Routine nasal packing follwoing nasal surgery—Is it necessary? |
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Authors: | S I Basha D Gupta and S K Kaluskar |
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Institution: | (1) Department of ENT, Tyrone County Hospital, BT 79 0AP Omagh, UK |
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Abstract: | The practice of routine nasal packing after nasal surgery is usually customary and not evidence based. Post operative complications,
while uncoumon, are sometimes pack related. A retrospective analysis of 110 patients who underwent a variety of nasal operations
was performed to determine the incidence of complications when nasal packs were not routinely inserted 9 cases (8.2%) 6 out
of these were revision surgeries] needed nasal packing for haemostasis at the end of surgery. 4 cases (3.6%) required to be
packed in the immediate post operative period. One patient who required nasal packing developed a unilateral adhesion. No
patient developed septal hematoma. The need for routine nasal packing is not supported. Packing should be indicated where
there continuous bleeding at |
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Keywords: | Nasal Packing complications septal Haematoma Adhesions |
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