A Comparative Study of Intra Nasal Splints And Repeated Nasal Toilet for the Prevention of Nasal Adhesions In Nasal Surgery
Abstract
Background: Nasal adhesions are a challenging complication following nasal surgery. Intranasal toilet was done in the past to prevent adhesion formation. Now a day, silicone splints are in common use as an alternative which are made according to the patient's morphology of nasal cavity. It provides an extra side support and keeps the operated septum in its position& thus prevents the occurrence of intra-nasal adhesions and epistaxis. We describe the comparison of two techniques in preventing the intranasal synechiae.
Objective: This study compares the effect of using intra nasal splints and repeated nasal toilet for the prevention of intra nasal adhesions in nasal surgery.
Methods: A randomized clinical trial was carried out at ENT department FJMC/Sir Ganga Ram Hospital, Lahore for six months from 04-08-2008 to 03-02-2009. Two hundred patients undergoing nasal surgery were allocated in two groups, one with intranasal splints (INS, n=100) and other with intranasal toilets (INT, n=100). The outcome of interest was frequency of adhesion formation. Data was collected on a specially designed Proforma. Demographic details and details of adhesions were noted. For comparison between two procedures (intra nasal splints and nasal toilet) for the prevention of intranasal adhesions, Chi-square test was used with a P value ? 0.05 significant.
Results: There was a significant difference of nasal adhesion formation between the groups, with intranasal splints (INS, n=100) revealing nine patients (9%), compared to group treated with nasal toilet (INT, n=100) having 16 patients (16%) in this study.
Conclusions: Although not very significant statistically, but patient with intranasal splints develop less adhesion as compared to those with intranasal toilet.
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