Comparison of Outcome of Septoplasty with and without Intranasal Splintage in Patients Admitted to a Tertiary Care Hospital, Peshawar

Authors

  • Noor Hayat khan Registrar Dept of ENT Mardan Medical Complex
  • Haider Zaman Khyber Teaching Hospital, Peshawar
  • Mubasher Ullah Jan Assistant Professor, Dept of ENT, Mardan Medical Complex
  • Syed Muddasir Shah Mardan Medical Complex
  • Sumbal Rastbaz Mardan Medical Complex
  • Majid Ali Mardan Medical Complex

DOI:

https://doi.org/10.48036/apims.v20iSUPPL-1.1192

Abstract

Objective: To compare outcome of septoplasty with and without intranasal splints in patients admitted in Khyber Teaching Hospital, Peshawar

Methodology: A Randomized controlled trial was done at department of ENT, Khyber Teaching Hospital, Peshawar from 21-01-2020 to 21-07-2020. Patients with diagnosis of symptomatic DNS, aged between 15 to 30 years, both genders and undergoing septoplasty for symptomatic Deviated Nasal Septum for primary surgery were included. Patients were randomly allocated into two groups using a coin toss method. Patients in group A were subjected to intranasal splintage packing while patients of group B were not be subjected to intranasal splintage. Patients in both groups was assessed on the first postoperative day, for degree of pain. Follow-up visits were scheduled after first and third weeks following the surgery. All the data was entered and analyzed in SPSS Version 23.0.  

Results: The mean age of the whole sample was 22.7 ± 4.9 years. Average age in the group A was 22.3 ± 4.9 years compared to 23.3 ± 5.0 years (p = 0.271). 60% in group A were males compared to 61.7% in group B (p = 0.852). On follow-up, out of an overall sample of 120, mild, moderate, and severe pain and bleeding were recorded in 35%, 45%, and 20% (pain) and 35%, 30%, and 35% (bleeding), respectively. In group A, 30% had mild pain compared to 40% in B group (p = 0.467), 50% in A group had mild bleeding compared to 20% in B group (p = 0.002), 30% in A group developed crusting compared to 20% in the B group (p = 0.206), and 20% in the A group had synechiae compared to 10% in the B group (p = 0.125).

Conclusion: The outcome of septoplasty with splints not observed significantly differ from septoplasty without splints, except in the case of postoperative bleeding.

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Published

2024-07-19

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Original Articles