Pharyngeal packing is a predisposing factor for postoperative aphthous stomatitis in nasal surgery.
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.
Erkalp
Kerem
K
Department of Anesthesiology, Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
Korkut
Yasemin Arzu
YA
Meric
Aysenur
A
Kahya
Volkan
V
Gedikli
Orhan
O
Su
Ozlem Kucuk
OK
Saitoglu
Leyla
L
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*