Effectiveness of Intranasal Splints in Preventing Nasal Adhesion

Abstract

Objective: To determine the effectiveness of intranasal splints in preventing nasal adhesion. Study Design: Descriptive case series Place and Duration of Study: ENT Department, Sandeman Provincial Hospital Quetta from 1st October 2020 to 31st March, 2021. Methodology: One hundred patients of both genders were presented in this study. Patients were aged between 15-48 years. Patients details demographics age, sex and body mass index were recorded. In a general anaesthesia, a selection was made in patients with deviated nasal septum and septoplasty. Intra-nasal splints were implanted, followed by prior nasal packing after the septoplastic procedure. On the second postoperative day the nasal packing was removed while the nasal fractures were removed on the 15th day after surgery. Prevalence of nasal adhesion was observed within the follow up of four weeks. Results: There were 58 (58%) male patients and 42 (42%) were females. Mean age of the patients were 25.66±8.14 years with mean body mass index 24.17±6.35 kg/m2. Most of the patients 60 (60%) were from age group 25-35 years. Symptoms were nasal obstruction found in 42 (42%) cases followed by rhinorrhea 26 (26%). Frequency of nasal adhesion was found in 5 (5%) cases among 100 enrolled patients after septoplasty. Conclusion: We concluded in this study that the intranasal splints were effective and safe technique in the prevention of nasal adhesion after septoplasty. Keywords: Intra nasal adhesions, Septoplasty, Intra nasal splints, Deviated nasal septum