J Rhinol.  2019 May;26(1):16-20. 10.18787/jr.2019.26.1.16.

Usefulness of Unilateral Nasal Packing for Recurred Septal Deviation within a Month after Septoplasty: Preliminary Study

• Lee YH
• Chang JS
• Jung JH
• Kim ST
• Kang IG

• KMID: 2449023
• DOI: http://doi.org/10.18787/jr.2019.26.1.16

Abstract

BACKGROUND AND OBJECTIVES
To investigate the effect of unilateral nasal packing on the correction of recurred septal deviation after septoplasty. MATERIALS AND METHOD: We analyzed 12 patients who had undergone septoplasty and developed septal deviation recurrence. Polyvinylacetate and Vaseline gauze were inserted into the nasal passage on the convex side of the septum for 4 days in order to shift the septum to the midline. We analyzed nasal symptoms, acoustic rhinometric results, and endoscopic findings before and after unilateral packing in order to evaluate the treatment outcomes.
RESULTS
Ten (83%) out of 12 patients showed improvements in nasal obstruction, acoustic rhinometric results, and endoscopic findings. The mean visual analogue scale (VAS) score for nasal obstruction was 5.25±1.60 before and 2.08±1.50 after packing (p=0.004). The minimal cross-sectional area (MCA) improved from 0.17±0.14 to 0.27±0.13 (p=0.002), and the mean endoscopic score improved from 2.0±0.43 to 1.08±0.29 (p=0.002).
CONCLUSION
Unilateral nasal packing was a safe, easy, and effective method for correcting recurred septal deviation after septoplasty.

Keyword

Septal deviation; Packing; Acoustic rhinometry

MeSH Terms

Acoustics
Humans
Methods
Nasal Obstruction
Petrolatum
Recurrence
Rhinometry, Acoustic
Petrolatum

Figure

• 

  Fig. 1 These pictures show recurrent septal deviation to the left side 7 days after septoplasty (A). We packed the left nasal cavity with polyvinyl acetate and Vaseline gauze to shift the deviated septum to the midline (B). The corrected deviated septum 9 months after nasal packing (C). The minimal cross-sectional area (MCA) increased from 0.04 to 0.12 cm2. Rt: right, Lt: left.

• 

  Fig. 2 In this patient, right-side recurrent septal deviation was visible (A). 4 months after unilateral nasal packing, the deviation was corrected (B).

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