Scientific Online Resource System

Varna Medical Forum

Intranasal Splints as an Alternative to Intranasal Packing Following Septoplasty: A Literature Review

Polina Ivanova, Georgi Iliev

Abstract

In the postoperative period following septoplasty, various types of tamponades and nasal splints are used. They play an important role in surgical outcomes. The use of intranasal packing and splints still remains controversial in the medical literature. Since the beginning of the 21st century, the method of transmucoseptal sutures following septoplasty has been utilized as a reliable alternative to intranasal packing. Recent studies recommend the use of intranasal splints instead of tamponades, reporting a positive impact on postoperative bleeding, patients’ comfort, the prevention of erosions and trauma to the nasal mucosa, and the development of synechiae.


Keywords

septoplasty; nasal packing; intranasal splints

Full Text


References

Acıoğlu E, Edizer DT, Yiğit Ö, Onur F, Alkan Z. Nasal septal packing: which one?. Eur Arch Otorhinolaryngol. 2012;269(7):1777-1781. doi:10.1007/s00405-011-1842-1

Adams, W. On the treatment of broken-nose by forcible straightening and mechanical retentive apparatus. The British Medical Journal, 1875; 2(770):421-422

Bailey, B. J. (1997). Nasal Septal Surgery 1896-1899:Transition and Controversy. The Laryngoscope, 107(1), 10–16.

doi:10.1097/00005537-199701000-00005

Beule AG, Weber RK, Kaftan H, Hosemann W. Pathophysiology and Methodology of nasal packing. Laryngorhinootology 2004; 83: 534-51.

Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States:

Demographics and perioperative outcomes. Laryngoscope 2010;120(3):635-8.

Bingol F, Ali B, Eda S, Korhan K, Buket OB et al (2017) Comparison of early-period results of nasal splint and merocel nasal packs in septoplasty. Turk Otolarengol Arsivi/Turk Arch Otolaryngol 55(3):136–139.

https://doi.org/10.5152/tao.2017.2259

Chheda N, Katz A, Gynizio L, Singer A (2009) The Pain of Nasal Tampon Removal After Nasal Surgery: A Randomized Control Trial. Otolaryngol-Head Neck Surg 140: 215-217

Cho KS, Shin SK, Lee JH, et al. The efficacy of Cutanplast nasal packing after endoscopic sinus surgery: a prospective, randomized, controlled trial. Laryngoscope. 2013;123(3):564-568. doi:10.1002/lary.23643

Clark DW, Del Signore AG, Raithatha R, Senior BA. Nasal airway obstruction: Prevalence and anatomic contributors. Ear Nose Throat J. 2018;97(6):173-176. doi:10.1177/014556131809700615

Cukurova I, Cetinkaya EA, Mercan GC, Demirhan E, Gumussoy M et al (2012) Retrospective analysis of 697 septoplasty surgery cases: packing versus trans-septal suturing method. Acta Otorhinolaryngologica Italica: Organo Ufciale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale 32(2):111–114

Deborah Watson, MD. Jan 21, 2021. Septoplasty. History of the procedure. Retrieved from https://emedicine.medscape.com/article/877677-overview#a5

Deniz M, Ciftçi Z, Işık A, Demirel OB, Gültekin E. The impact of different nasal packings on postoperative complications. Am J Otolaryngol. 2014;35(5):554-557. doi:10.1016/j.amjoto.2014.04.001

Donald P. Postoperative care of the rhinoplasty patient. Otolaryngol Clin North Am. 1975; 8:797-806.

Doyle DE, House LF, Hall WP. Description of a new device: an intranasal airway/splint. Laryngoscope. 1977 Apr;87(4 Pt 1):608-12. doi: 10.1288/00005537-197704000-00013. PMID: 839944.

Eşki E, Yılmaz İ. Pack free septoplasty: functional outcomes and complications. Kulak Burun Bogaz Ihtis Derg. 2015;25(5):275-8. doi: 10.5606/kbbihtisas.2015.01879. PMID: 26476515.

Eşki, E., Güvenç, I. A., Hızal, E., & Yılmaz, I. (2014). Effects of nasal pack use on surgical success in septoplasty. Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 24(4), 206–210. https://doi.org/10.5606/kbbihtisas.2014.82160

Fettman, N., Sanford, T., & Sindwani, R. (2009). Surgical Management of the Deviated Septum: Techniques in Septoplasty. Otolaryngologic Clinics of North America, 42(2), 241–252. doi:10.1016/j.otc.2009.01.005

Gamerra M, Cantone E, Sorrentino G, et al. Mathematical model for the preoperative identification of obstructed nasal subsites. Acta Otorhinolaryngol Ital 2017;37:410-5.

