Transseptal Suturing With Turbinate Coblation in Nasal Septoturbinoplasty.
J Craniofac Surg
; 32(2): 734-737, 2021.
Article
em En
| MEDLINE
| ID: mdl-33705022
ABSTRACT
OBJECTIVE:
Transseptal suture-assisted septoplasty and coblation are two techniques that can effectively treat septal deviation and inferior turbinate hypertrophy without the need for post-operative packing. In the existing literature, however, the early post-operative symptoms and surgical outcomes of the combination of these 2 procedures have not been addressed.METHOD:
This retrospective study included 65 patients who underwent concomitant nasal septoturbinoplasty. The patients were divided into two groups the transseptal suture-assisted septoplasty and inferior turbinate coblation group (no-packing group 33 patients) and the conventional septoturbinoplasty group with merocel packing (packing group 32 patients). The post-operative symptoms within 14 days, complications and surgical outcomes at 3 months after surgery were recorded and analyzed.RESULTS:
The patients in the no-packing group experienced less nasal obstruction on the first, second and third days post-operatively than those in the packing group (Pâ<â0.000, Pâ<â0.000, and Pâ=â0.043, respectively). The patients in the no-packing group also had less nasal bleeding (Pâ=â0.000 and Pâ=â0.001), dry mouth sensation (Pâ=â0.016 and Pâ=â0.034) and swallowing disturbance (Pâ=â0.013 and Pâ=â0.012) on the first and second days post-operatively, respectively. In terms of orbital symptoms, the patients in the packing group had more severe epiphora (Pâ=â0.031) and swelling sensations (Pâ=â0.040) on the first day post-operatively.CONCLUSIONS:
Transseptal suturing and coblation-assisted septoturbinoplasty can be considered to prevent packing-related comorbidities and reduce post-operative discomfort.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Conchas Nasais
/
Técnicas de Sutura
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article