Nasal Septal Suture Technique versus Nasal Packing after Septoplasty

2005 ◽  
Vol 19 (6) ◽  
pp. 599-602 ◽  
Author(s):  
Altan Yildirim ◽  
Mehmet Yasar ◽  
Ali Ihsan Bebek ◽  
Ercan Canbay ◽  
Tanfer Kunt
Keyword(s):  
Middle Ear ◽  
Suture Technique ◽  
Septal Deviation ◽  
Nasal Packing ◽  
Blood Gas ◽  
Nasal Septal Deviation ◽  
Nasal Cavities ◽  
Arterial Blood ◽  
Middle Ear Pressure ◽  
Septal Suture

Background The aim of this study was to compare eustachian function and blood gas changes with nasal packing (NP) and nasal septal suturing (NSS) after septoplasty. Methods Eighty patients who have nasal septal deviation and who otherwise are healthy were studied. Forty of these patients had finger glove NPs in their nasal cavities for 48 hours after septoplasty. Another 40 patients had NSS performed after septoplasty. Acoustic tympanometry and pH, PCO2, and PO2 analyses of arterial blood were performed preoperatively and 48 hours postoperatively. Results We observed a statistically significant increase in middle ear pressure (p < 0.001) and a significant reduction of PO2 (p < 0.001) and increase of PCO2 (p = 0.041) in the NP group but no difference in the NSS group, postoperatively. Conclusion NSS should be preferred as an alternative to intranasal packing.

Effect of Nasal Packing on Middle Ear Pressure

2016 ◽  
Vol 1 (2) ◽  
pp. 52-56
Author(s):  
Abhinav Srivastava ◽  
Puneet Shukla
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Hearing Threshold ◽  
Cross Sectional Study ◽  
Nasal Packing ◽  
Cross Sectional ◽  
Nasal Pack ◽  
Middle Ear Pressure ◽  
Tube Function

ABSTRACT Introduction Eustachian tube connects nasopharynx with the tympanic cavity. The normal middle ear has an inherent tendency to lose gas to maintain the middle ear pressure by diffusion into the surrounding tissues and circulation. Materials and methods This cross-sectional study was conducted in 2012 to 2014. A total of 100 ears of 50 consecutive cases undergoing nasal surgery followed by bilateral nasal packing were included in the study and the middle ear pressure and hearing threshold were determined in all the subjects in presurgery, and then after 48 hours of surgery with nasal packing in situ and then at 7 and 30 days of nasal pack removal. Conclusion There is an increase in middle ear pressure transiently for few days while the nasal pack is in situ, which returns to normal in a month after pack removal; but, in chronic nasal obstruction cases, such as nasal polyps, there is persistent negative middle ear pressure, probably due to irreversible changes in the Eustachian tube function. How to cite this article Mohan C, Srivastava A, Shukla P. Effect of Nasal Packing on Middle Ear Pressure. Int J Adv Integ Med Sci 2016;1(2):52-56.

scholarly journals Is postoperative nasal packing after septoplasty safe? A systematic review and meta-analysis of randomized controlled studies

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
C.K. Titirungruang ◽  
N. Charakorn ◽  
B. Chaitusaney ◽  
P. Hirunwiwatkul
Keyword(s):  
Systematic Review ◽  
Adverse Events ◽  
Respiratory Distress ◽  
Sleep Disturbance ◽  
Septal Deviation ◽  
Oxygen Desaturation ◽  
Nasal Packing ◽  
Cochrane Library ◽  
Randomized Controlled ◽  
Septal Suture

