Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal

Objective:To compare silicone nasal septal splints with integral airway and a polyvinyl alcohol (PVA) sponge after septoplasty in terms of patient comfort (both with the pack in place and during removal) and postoperative complications.Methods:This study involved 169 patients who underwent septoplas...

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Main Authors: Tolga ERSÖZLÜ, Adem ÇAKMAK
Format: Article
Language:English
Published: Galenos Publishing House 2018-01-01
Series:Bezmiâlem Science
Subjects:
Online Access: http://bezmialemscience.org/archives/archive-detail/article-preview/effects-of-silicone-nasal-septal-splints-and-a-pol/20218
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author Tolga ERSÖZLÜ
Adem ÇAKMAK
author_facet Tolga ERSÖZLÜ
Adem ÇAKMAK
author_sort Tolga ERSÖZLÜ
collection DOAJ
description Objective:To compare silicone nasal septal splints with integral airway and a polyvinyl alcohol (PVA) sponge after septoplasty in terms of patient comfort (both with the pack in place and during removal) and postoperative complications.Methods:This study involved 169 patients who underwent septoplasty without additional nasal procedures due to nasal septal deviation. They were allocated into two groups. Group A comprised 90 patients who underwent septoplasty and who were packed with silicone nasal septal splints. Group B comprised 76 patients who underwent septoplasty and who were packed with a PVA sponge. They were removed on the second postoperative day. Patients were asked to record pain levels using a visual analog scale (VAS).Results:The patients in the groups had similar mean ages: 29.77 years (range, 19-74 years) and 23.77 years (range, 21–37 years) in Group A and Group B, respectively (p>0.05). VAS scores were significantly lower in Group A than in Group B at the 1st, 2nd, 4th, 8th, 12th, 24th, 48th, and 72nd postoperative hours (p<0.0001). There were significantly higher pain levels associated with PVA sponge pack removal than with silicone nasal septum splint removal (average pain scores: 3.57 vs. 1.99, respectively; p<0.05).Conclusion:Intranasal septal splints with integral airway result in less postoperative pain during removal without increasing postoperative complications; thus, they can be used as an effective alternative to PVA sponge packing after septoplasty.
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spelling doaj.art-a3bba6055b3549268204261eb792b8172023-02-15T16:14:05ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732018-01-0161434710.14235/bs.2018.146713049054Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack RemovalTolga ERSÖZLÜ0Adem ÇAKMAK1 Department of Otorhinolaryngology, Namık Kemal University School of Medicine, Tekirdağ, Turkey Clinic of of Otorhinolaryngology, Sarıkamış State Hospital, Kars, Turkey Objective:To compare silicone nasal septal splints with integral airway and a polyvinyl alcohol (PVA) sponge after septoplasty in terms of patient comfort (both with the pack in place and during removal) and postoperative complications.Methods:This study involved 169 patients who underwent septoplasty without additional nasal procedures due to nasal septal deviation. They were allocated into two groups. Group A comprised 90 patients who underwent septoplasty and who were packed with silicone nasal septal splints. Group B comprised 76 patients who underwent septoplasty and who were packed with a PVA sponge. They were removed on the second postoperative day. Patients were asked to record pain levels using a visual analog scale (VAS).Results:The patients in the groups had similar mean ages: 29.77 years (range, 19-74 years) and 23.77 years (range, 21–37 years) in Group A and Group B, respectively (p>0.05). VAS scores were significantly lower in Group A than in Group B at the 1st, 2nd, 4th, 8th, 12th, 24th, 48th, and 72nd postoperative hours (p<0.0001). There were significantly higher pain levels associated with PVA sponge pack removal than with silicone nasal septum splint removal (average pain scores: 3.57 vs. 1.99, respectively; p<0.05).Conclusion:Intranasal septal splints with integral airway result in less postoperative pain during removal without increasing postoperative complications; thus, they can be used as an effective alternative to PVA sponge packing after septoplasty. http://bezmialemscience.org/archives/archive-detail/article-preview/effects-of-silicone-nasal-septal-splints-and-a-pol/20218 Septal surgerynasal packnasal pack removalsilicone nasal splintpolyvinyl alcohol spongepain
spellingShingle Tolga ERSÖZLÜ
Adem ÇAKMAK
Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal
Bezmiâlem Science
Septal surgery
nasal pack
nasal pack removal
silicone nasal splint
polyvinyl alcohol sponge
pain
title Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal
title_full Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal
title_fullStr Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal
title_full_unstemmed Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal
title_short Effects of Silicone Nasal Septal Splints and a Polyvinyl Alcohol Sponge After Septoplasty on Postoperative Pain and Pain During Pack Removal
title_sort effects of silicone nasal septal splints and a polyvinyl alcohol sponge after septoplasty on postoperative pain and pain during pack removal
topic Septal surgery
nasal pack
nasal pack removal
silicone nasal splint
polyvinyl alcohol sponge
pain
url http://bezmialemscience.org/archives/archive-detail/article-preview/effects-of-silicone-nasal-septal-splints-and-a-pol/20218
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