal bleeding was present in both the groups. It also proves to be a cost-effective modality and gives a better post-operative quality of life to patients. Hence, we recommend trans-septal suturing as the preferred method over anterior nasal packing in patients after septoplasty.