Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access

Original Research

RMJ. 2012; 37(2): 187-190

Comparison of quilting of mucoperichondrial flaps with routine nasal packing in patients undergoing septoplasy

Mirza Nasheed Baig, Ashfaq Ahmed Malik, Muhammad Ajmal, Ahmed Hasan Ashfaq.

OBJECTIVE: To compare the efficacy of quilting mucoperichondrial flaps with routine nasal packing in patients undergoing septoplasty.
SUBJECTS AND METHOD: One hundred patients were selected through non-probability convenience sampling technique. They were divided in two groups A & B with 50 patients in each group. In group A nasal packing was done while in group B quilting of mucoperichondrial flaps was done after septoplasty. The outcome of both methods was compared by evaluating the variables; pain at 24th postoperative hour, pain on pack removal, nasal obstruction, nasal bleeding, septal hematoma and synechiae formation in nose at follow up visit on first and second postoperative week.
RESULTS: Mean age in group A was 23.94 6.36 and in group B it was 22.66 6.93. Postoperative pain scores at 24th postoperative hour were moderate to severe in group A while mild to moderate in group B. In Group A 94 % patients experienced severe pain on pack removal while 6% experienced mild pain. There was no such pain in group B due to lack of nasal packing. Nasal obstruction was more in group A and was statistically significant. There was no septal hematoma or synechiae formation in either of the groups at first week follow up however at second week follow up visit four patients (8%) in group A and one patient (2%) in group B developed synechiae. There was no statistically significant difference between the two groups in regards to nasal bleeding.

CONCLUSION: Quilting of mucoperichondrial flaps after septoplasty is an effective alternative for nasal packing and has added advantage of significantly reduced nasal obstruction, postoperative pain and pain on pack removal

Key words: Nasal septum, Nasal Packing, Nasal cavity, Synechiae, Quilting

Share this Article

Oxidants and Antioxidants in Medical Science


BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.