Deniz Mahmut, Ciftçi Zafer, Işık Aklime, Demirel Oral Burak, Gültekin Erdoğan
Namık Kemal University, Medical Faculty, Department of Otorhinolaryngology, Tekirdağ, Turkey.
Am J Otolaryngol. 2014 Sep-Oct;35(5):554-7. doi: 10.1016/j.amjoto.2014.04.001. Epub 2014 Apr 27.
The objective of this study was to find out if there is any association between the use of nasal packings and nasal synechia formation, septal perforation, postoperative infection and epistaxis in patients who underwent septoplasty and concha reduction operations.
This retrospective study was conducted at a tertiary referral center. One hundred thirty patients were randomly selected among patients who underwent endonasal surgery in Namık Kemal University Hospital between January 1st 2012 and August 1st 2013. Retrospective analysis of these patients' files, including operative reports and follow-up notes, was done. The postoperative findings of patients who had septal splints and Merocel nasal packings were compared and analyzed for statistical significance.
The results of the study showed a statistically significant difference in the frequency of synechia formation between two groups (p<0.05). The frequency of synechia formation was found to be higher in the Merocel packing group. However, no statistically significant difference was found between groups in terms of postoperative infection, septal perforation, and epistaxis (p>0.05).
Our findings suggest that intranasal splints are superior to Merocel nasal packings in terms of preventing nasal synechia formation. Insertion of a septal splint after nasal surgery should be preferred to avoid this complication. On the other hand, other factors should be sought in the etiology of postoperative infection, septal perforation, and epistaxis.
本研究的目的是确定在接受鼻中隔成形术和鼻甲切除术的患者中，使用鼻腔填塞物与鼻粘连形成、鼻中隔穿孔、术后感染和鼻出血之间是否存在任何关联。
本回顾性研究在一家三级转诊中心进行。在2012年1月1日至2013年8月1日期间在纳米克·凯末尔大学医院接受鼻内手术的患者中随机选择了130例患者。对这些患者的病历进行回顾性分析，包括手术报告和随访记录。对使用鼻中隔夹板和Merocel鼻腔填塞物的患者的术后结果进行比较和分析，以确定统计学意义。
研究结果显示两组之间鼻粘连形成的频率存在统计学显著差异（p<0.05）。发现Merocel填塞组鼻粘连形成的频率更高。然而，在术后感染、鼻中隔穿孔和鼻出血方面，两组之间未发现统计学显著差异（p>0.05）。
我们的研究结果表明，在预防鼻粘连形成方面，鼻内夹板优于Merocel鼻腔填塞物。鼻手术后应优先插入鼻中隔夹板以避免这种并发症。另一方面，应在术后感染、鼻中隔穿孔和鼻出血的病因中寻找其他因素。
