Publication: Short duration anterior nasal packing after submucosal resection of nasal septum
Date
2008
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Objectives: To find out the shortest possible duration of nasal packing after submucosal resection (SMR) operation. To
compare the outcome of the patients who underwent SMR operation and anterior nasal pack (ANP) removed after 24
hours with those who had ANP removed after 2 hours of operation.
Materials and methods: A prospective randomized hospital based study was undertaken to compare the outcome
of early removal of nasal packs after 2 hours of operation and after 48 hours. Seventy four patients undergoing SMR
operation with ANP were divided in two groups. Group I: patients who underwent SMR and ANP removed after 24
hours to 48 hours (n= 37 patients). Group II: patients who underwent SMR and ANP removed after 2 hours (n= 37 patients).
Results: There was no significant difference between the two groups in terms of age distribution (p = 0.244), sex (p =
0.76), synaechia formation (p = 0.615) and bruise in the upper lip (p = 1.000). There were no complications following
early (2 hours) removal of ANP except synaechia, no significant post-operative bleeding occurred and no post operative
septal hematoma were noted. In addition, patients reported less post-operative discomfort when the packs were removed
early in Group II. This practice reduced the length of hospital stay and therefore reduced costs.
Conclusion: Our study shows that there is no significant difference in the post operative events and recovery between
removal of ANP after 48 hours and after 2 hours of operation. This supports that ANP removal can safely be done after
two hours of operation.
Key words: Sub mucosal resection of the nasal septum (SMR), anterior nasal packing (ANP)
Description
Gyawali KR1, Pokharel M2, Amatya RCM 3
1Assistant Professor
2 Resident Doctor, 3Professor Kathmandu University School of Medical Sciences, Dhulikhel