Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?

Objective: Nasal packing is routinely applied after septoplasty. Patients, however, report feeling very uncomfortable while the packing is in place. The aim of this study was to compare the effects of nasal septum suture combined with inferior turbinate coblation to the effects of nasal packing afte...

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Autores principales: Hui Li, Min Wang, Yu-Xiao Wu, Szuchi Wang, Zhi-Min Xing
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2017
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Acceso en línea:https://doaj.org/article/a011f83454ca4b50b82618ba32da66c4
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spelling oai:doaj.org-article:a011f83454ca4b50b82618ba32da66c42021-12-02T15:50:10ZNasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?2095-881110.1016/j.wjorl.2017.02.002https://doaj.org/article/a011f83454ca4b50b82618ba32da66c42017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117300173https://doaj.org/toc/2095-8811Objective: Nasal packing is routinely applied after septoplasty. Patients, however, report feeling very uncomfortable while the packing is in place. The aim of this study was to compare the effects of nasal septum suture combined with inferior turbinate coblation to the effects of nasal packing after septoplasty. Methods: In this study, 135 patients undergoing septoplasty were divided into 3 groups: group 1 patients had microdebrider with packing, group 2 received coblation with packing and group 3 had coblation with suture. Early postoperative quality of life and complications were compared between the 3 groups. Results: The patients in group 1 experienced the most postoperative nasal pain, headache, dysphagia, sleep disturbance and bleeding on the night of surgery; while the patients in group 3 experienced the fewest symptoms. No difference in epiphora was observed between the 3 groups. More pain and bleeding were experienced when comparing the pack removal (Group 1 and 2) with the clearance of the nasal cavity (Group 3). We noted one case of postoperative bleeding in group 1, one septal hematoma in group 1 and a second septal hematoma in group 2. No such postoperative complications were found in group 3. Conclusion: Nasal septum suture combined with inferior turbinate coblation was not only associated with less pain, increased patient satisfaction and an improved quality of life; but also reduced postoperative complications. Our results confirm that it is a more comfortable, reliable alternative to the more common nasal packing. Keywords: Septoplasty, Nasal septal suture, Inferior turbinate coblation, Nasal packingHui LiMin WangYu-Xiao WuSzuchi WangZhi-Min XingKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 1, Pp 44-48 (2017)
institution DOAJ
collection DOAJ
language EN
topic Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Otorhinolaryngology
RF1-547
Surgery
RD1-811
Hui Li
Min Wang
Yu-Xiao Wu
Szuchi Wang
Zhi-Min Xing
Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?
description Objective: Nasal packing is routinely applied after septoplasty. Patients, however, report feeling very uncomfortable while the packing is in place. The aim of this study was to compare the effects of nasal septum suture combined with inferior turbinate coblation to the effects of nasal packing after septoplasty. Methods: In this study, 135 patients undergoing septoplasty were divided into 3 groups: group 1 patients had microdebrider with packing, group 2 received coblation with packing and group 3 had coblation with suture. Early postoperative quality of life and complications were compared between the 3 groups. Results: The patients in group 1 experienced the most postoperative nasal pain, headache, dysphagia, sleep disturbance and bleeding on the night of surgery; while the patients in group 3 experienced the fewest symptoms. No difference in epiphora was observed between the 3 groups. More pain and bleeding were experienced when comparing the pack removal (Group 1 and 2) with the clearance of the nasal cavity (Group 3). We noted one case of postoperative bleeding in group 1, one septal hematoma in group 1 and a second septal hematoma in group 2. No such postoperative complications were found in group 3. Conclusion: Nasal septum suture combined with inferior turbinate coblation was not only associated with less pain, increased patient satisfaction and an improved quality of life; but also reduced postoperative complications. Our results confirm that it is a more comfortable, reliable alternative to the more common nasal packing. Keywords: Septoplasty, Nasal septal suture, Inferior turbinate coblation, Nasal packing
format article
author Hui Li
Min Wang
Yu-Xiao Wu
Szuchi Wang
Zhi-Min Xing
author_facet Hui Li
Min Wang
Yu-Xiao Wu
Szuchi Wang
Zhi-Min Xing
author_sort Hui Li
title Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?
title_short Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?
title_full Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?
title_fullStr Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?
title_full_unstemmed Nasal septum suture combined with inferior turbinate coblation after septoplasty: Does it improve quality of life and reduce complications?
title_sort nasal septum suture combined with inferior turbinate coblation after septoplasty: does it improve quality of life and reduce complications?
publisher KeAi Communications Co., Ltd.
publishDate 2017
url https://doaj.org/article/a011f83454ca4b50b82618ba32da66c4
work_keys_str_mv AT huili nasalseptumsuturecombinedwithinferiorturbinatecoblationafterseptoplastydoesitimprovequalityoflifeandreducecomplications
AT minwang nasalseptumsuturecombinedwithinferiorturbinatecoblationafterseptoplastydoesitimprovequalityoflifeandreducecomplications
AT yuxiaowu nasalseptumsuturecombinedwithinferiorturbinatecoblationafterseptoplastydoesitimprovequalityoflifeandreducecomplications
AT szuchiwang nasalseptumsuturecombinedwithinferiorturbinatecoblationafterseptoplastydoesitimprovequalityoflifeandreducecomplications
AT zhiminxing nasalseptumsuturecombinedwithinferiorturbinatecoblationafterseptoplastydoesitimprovequalityoflifeandreducecomplications
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