Abstract
Objective: To evaluate the functional outcomes and complications of pack free septoplasty in adults. Subject: This study included 49 patient who underwent septoplasty randomize prospectively. Nasal obstruction was scored with the NOSE scale before the operation. Septoplasty was performed by the same surgeon. Nasal obstruction was re-scored in the 1 st and the 3 rd postoperative months. The postseptoplasty complications were recorded. The preoperative and postoperative NOSE scores were compared. Results: 35 patients (71.4%) were male and 14 patients (28.6%) were female. The subjective rate of success in the NOSE score was determined as 81.63%. There was statistically significant difference between preoperative and postoperative 1 st -3 rd months NOSE scores (p<0.05). Minor hemorrhage was observed in 17 cases (34.7%), nasal synechiae in 3 cases (6.1%) and flap apposition in 2 cases (4.1%). Conclusion: Pack free septoplasty which performed with the transseptal suture technique is effective on the treatment of septum deviation. It can be performed confidently in septum surgery.
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