Bingöl Fatih, Budak Ali, Şimşek Eda, Kılıç Korhan, Bingöl Buket Özel
Department of Otorhinolaryngology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Turk Arch Otorhinolaryngol. 2017 Sep;55(3):136-139. doi: 10.5152/tao.2017.2259. Epub 2017 Aug 16.
Several types of nasal packs are used postoperatively in septoplasty. In this study, we compared two commonly used nasal packing materials, the intranasal septal splint with airway and Merocel tampon, in terms of pain, bleeding, nasal obstruction, eating difficulties, discomfort in sleep, and pain and bleeding during removal of packing in the early period.
The study group included 60 patients undergoing septoplasty. Patients were divided into two groups (n=30 in each group). An intranasal splint with airway was used for the patients in the first group after septoplasty, while Merocel nasal packing was used for the second group. Patients were investigated in terms of seven different factors - pain, bleeding while the tampon was in place, nasal obstruction, eating difficulties, night sleep, pain during removal of the nasal packing, and bleeding after removal of packing.
There was no statistically significant difference between the groups in terms of pain 24 hours after operation (p=0.05), while visual analog scale (VAS) scores for nasal obstruction, night sleep, eating difficulties, and pain during packing removal were lower in the nasal splint group with a statistically significant difference (p<0.05). There was no statistically significant difference between the groups in terms of postoperative bleeding (p=0.23). Significantly less bleeding occurred during removal of the packing in the nasal splint group (p<0.05).
Our study indicates that the nasal splint was more comfortable and effective in terms of causing lesser bleeding and pain during removal of packing.
鼻中隔成形术后会使用多种类型的鼻腔填塞物。在本研究中，我们比较了两种常用的鼻腔填塞材料，即带气道的鼻内鼻中隔夹板和 Merocel 棉塞，在疼痛、出血、鼻塞、进食困难、睡眠不适以及早期取出填塞物时的疼痛和出血方面的情况。
研究组包括 60 例行鼻中隔成形术的患者。患者被分为两组（每组 n = 30）。第一组患者鼻中隔成形术后使用带气道的鼻内夹板，而第二组使用 Merocel 鼻腔填塞物。对患者就七个不同因素进行调查——疼痛、填塞物在位时的出血、鼻塞、进食困难、夜间睡眠、取出鼻腔填塞物时的疼痛以及取出填塞物后的出血。
术后 24 小时两组在疼痛方面无统计学显著差异（p = 0.05），而鼻夹板组在鼻塞、夜间睡眠、进食困难以及取出填塞物时的疼痛的视觉模拟量表（VAS）评分较低，有统计学显著差异（p < 0.05）。两组在术后出血方面无统计学显著差异（p = 0.23）。鼻夹板组在取出填塞物时出血明显较少（p < 0.05）。
我们的研究表明，鼻夹板在取出填塞物时引起较少出血和疼痛方面更舒适且有效。