BJECTIVES: To systemically review and compare post-septoplasty complications between total nasal packing and other techniques. METHODOLOGY: We searched electronic databases (PubMed, Scopus, and Cochrane Library) and additional sources. The most recent search was on November 30th, 2020. Randomized controlled trials (RCTs) comparing adverse events after post-septoplasty nasal packing versus other techniques were included. The outcomes were adverse events, including respiratory distress, oxygen desaturation, pain severity, bleeding, hematoma, sleep disturbance, infection, crusting, epiphora, dysphagia, perforation, adhesion, and residual septal deviation. RESULTS: There were 47 studies (4,087 participants) in this systematic review. Nasal packing was more likely to cause adverse events than other techniques. There were significant increases in respiratory distress, pain, sleep disturbance, crusting, epiphora, dysphagia, and adhesion. There were no statistically significant differences in oxygen desaturation, bleeding, hematoma, infection, perforation, and residual septal deviation. Subgroup analysis found that trans-septal suture was less likely to cause postoperative complications compared with total nasal packing. CONCLUSION: Nasal packing after septoplasty was more likely to cause adverse events, including respiratory distress, pain, sleep disturbance, crusting, epiphora, dysphagia, and adhesion. Furthermore, there were no benefits of nasal packing in preventing bleeding, hematoma, and residual septal deviation when compared with other techniques. Routine nasal packing after septoplasty should be avoided. Trans-septal suture should be considered instead.

“EFFECT OF ANTERIOR NASAL PACKING ON MIDDLE EAR FUNCTION AND HEARING: A PROSPECTIVE STUDY”

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 9-14
Author(s):  
Sachin Jain
Keyword(s):  
Prospective Study ◽  
Key Words ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Hearing Threshold ◽  
Nasal Packing ◽  
Middle Ear Pressure ◽  
A Prospective Study

Introduction- The Eustachian tube provides an anatomic communication between the middle ear and nasopharynx, and maintains pressure equality across the tympanic membrane. Objective- To see the effect of anterior nasal packing on Otological symptoms, middle ear pressure and hearing Materials and method- This prospective study was carried out during period of September 2018 till August 2019. 100 ears were taken in the study. Middle ear pressure and hearing threshold were evaluated by Tympanometry and Audiometry respectively. Results- Postoperatively two days after anterior nasal packing, there was increase in no. of patient ears with ear fullness, ear ache, tinnitus, hearing threshold and abnormal negative middle ear pressure. After removal of nasal packing up to twelve weeks, improvement in middle ear pressure and hearing threshold was seen. Conclusion- Anterior nasal packing causes decrease in middle ear pressure and increase in hearing threshold. Key words- Eustachian tube, Middle ear pressure, Hearing threshold

scholarly journals Effect of Anterior Nasal Packing on Eustachian Tube Function and Middle Ear Pressure

2020 ◽  
Vol 23 (1) ◽  
pp. 27-31
Author(s):  
Md Manjur Rahim ◽  
Ahmmad Taous ◽  
Md Hasan Zafar ◽  
Mozharul Islam ◽  
Khalid Asad ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Neck Surgery ◽  
Nasal Packing ◽  
Middle Ear Pressure ◽  
Tube Dysfunction ◽  
Tube Function ◽  
Medical University ◽  
Head Neck Surgery ◽  
Head Neck

The present study includes evaluation 60 ears of 30 nasal patients admitted to department of Otolaryngology and Head-Neck Surgery at Banghabandhu Sheikh Mujib Medical University. Each patient underwent nasal surgery followed by anterior nasal packing for 48 hours. All patients were investigated by tympanometry prior to surgery, 2nd post operative day before pack removal and on 7th post operative day 5 days after pack removal. This study shows that nasal packing result in Eustachian tube dysfunction and negative middle ear pressure which is reversible in nature. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 27-31

scholarly journals Do the Types of Nasal Packing Used in Septoplasty Affect Middle Ear Pressure?