Goode, R. L. (1982). Magnetic Intranasal Splints. Archives of Otolaryngology - Head and Neck Surgery, 108(5), 319–319. doi:10.1001/archotol.1982.0079053

Jonas NE, Meyer E. Magnetic foreign body on the nasal septum. S Afr J Surg 2007;45:151

Jung YG, Hong JW, Eun YG, Kim MG. Objective usefulness of thin silastic septal splints after septal surgery. Am J Rhinol Allergy 2011;25:182–5

Kamer F, Parkes M. An absorbent, non-adherent nasal pack. Laryngoscope. 1975;85:384-388.

Kotler R, Wahl K, Lee KJ (2020) Solving the problem of post-operative airway obstruction in Nasal/Sinus Surgery. Arch Otolaryngol Rhinol 6(3): 091-097. DOI: 10.17352/2455-1759.000131

https://dx.doi.org/10.17352/2455-1759.000131

Kuduban O, Bingol F, Budak A, et al. The reason of dissatisfaction of patient after septoplasty. Eurasian J Med 2015;47:190-3.

Lau, J., Elhassan, H., & Singh, N. (2018). History of intranasal splints. The Journal of Laryngology & Otology, 132(3), 198-201. doi:10.1017/S0022215118000142

Mlynski G. Surgery of the nasal septum. Facial Plast Surg 2006;22(4):223-9.

Nayak D R, Murty K D, Balakrishna R. Septal splint with wax plates. J Postgrad Med [serial online] 1995

Plasencia DP, Falcón JC, Barreiro SB, Bocanegra-Pérez MS, Barrero MV, Macías AR. Transeptal suturing --- acost-efficient alternative for nasal packing in septal surgery. Braz J Otorhinolaryngol. 2016;82:310---3.

Reiter, D., Alford, E., & Jabourian, Z. (1989). Alternatives to Packing in Septorhinoplasty. Archives of Otolaryngology - Head and Neck Surgery, 115(10), 1203–1205.

Reuter SH. The bivalve teflon nasal septal splint. Trans Am Acad Ophthalmol Otolaryngol 1973;77:ORL146–8

Rhee JS, Book DT, Burzynski M, Smith TL. Quality of life assessment in nasal airway obstruction. Laryngoscope 2003;113(7):1118-22.

S.J. Kim, D.S. Chang, M.S. Choi, et al., Efficacy of nasal septal splints for preventing complications after septoplasty: A meta-analysis, American Journal of Otolaryngology--Head and Neck Medicine and Surgery. 2020

Salinger S, Cohen BM. Surgery of the difficult septum. AMA Arch Otolaryngol 1955;61:419–21

Seghers, N., Ledeghen, S., Collet, S. et al. Safety of (rhino)septoplasty without nasal packing in routine ENT practice. Eur Arch Otorhinolaryngol 278, 4329–4333 (2021). https://doi.org/10.1007/s00405-021-06713-9

Seltzer AP: Electromagnetic nasal packing. Trans Am Acad Ophthalmol Otolaryngol 1971;75:408-409.

Shermetaro C, Charnesky M. Pediatric nasal septal perforation secondary to magnet misuse: a case report. Ear Nose Throat J 2007;86:675–6

Shone GR, Clegg RT. Nasal adhesions. Journal of Laryngology and Otology 1987;101:555-57.

Subramaniam V, Basheer M, Hosagadde RS. Evolution of correction of the deviated nasal septum – A historical overview. Arch Med Health Sci 2018;6:293-7.

Tang S, Kacker A. Should intranasal splints be used after nasal septal surgery? Laryngoscope 2012;122:1647-8

Veluswamy A, Handa S, Shivaswamy S. Nasal septal clips: An alternative to nasal packing after septal surgery? Indian J Otolaryngol Head Neck Surg 2012; 64(4): 346-50

Wagner R, Toback JM. Toxic shock syndrome following septoplasty using plastic septal splints. Laryngoscope 1986;96:609–10

Weber R, Keerl R, Hochapfel F, Draf W, Toffel PH. Packing in endonasal surgery. American Journal of Otolaryngology 2001; 22(5): 306-20.

Weber RK, Hay U. Is packing for nose up-to date? Laryngorhinootologe 2003; 82: 6504-08.

Wright WK. Principles of nasal septum reconstruction. Trans Am Acad Ophthalmol Otolaryngol 1969;73:252-5

Zheng J, Wang YP, Dong Z, Yang ZQ, Sun W. [Nasal cavity volume and nasopharyngeal cavity volume in adults measured by acoustic rhinometry]. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2000 Nov;14(11):494-5. Chinese. PMID: 12563939.




DOI: http://dx.doi.org/10.14748/vmf.v12i1.8911

Refbacks

Font Size


|