Caglar Ozge, Guclu Oguz, Oymak Sibel, Derekoy Sefa
Otorhinolaryngology Department, University Medical School, Canakkale Onsekiz Mart Universitesi, Canakkale, Turkey.
Public Health Department, University Medical School, Canakkale Onsekiz Mart Universitesi, Canakkale, Turkey.
Ear Nose Throat J. 2019 Sep;98(8):486-489. doi: 10.1177/0145561319843074. Epub 2019 Apr 28.
In this study, we evaluated how the Merocel and nasal splint packing placed in the nose after septoplasty surgery affects the olfactory and mucociliary functions of the nose in the early period, and compared the 2 packing with each other.
The study included 60 patients with isolated septal deviation and 30 patients in the control group. The patients were randomly divided into 2 groups. Nasal splint was inserted after septoplasty in group A (n = 30). Merocel was inserted in group B (n = 30). The Sniffin sticks test and saccharin test were applied to the patients before surgery and 15 days after the surgery. The same tests were applied to the control group consisting of 30 patients and the results were compared.
No complications, such as postoperative bleeding, submucoperichondrial hematoma, or abscess formation, were found in both groups. Mucociliary function was improved after septoplasty, and it was statistically significant, but there was no statistically significant difference between both packing groups. A statistically significant difference was found for the odor test in patients who used nasal splint packing in comparison with patients who used Merocel in the early period.
The odor test showed significant differences between the 2 groups and this was statistically significant in the early period. Mucociliary function was better after surgery, but there was no statistical difference in the different nasal packing groups.
在本研究中,我们评估了鼻中隔成形术后置于鼻腔内的美洛赛材料(Merocel)和鼻夹板填塞对鼻腔早期嗅觉和黏液纤毛功能的影响,并对这两种填塞物进行了相互比较。
本研究纳入60例单纯鼻中隔偏曲患者和30例作为对照组的患者。患者被随机分为两组。A组(n = 30)在鼻中隔成形术后插入鼻夹板。B组(n = 30)插入美洛赛材料。对患者在手术前及术后15天进行嗅觉棒测试和糖精测试。对由30例患者组成的对照组进行相同测试并比较结果。
两组均未发现术后出血、黏膜下软骨膜下血肿或脓肿形成等并发症。鼻中隔成形术后黏液纤毛功能有所改善,且具有统计学意义,但两种填塞组之间无统计学显著差异。在早期,使用鼻夹板填塞的患者与使用美洛赛材料的患者相比,嗅觉测试存在统计学显著差异。
嗅觉测试显示两组之间存在显著差异,且在早期具有统计学意义。术后黏液纤毛功能有所改善,但不同鼻腔填塞组之间无统计学差异。