ANTERIOR NASAL PACKING POST SUBMUCOUS RESECTION (SMR): A COMPARISON BETWEEN REMOVAL ON 1ST VERSUS 2ND POST OPERATIVE DAY

Objective: To evaluate the effect of removal of nasal packs after sub mucous resection (SMR) on the first postoperative day versus second post operative day in terms of bleeding control and prevention of septal hematoma formation. Study Design: Comparative cross sectional study. Place and Duration of Study: ENT department, Combined Military Hospital Jhelum Pakistan, from Oct 2017 toOct 2018. Methodology: Total 100 patients of both genders, ages from 16 to 35 years with a deviated nasal septum wereincluded. Written informed consent was taken and hospital ethical committee approval was obtained. Patientswere randomly divided into two groups of 50 patients each by simple random sampling. Patients in both groupsunderwent submucous resection. Patients in whom sub mucous resection was combined with other procedureslike rhinoplasty, turbinectomy, polypectomy were excluded. In group A the nasal packs were removed on thefirst post operative day. In group B the nasal packs were removed on the second post operative day. Nasal packing in all patients was done with vaseline gauze rolls. The groups were compared for bleeding at the time of nasal pack removal and septal hematoma formation in the follow up period. Results: There was no statistically significant difference between the two groups in terms of bleeding (p-value0.40) and septal hematoma formation (p-value 0.49). Conclusion: After sub mucous resection, removal of nasal packs on 1st versus 2nd post operative day is notassociated with any significant difference in bleeding and septal hematoma formation.

A comparative study on the surgical outcome of submucous resection and septoplasty

<p><strong>Introduction: </strong>Surgery on a deviated septum has seen several modifications since its inception, starting from radical septal resection to the preservation of the possible septal framework. Deviated nasal septum (DNS) leads to nasal obstruction is a common problem encountered by the Otolaryngologist. Many surgeries are available for correcting septal disorders. The aim of our study is to compare the surgical outcome of submucous resection and septoplasty.<strong></strong></p><p><strong>Methods: </strong>This prospective comparative single institutional interventional study was conducted in the department of otorhinolaryngology, Aarupadai Veedu Medical College between October 2015 to September 2017 to compare the submucous resection and septoplasty. Total of 50 patients who randomly divided into two groups and the treatment protocol and follow up protocol was followed and the outcome results were statistically analysed and discussed.<strong></strong></p><p><strong>Results: </strong>Out of 50 patients 25 patients had sub mucosal resection and 25 patients had septoplasty. All the 50 patients had nasal obstruction followed by headache present 35 patients, nasal discharge in 6 patients, postnasal drip in 7 patients and hyposmia in 7 patients. Based on endoscopy finding c shaped DNS 43 patients, 7 patients had s-shaped DNS, 7 patients had spur. Based on postoperative symptoms, the nasal block was present in 3 patients.<strong></strong></p><p><strong>Conclusion: </strong>From this study, we concluded that deviated nasal septum is more common in females of age group 30 years with the most common symptoms is nasal obstruction. Symptom relief is comparatively equal in both the surgeries but the complication is more common in sub mucosal resection.</p>

Complications of Submucous Resection versus Septoplasty in Deviated Nasal Septum

Introduction: A deviated or deflected septum is a condition in which the nasal septum consisting of bone and cartilage and that divide the nasal cavity into two halves is significantly off-center, or twisted, making breathing difficult. Two conventional methods that are septoplasty and sub-mucous resection were used for the correction of the deviated nasal septum with varying degrees of complications. Objective: The objective of this study was to compare the complications of sub-mucous resection and septoplasty in patients with the deviated nasal septum. Material and Methods: A Quasi-experimental study was conducted at the Department of Otolaryngology at Bolan Medical Complex, Quetta for a period of one year i.e. from 15-03-2015 to 20-09-2015. 100 patients were selected and divided into two groups. A total of 50 patients were selected for septoplasty and 50 for sub-mucous resection. Patients with nasal bone fracture and external nasal deformity were excluded from the study. Results: Postoperative complications like adhesions were found in 4 cases of each group. Septal perforation found in 3 patients of sub-mucous resection and one patient of septoplasty. Septal hematoma formed in 2 patients of sub-mucous resection only, supra-tip nasal deformity in 2 patients in both groups. Persistence of symptoms in 8 patients of septoplasty and one patient of sub-mucous resection while columellar restriction occurred in only one patent who underwent submucous resection. Conclusion: Sub-mucous resection procedure is technically relatively easy to perform with fewer complications than septoplasty so it deserves it prime role as a surgical procedure for nasal septum corrective surgery. Keywords: Deviated nasal septum, nasal septum corrective surgery, sub-mucous resection, septoplasty