Volume 4

Number 2 July 2020

Comparison between Anterior Nasal Space (ANS) Packing Versus Trans-septal Suturing Method after Septoplasty

DOI: https://doi.org/10.70357/jdamc.2020.v0402.03

Islam M S1 , Islam M R2 , Awual S M A3 , Lodh D4 , Manik M A H5 , Afrin A6

Abstract

Objective: The trans-septal suturing method has been developed in septoplasty as an alternative to packing. This study was carried out to compare the postoperative results of trans-septal suturing with the Anterior Nasal Space packing technique on selected variables of interest (pain, hemorrhage, complications, perforation & hematoma).

Method: This was a Cross sectional comparative study carried out in department of Otolaryngology-Head and Neck Surgery of Sir Salimullah medical college and Mitford hospital, Dhaka. The study involved 60 patients who underwent septoplasty. Following surgery, patients were randomly divided into two groups, one with trans-septal suturing and the other with ANS packing. Patients were interviewed to record pain levels using a visual analogue scale. Postoperative symptoms and complications were compared.

Result: A total of 60 nasal operations were evaluated in the postoperative period considering pain, bleeding, hematoma, nasal synechiae and septal perforation. The results for hemorrhage, hematoma, synechiae and perforation were not statistically different (p > 0.05) between groups. In contrast, the level of postoperative pain in patients undergoing trans-septal suturing was significantly less than in the group who received Anterior Nasal Space Packing (p < 0.05).

Conclusion: Patients with ANS packing had significantly more pain and nasal discomfort as assessed one week after intervention. Therefore, the trans-septal suturing technique may be considered the preferred option to provide higher patient satisfaction.

Keywords: Septoplasty, Trans-septal suturing, Nasal packing


  1. Registrar, Department of ENT and Head Neck Surgery

    Sir Salimullah Medical College and Mitford Hospital, Dhaka

  2. Professor, Department of ENT and Head Neck Surgery

    Diabetic Association Medical College, Faridpur

  3. Assistant Professor, Department of ENT and Head Neck Surgery

    Sir Salimullah Medical College and Mitford Hospital, Dhaka

  4. Associate Professor, Department of ENT and Head Neck Surgery

    Sir Salimullah Medical College and Mitford Hospital, Dhaka

  5. Medical Officer, Dept. of ENT and Head Neck Surgery

    BSMMU, Dhaka

  6. Medical Officer

    Upazilla Health Complex, Muradnagar, Cumilla

Download PDF File Cite

Volume 4, Number 2 July 2020
Page: 8-11