Application of nasal endoscopic continuous penetrating suture and nasal packing in deflection of nasal septum plasty
- VernacularTitle:鼻内镜辅助下连续贯穿缝合和鼻腔填塞在鼻中隔偏曲矫正术中的应用
- Author:
Chao TANG
1
;
Qing XU
;
Jiaying HUANG
Author Information
- Keywords: deflection of nasal septum(DNS); continuous penetrating suture; nasal packing; subjective discomfort; nasal ventilation; complication
- From: China Journal of Endoscopy 2024;30(3):81-86
- CountryChina
- Language:Chinese
- Abstract: Objective To analyze the effects of nasal endoscopic continuous penetrating suture and nasal packing on discomfort and complications in patients undergoing deflection of nasal septum(DNS)plasty.Methods 116 patients undergoing DNS plasty were enrolled between March 2018 and March 2023,including 69 cases in packing group score(nasal packing)and 47 cases in suture group(continuous penetrating suture).The scores of pain[evaluated by visual analogue scale(VAS)]and epistaxis caused by nasal dressing changes at 3 and 7 d after surgery,subjective discomfort score(headache,dry mouth,epiphora,sleep difficulties,nasal obstruction and nasal pain)at 3 d after surgery,total inspiratory and expiratory resistance before and at 14 d after surgery,and the occurrence of complications at 1 month after surgery were compared between the two groups.Results At 3 d after surgery,VAS of pain and epistaxis score caused by nasal dressing changes were lower in suture group than packing group(P<0.05),and score of subjective discomfort was lower in suture group(P<0.05).At 14 d after surgery,total inspiratory and expiratory resistance were lower in suture group than packing group(P<0.05).The total incidence of postoperative complications was lower in suture group than packing group(P<0.05).Conclusion Compared with nasal packing,nasal endoscopic continuous penetrating suture can reduce pain and bleeding,improve postoperative subjective discomfort and nasal ventilation function,and reduce complications after DNS plasty.
