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

Abstract

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