Nasal packing in cosmetic and functional nasal surgery.
OBJECTIVE
To evaluate the routine use of nasal packing after cosmetic and functional nasal surgery.


METHODS
Prospective collection from 2005 to 2006 at King Abdulaziz University Hospital in Riyadh for 54 patients post-septorhinoplasty with and without submucous diathermy or lateralization of inferior turbinate were evaluated for efficacy and complications of nasal packing which kept for different duration.


RESULTS
All 54 patients had septoplasty, 21 with rhinoplasty, 12 with SMD, and 24 patients had inferior turbinate lateralization. Eight cm slim Merocel packed in 67 nasal cavity sides, 8 cm regular Merocel packed in 24 sides and 10 cm regular Merocel packed in 6 sides. Thirty-seven patients had the pack for 6 hours then removed and 17 patients had it for 24 hours. Forty-one patients with no significant discomfort, 13 patients with mild to moderate discomfort.


CONCLUSIONS
Septorhinoplasty and SMD or lateralization of inferior turbinate can be managed without packing or any other hemostatic measures.
Al-Arfaj
Ahmad A
AA
Department of Otorhinolaryngology, Head & Neck Surgery, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
Al-Swiahb
Jamil N
JN
Al-Harthy
Sami
S
Al-Essa
Mohammed
M
D000293:Adolescent; D000328:Adult; D002648:Child; D004844:Epistaxis / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D005557:Formaldehyde / Q000008:administration & dosage*; D006488:Hemostasis, Surgical; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D009296:Nasal Cavity; D011142:Polyvinyl Alcohol / Q000008:administration & dosage*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy*; D011446:Prospective Studies; D012225:Rhinoplasty / Q000009:adverse effects; D016896:Treatment Outcome
D006490:Hemostatics; D005557:Formaldehyde; C027490:polyvinyl alcohol formaldehyde foam; D011142:Polyvinyl Alcohol