title: Pharyngeal packing is a predisposing factor for postoperative aphthous stomatitis in nasal surgery.
abstract: OBJECTIVE
  To evaluate whether pharyngeal packing is a predisposing factor for the development of postoperative aphthous stomatitis in nasal surgery.
  
  
  METHODS
  A prospective, randomized, controlled trial.
  
  
  METHODS
  A tertiary referral center.
  
  
  METHODS
  After the study was approved by the local ethics committee, 100 adult patients scheduled for routine nasal surgery were enrolled. The development of postoperative aphthous lesions within three days after surgery was evaluated in patients in whom a pharyngeal pack was (Group 1) or was not (Group 2) applied during nasal surgery.
  
  
  RESULTS
  In Group 1, the presence of pharyngeal pack increased the risk for postoperative oral mucosal aphthae development by 4.64 times (P = 0.02, RR = 4.64, 95% CI = 1.22-17.91). No significant associations were found between postoperative oral mucosal aphthae development and sex (P = 1), age (P = 0.69), height (P = 0.73), weight (P = 0.22), or duration of surgery (P = 0.47) in Group 1.
  
  
  CONCLUSIONS
  Pharyngeal packing during nasal surgery increases postoperative morbidity by leading to the development of painful oral aphthous lesions.
authors.affiliation: Department of Anesthesiology, Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
authors.forename: Kerem
authors.initials: K
authors.lastname: Erkalp
authors.forename: Yasemin Arzu
authors.initials: YA
authors.lastname: Korkut
authors.forename: Aysenur
authors.initials: A
authors.lastname: Meric
authors.forename: Volkan
authors.initials: V
authors.lastname: Kahya
authors.forename: Orhan
authors.initials: O
authors.lastname: Gedikli
authors.forename: Ozlem Kucuk
authors.initials: OK
authors.lastname: Su
authors.forename: Leyla
authors.initials: L
authors.lastname: Saitoglu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D009666:Nose / Q000601:surgery*; D010614:Pharynx; D011183:Postoperative Complications; D011446:Prospective Studies; D013281:Stomatitis, Aphthous / Q000209:etiology*; D013630:Tampons, Surgical / Q000009:adverse effects*