Comparison of anterior nasal packing versus quilting sutures after septoplasty in controlling postoperative bleeding

  • Syed Maisam Ali Ayub Teaching Hospital, Abbottabad
  • Mehwash Sadaqat Holy Family Hospital, Rawapindi
  • Altaf Hussain Department of ENT, PIMS, Islamabad
  • Tabassum Aziz Holy Family Hospital, Rawalpindi
  • Farida Khan Ayub Teaching Hospital, Abbottabad
  • Mohammed Imran Shah Ayub Teaching Hospital, Abbottabad
Keywords: Deviated nasal septum, Septoplasty, Nasal Bleeding, Nasal packing


Background: Septoplasty, one of the most frequently performed surgeries in ENT is a surgical procedure designed to uncurl the deviated nasal septum. The objective of this study was to assess the results of anterior nasal packing as compare to quilting sutures in patients who have undergone septoplasty, in terms of postoperative bleeding. Methods: After taking approval from hospital ethics committee this randomized controlled trial was carried out at ENT Department Ayub Teaching Hospital Abbottabad from October 2018 to September 2019. A total of 102 patients meeting the inclusion criteria were included in this study after taking informed written consent. In group A after surgery anterior nasal packing was done while in group B sutures were applied across the septum. All patients were examined immediately after surgery and at first postoperative day. Results: The mean age of patients in group A was 27.82±6.79 years and in group B it was 26.82±5.84 years. Out of these 102 patients, 64 (62.75%) were male and 38 (37.38%) were female with ratio of 1.7:1. The frequency of postoperative bleeding in group A and B was 11.76% and 31.37% patients respectively (p=0.016). Conclusion: Postoperative bleeding is less with anterior nasal packing after septoplasty as compared to quilting sutures technique.

Pak J Physiol 2020;16(1):34−6

Author Biographies

Syed Maisam Ali, Ayub Teaching Hospital, Abbottabad

Consultant ENT, Ayub Teaching Hospital, Abbottabad

Mehwash Sadaqat, Holy Family Hospital, Rawapindi

Registrar ENT, Holy Family Hospital, Rawapindi

Tabassum Aziz, Holy Family Hospital, Rawalpindi

Senior Registrar ENT,Holy Family Hospital, Rawalpindi

Farida Khan, Ayub Teaching Hospital, Abbottabad

Professor of ENT, Ayub Teaching Hospital, Abbottabad

Mohammed Imran Shah, Ayub Teaching Hospital, Abbottabad

Assistant Professor ENT, Ayub Teaching Hospital, Abbottabad


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How to Cite
Ali S, Sadaqat M, Hussain A, Aziz T, Khan F, Shah M. Comparison of anterior nasal packing versus quilting sutures after septoplasty in controlling postoperative bleeding. PJP [Internet]. 31Mar.2020 [cited 21Sep.2020];16(1):34-6. Available from:
Original Article