title: Transeptal suturing - a cost-efficient alternative for nasal packing in septal surgery.
abstract: BACKGROUND
  Nasal packing is routinely used in septal surgery to prevent postoperative bleeding.
  
  
  OBJECTIVE
  To demonstrate the possibility of transeptal suture as a safe and effective way to avoid nasal packing and to improve efficiency.
  
  
  METHODS
  This is a prospective, descriptive, inferential cost study comprising 92 patients. Two randomized groups of patients were analyzed, one with nasal packing and the other with transeptal suture.
  
  
  RESULTS
  In the group of transeptal suture no patient experienced postoperative bleeding, and a statistically significant reduction of pain and headache was demonstrated. At the same time, we improved efficiency by saving on material costs.
  
  
  CONCLUSIONS
  Transeptal suture is an effective and safe alternative to classic nasal packing in septal surgery. Moreover, it improves the efficiency of the intervention by saving costs.
authors.affiliation: Head Neck Surg Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain.
authors.forename: Daniel Pérez
authors.initials: DP
authors.lastname: Plasencia
authors.affiliation: Head Neck Surg Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Falcón
authors.affiliation: Head Neck Surg Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain. Electronic address: silviaborkoski@hotmail.com.
authors.forename: Silvia Borkoski
authors.initials: SB
authors.lastname: Barreiro
authors.affiliation: Stomatology Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain.
authors.forename: María Sacramento
authors.initials: MS
authors.lastname: Bocanegra-Pérez
authors.affiliation: Stomatology Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain.
authors.forename: Mario Vicente
authors.initials: MV
authors.lastname: Barrero
authors.affiliation: Head Neck Surg Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain.
authors.forename: Ángel Ramos
authors.initials: ÁR
authors.lastname: Macías
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003362:Cost-Benefit Analysis; D004844:Epistaxis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000191:economics / Q000379:methods*; D010147:Pain Measurement; D011182:Postoperative Care / Q000379:methods; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D011446:Prospective Studies; D013536:Suture Techniques; D013630:Tampons, Surgical; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cirurgia septal; Efficiency; Eficiência; Nasal packing; Septal surgery; Sutura transeptal; Tamponamento nasal; Transeptal suture