The effect of nasal packing and suture technique on systemic oxygen saturation and patient comfort after septoplasty

dc.contributor.authorKazkayası, Mustafa
dc.contributor.authorDinçer, Can
dc.contributor.authorArıkan, Osman Kürşat
dc.contributor.authorKılıç, Rahmi
dc.date.accessioned2020-06-25T15:13:58Z
dc.date.available2020-06-25T15:13:58Z
dc.date.issued2007
dc.departmentKırıkkale Üniversitesi
dc.description.abstractOBJECTIVES: We investigated the effect of intranasal packing placed after septoplasty or alternatively suturing the septum without inserting a packing on systemic oxygen saturation and patient comfort. PATIENTS AND METHODS: The study involved 37 patients who underwent septoplasty for isolated septum deviation. Intranasal packing was used in 18 patients (5 women, 13 men; mean age 30+/-10 years; range 18 to 47 years), while 19 patients (5 women, 14 men; mean age 31+/-12 years; range 18 to 54 years) underwent nasal septal suturing. To evaluate systemic oxygen saturations, partial oxygen saturations were measured pre- and postoperatively by pulse oximetry. The effect of intranasal packing and suturing on patient comfort was assessed by a visual analog scale before and 48 hours after surgery, five days after removal of nasal packing, and 30 days after surgery. RESULTS: Postoperative systemic oxygen saturations exhibited higher levels in the sutured group, but this did not reach significance (p>0.05). The incidence of nasal obstruction was significantly higher with nasal packing (p<0.05). In general, headache and facial pain were more common with nasal packing, while suturing was associated with a higher frequency of nasal crusting, postnasal discharge, and reduced sense of smell (p>0.05). CONCLUSION: Considering that, albeit not significantly, intranasal packing used after septoplasty decreases systemic oxygen saturation more than suturing and thus, has more adverse effects on patient comfort, suturing the septum may be a better alternative, particularly in elderly patients with chronic systemic diseases.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.endpage323en_US
dc.identifier.issn13007475
dc.identifier.issue6en_US
dc.identifier.pmid18187996
dc.identifier.scopus2-s2.0-41449117030
dc.identifier.scopusqualityN/A
dc.identifier.startpage318en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12587/1988
dc.identifier.volume17en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotr
dc.relation.ispartofKulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleThe effect of nasal packing and suture technique on systemic oxygen saturation and patient comfort after septoplastyen_US
dc.title.alternativeSeptoplasti sonrasi nazal tampon veya dikiş tekniğinin sistemik oksijen satürasyonu ve hasta konforu üzerine etkisi.en_US
dc.typeArticle

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