Dubin Marika R, Pletcher Steven D
Department of Otolaryngology, Head and Neck Surgery, University of California, 400 Parnassus Avenue, Box 0342, San Francisco, CA 94143, USA.
Otolaryngol Clin North Am. 2009 Apr;42(2):279-85, viii-ix. doi: 10.1016/j.otc.2009.01.015.
The use of nasal packing following septoplasty has been proposed to serve multiple purposes. One of the most common reasons for use of packing is to prevent postoperative complications such as bleeding and formation of either synechiae or a septal hematoma. Stabilization of the remaining cartilage to prevent postoperative deviation is another reason that packing may be used. Although it appears intuitive that packing may prevent or decrease the incidence of these complications, evidence supporting this assertion is limited at best. Furthermore, certain types of nasal packing have been demonstrated to increase postoperative pain and have been implicated as a causative factor of catastrophic complications, such as toxic shock. With limited evidence to suggest a beneficial effect and a potential for deleterious side-effects, the routine use of postoperative packing following septoplasty should be questioned.
鼻中隔成形术后使用鼻腔填塞物有多种目的。使用填塞物最常见的原因之一是预防术后并发症，如出血、粘连或鼻中隔血肿的形成。稳定剩余软骨以防止术后偏曲是使用填塞物的另一个原因。尽管填塞物似乎直观上可以预防或降低这些并发症的发生率，但支持这一说法的证据充其量也很有限。此外，某些类型的鼻腔填塞物已被证明会增加术后疼痛，并被认为是灾难性并发症（如中毒性休克）的致病因素。由于表明有益效果的证据有限且存在有害副作用的可能性，鼻中隔成形术后常规使用术后填塞物应受到质疑。