2021 ◽  
Vol 4 (1) ◽  
pp. 26-29
Author(s):  
Burak Erden ◽  
◽  
Burak Mustafa Tas ◽  
Serkan Turkili ◽  
Hilmi Ugras ◽  
...  
Keyword(s):  
Middle Ear ◽  
Nasal Packing ◽  
Middle Ear Pressure

scholarly journals Comparison of Odiosoft-Rhino and rhinomanometry in evaluation of nasal patency

2011 ◽  
Vol 49 (1) ◽  
pp. 41-45
Author(s):  
Rauf Tahamiler ◽  
Yalcin Alimoglu ◽  
Salih Canakcioglu
Keyword(s):  
Visual Analogue Score ◽  
Septal Deviation ◽  
Control Group ◽  
Nasal Patency ◽  
Nasal Septal Deviation ◽  
Endoscopic Findings ◽  
Nasal Cavities ◽  
Significant Difference ◽  
Left And Right ◽  
And Control

OBJECTIVE: To conduct a preliminary study testing the validity of the Odiosoft-Rhino (OR) in the evaluation of nasal patency in patients with nasal septal deviation and compare the results with visual analogue score (VAS) of nasal obstruction and rhinomanometry (RMM). METHODS: OR and RMM were performed on 68 patients with nasal septal deviation and 61 healthy controls. VAS, nasal resistance values and nasal sound analysis were noted for the left and right nasal cavities. RESULTS: There are statistically significant differences between VAS, RMM and nasal endoscopic findings between the patient and the control group. The OR results at expiratory and inspiratory 2000 - 4000 Hz and 4000 - 6000 Hz intervals for both nasal cavities show a statistically significant difference between the patient and control groups. Nasal endoscopic findings, RMM, OR results of the deviated sides in the 2000 - 4000 Hz interval correlate well with VAS. CONCLUSIONS: OR may be a practical test in assessment of nasal patency. OR at the 2000 - 4000 Hz interval shows a correlation with VAS. However, showing a correlation between a test and a variable is not the same as proving that it is a useful diagnostic test. Therefore, more studies with larger series are needed.

scholarly journals Anterior nasal packing: does it affect middle ear pressure?

2020 ◽  
Vol 6 (7) ◽  
pp. 1316
Author(s):  
K. Pragadeeswaran ◽  
Raj Prakash Yadavkrishnan ◽  
Roopak Visakan Raja
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Tertiary Care ◽  
Nasal Packing ◽  
Care Hospital ◽  
Eustachian Tube Function ◽  
Nasal Surgery ◽  
Middle Ear Pressure ◽  
Septal Surgery ◽  
Tube Function

<p class="abstract"><strong>Background:</strong> Eustachian tube maintains middle ear pressure equal to that of atmosphere. Its function may be deranged due to variety of factors like adenoids, cleft palate, nasogastric tubes, allergy, nasopharyngeal intubations and also by nasal packing following septal surgery. Our aim was to evaluate the effect of anterior nasal packing protocol, on eustachian tube function, followed in our ENT Department for nasal surgeries.</p><p class="abstract"><strong>Methods:</strong> A descriptive study was done on 60 patients undergoing nasal surgery from March to November 2018 was done in the ENT Department of a tertiary care hospital.<strong> </strong>All patients underwent pre-operative otoscopic examination followed by tympanometry. Tympanometry was repeated following nasal surgery with nasal pack in situ and again 24 hours after removal of pack. The results of all these 3 impedance audiometries were tabulated and analysed.  </p><p class="abstract"><strong>Results:</strong> Pre-operatively both ears in all the patients showed type a tympanometry, which implied normal eustachian tube function. Out of 60 patients who underwent nasal surgeries, 40 had abnormal impedance tympanograms immediately after surgery. 26 patients had abnormal impedance tympanogram after pack removal. These patients were treated with nasal decongestants and antibiotics which were routinely prescribed as a post-operative prophylaxis. These patients 1 week after pack removal recorded a normal tympanogram.</p><p class="abstract"><strong>Conclusions:</strong> Changes in middle ear pressure following nasal packing associated with most nasal surgeries were transient but not severe. Hence, we conclude that anterior nasal packing for 24 hours is considered safe, if no other co-morbid factors for altering middle ear pressures are present.</p>

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