The Effects of Nasal Packing and Transseptal Suturing After Septoplasty on Olfactory Function, Patient Comfort, and Mucociliary Clearance
The Effects of Nasal Packing and Transseptal Suturing After Septoplasty on Olfactory Function, Patient Comfort, and Mucociliary Clearance
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DOI：
10.1097/scs.0000000000002805
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发表时间：
2016-07-01
影响因子：
0.9
通讯作者：
Kulekci, Mehmet
中科院分区：
文献类型：
--
作者：
Dalgic, Abdullah;Is, Abdulhalim;Kulekci, Mehmet
背景：本研究通过评估嗅觉功能、疼痛和粘膜纤毛清除功能，比较鼻中隔成形术后鼻填塞和鼻中隔缝合的效果。方法：该研究纳入了 39 名诊断为孤立性鼻中隔偏曲的患者。患者被随机分为 2 组。在 A 组（n = 21）中，在鼻中隔成形术后放置鼻中隔缝合线以稳定鼻中隔。在 B 组（n = 18）中，鼻中隔成形术后，两个鼻道均用 Merocel 卫生棉条填塞。所有患者术前、术后1周、术后3个月均进行Sniffin Sticks试验、糖胺试验、疼痛不适量表。结果：两组均未出现术后出血、粘膜软骨膜下血肿及脓肿形成。本研究中B组（填塞组）术后不适和疼痛评分均有所增加，两组鼻中隔成形术后粘膜纤毛清除率均有所改善，且两组间粘膜纤毛清除率无显着差异。术后3个月气味阈值、气味识别和气味辨别均显着增加，但术后1周则没有显着增加。结论：鼻填塞比鼻中隔缝合引起更多的不适和疼痛，而鼻填塞与鼻中隔缝合在嗅觉功能或鼻中隔成形术后粘膜纤毛清除方面没有显着差异。
Background: This study compared the effects of nasal packing and transseptal suturing after septoplasty by evaluating olfactory function, pain, and mucociliary clearance.Methods: The study enrolled 39 patients diagnosed with isolated septal deviation. The patients were randomly assigned to 2 groups. In Group A (n = 21), transseptal sutures were placed for septal stabilization after the septoplasty. In Group B (n = 18), both nasal passages were packed with Merocel tampons after the septoplasty. It was made Sniffin Sticks test, sacchranirine test, and pain and discomfort scales preoperatively, 1 week postoperatively and 3 months postoperatively on all patients.Results: There was no postoperative bleeding, submucoperichondrial haematoma, or abscess formation in either group. The postoperative discomfort and pain scores were increased in Group B (the packing group) in our study, the mucociliary clearance improved after septoplasty in both groups, and there was no significant difference in mucociliary clearance between the 2 groups. The odor threshold, odor identification, and odor discrimination were significantly increased 3 months postoperatively, but not 1 week postoperatively.Conclusions: Nasal packing causes more discomfort and pain than transseptal suturing, while there was no significant difference in olfactory functions or the mucociliary clearance after septoplasty between nasal packing and transseptal suturing.