Abstract
Background. Septoplasty is one of the most popular operative procedures in otorhinolaryngology and plastic surgery. The surgical technique of the operation is widely variable: endoscopic, endonasal and open interventions are pos-sible. Methods for eliminating nasal septum defects can be divided into two categories – Killian incision and Cottle septoplasty. Cottle septoplasty has two main advantages: it allows preserving a large portion of the nasal septum and doesn’t require bilateral mucosal separation. This reduces the risk of nasal tip droop, saddle nose deformity and septal hematoma. This surgical technique can cause typical complications; one of the most common is excessive bleeding. Patients with combined septoplasty and turbinoplasty more commonly have septal hematoma, hyposmia, prolonged healing due to infection, and adhesions. The aim of the study. To analyze the development of complications after septoplasty. Materials and methods. We carried out a retrospective analysis of clinical cases of patients who underwent sep-toplasty in Irkutsk for the period from 2022 to 2023. During this period, 34 patients met the study criteria. Surgical treatment included endonasal septoplasty with turbinoplasty. Results. When constructing a logistic analysis, a surgery duration of more than 100 minutes was established as a statistically significant predictor of bleeding (odds ratio – 53.9; 95% confidence interval: 1.02–941.0; p = 0.049). A model with good predictive value was obtained (AUC = 0.73). The sensitivity and specificity of the test were 50 % and 96.88 %, respectively. The overall level of statistical significance is 94.12 %. Conclusion. The information obtained on the predictors of postoperative bleeding after septoplasty allows us to pre-dict negative outcomes and to prevent their development using active hemostatic procedures. The use of tranexamic acid for patients at risk for postoperative bleeding will reduce the complication rate.
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