Al-Arfaj Ahmad A, Al-Swiahb Jamil N, Al-Harthy Sami, Al-Essa Mohammed
Department of Otorhinolaryngology, Head & Neck Surgery, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2008 Jul;29(7):994-7.
To evaluate the routine use of nasal packing after cosmetic and functional nasal surgery.
Prospective collection from 2005 to 2006 at King Abdulaziz University Hospital in Riyadh for 54 patients post-septorhinoplasty with and without submucous diathermy or lateralization of inferior turbinate were evaluated for efficacy and complications of nasal packing which kept for different duration.
All 54 patients had septoplasty, 21 with rhinoplasty, 12 with SMD, and 24 patients had inferior turbinate lateralization. Eight cm slim Merocel packed in 67 nasal cavity sides, 8 cm regular Merocel packed in 24 sides and 10 cm regular Merocel packed in 6 sides. Thirty-seven patients had the pack for 6 hours then removed and 17 patients had it for 24 hours. Forty-one patients with no significant discomfort, 13 patients with mild to moderate discomfort.
Septorhinoplasty and SMD or lateralization of inferior turbinate can be managed without packing or any other hemostatic measures.
评估鼻整形美容手术和功能性鼻手术后常规使用鼻腔填塞的情况。
对2005年至2006年在利雅得阿卜杜勒阿齐兹国王大学医院接受鼻中隔成形术的54例患者进行前瞻性收集，这些患者伴有或不伴有黏膜下透热疗法或下鼻甲外移术，评估不同留置时间的鼻腔填塞的疗效和并发症。
54例患者均接受了鼻中隔成形术，21例接受了鼻整形术，12例接受了黏膜下透热疗法，24例患者进行了下鼻甲外移术。67个鼻腔侧使用了8厘米细的美罗赛填塞，24个侧使用了8厘米常规美罗赛填塞，6个侧使用了10厘米常规美罗赛填塞。37例患者填塞6小时后取出，17例患者填塞24小时。41例患者无明显不适，13例患者有轻度至中度不适。
鼻中隔鼻整形术和黏膜下透热疗法或下鼻甲外移术无需填塞或任何其他止血措施即可处理。
