Department of ENT and Head & Neck Surgery, Izmir Tepecik Training and Research Hospital, Turkey.
Acta Otorhinolaryngol Ital. 2012 Apr;32(2):111-4.
The trans-septal suturing method has been developed in septoplasty as an alternative to packing. This study was carried out to compare the postoperative results of trans-septal suturing with the anterior Merocel packing technique. The study involved 697 patients who underwent septoplasty. Following surgery, patients were randomly divided into two groups, one with trans-septal suturing and the other with Merocel packing. Patients were asked to record pain levels using a visual analogue scale. Postoperative symptoms and complications were compared. A total of 697 nasal operations were evaluated in the postoperative period considering pain, bleeding, haematoma, septal perforation synechiae and septal perforation. The results for haemorrhage, haematoma, synechiae and perforation were not statistically different (p > 0.05) between groups. In contrast, the level of postoperative pain in patients undergoing trans-septal suturing was significantly less than in the group who received Merocel packing (p < 0.05). Patients with Merocel packing had significantly more pain and nasal discomfort when assessed 1 week after intervention. Therefore, the trans-septal suturing technique may be the preferred option to provide higher patient satisfaction.
鼻中隔成形术中的经中隔缝合方法已被开发出来作为填塞的替代方法。本研究旨在比较经中隔缝合与前 Merocel 填塞技术的术后结果。该研究共纳入 697 例鼻中隔成形术患者。手术后，患者被随机分为两组，一组采用经中隔缝合，另一组采用 Merocel 填塞。患者使用视觉模拟评分法记录疼痛程度。比较术后症状和并发症。共评估了 697 例鼻手术后的疼痛、出血、血肿、鼻中隔穿孔粘连和穿孔。两组之间的出血、血肿、粘连和穿孔结果无统计学差异（p>0.05）。相比之下，接受经中隔缝合的患者的术后疼痛水平明显低于接受 Merocel 填塞的患者（p<0.05）。接受 Merocel 填塞的患者在干预后 1 周时疼痛和鼻腔不适明显更多。因此，经中隔缝合技术可能是提供更高患者满意度的首选方法。
