Ahmed Shoaib, Ashfaq Muhammed, Shabbir Asad
Department of ENT, Shifa Naval Hospital, Karachi.
Department of ENT, Combined Military Hospital, Rawalpindi.
J Coll Physicians Surg Pak. 2016 Jun;26(6):531-2.
This study aimed to analyze the results of a modified continuous quilting sutures technique in a series of patients presenting with hematoma and/or abscess of nasal septum (HANS). Only patients with a confirmed diagnosis of HANS without co-morbid conditions (which could predispose to a bleeding tendency), were selected. Following incision and drainage, nasal septal flaps were coapted by applying continuous quilting sutures only. The success rate of this technique in terms of recurrence requiring re-exploration and drainage was 100%. Quilting sutures were generally well tolerated with few complaints. Saddle deformity was the most obvious complication of HANS, seen with septal abscess. Quilting sutures can be considered as an alternative treatment option for HANS. The modified technique employed in this study demonstrated impressive results and avoided the morbidity of nasal packing with fewer complications.
本研究旨在分析改良连续褥式缝合技术在一系列患有鼻中隔血肿和/或脓肿(HANS)患者中的应用结果。仅选择确诊为HANS且无合并症(可能导致出血倾向)的患者。切开引流后,仅应用连续褥式缝合对鼻中隔瓣进行贴合。该技术在需要再次探查和引流的复发方面成功率为100%。褥式缝合一般耐受性良好,很少有不适主诉。鞍鼻畸形是HANS最明显的并发症,见于鼻中隔脓肿。褥式缝合可被视为HANS的一种替代治疗选择。本研究采用的改良技术取得了令人印象深刻的结果,避免了鼻腔填塞的并发症,且并发症较少。