The Incidence of Post-Septoplasty Bleeding in Patients without Nasal Packing

Abstract

Different packing methods have been used, such as paraffin gauze, Vaseline gauze, bismuth iodoform paraffin paste, glove fingers and merocel2,5-7. The use of nasal packs after septoplasty is based on the assumption that nasal packing decreases postoperative hemorrhage and septal hematoma formation, supports septal flap apposition and prevents synechiae5,7,8. However, there is no evidence to support these benefits5,7,8. Although, it was found that nasal packing is not innocuous. The morbidities associated with the use of nasal packs include compromised nasal breathing, dryness of mouth, nasal valve narrowing, vestibulitis, crusting, synechiae formation, headache, watering from eyes, ear blockage, throat irritation, difficulty in swallowing, hypoxia, hypoxemia, secondary infection, increased hospital stay, increased blood pressure, toxic shock syndrome and death4,9-12. In addition, severe pain is experienced by patients during pack removal. Although this pain lasts for a short duration, it stays clearly in their mind; some patients said, “it was the most painful experience of their life”8,13,14. Therefore, it has been suggested to minimize the use The Incidence of Post-septoplasty Bleeding in Patients without Nasal Packing