Our Summary

This research paper is about a study that compared two different methods used after a type of nose surgery called septoplasty. Septoplasty is a surgery that corrects a deviated septum, which is a condition where the thin wall between your nostrils leans to one side.

The two methods compared in the study are trans-septal suturing and nasal packing. Trans-septal suturing is a technique where stitches are used to hold the tissues together after surgery, while nasal packing involves stuffing the nose with gauze or a similar material to prevent bleeding.

The researchers looked at data from 19 different studies, which included 1845 patients in total. They found that patients who had trans-septal suturing experienced less pain, fewer headaches, and fewer cases of their tissues sticking together (adhesion) after surgery. They also found that both methods were equally effective in terms of preventing bleeding, preventing the formation of a blood clot (hematoma), preventing a hole in the septum (septal perforation), preventing infection, and preventing the septum from deviating again.

The researchers concluded that trans-septal suturing could be a good alternative to nasal packing because it leads to less pain and discomfort for patients, and improves their quality of life after surgery. However, they noted that more high-quality studies are needed to confirm these findings.

FAQs

  1. What is the difference between trans-septal suturing and nasal packing after septoplasty?
  2. What are the advantages of using trans-septal suturing technology after septoplasty?
  3. Are there any potential complications associated with trans-septal suturing following septoplasty?

Doctor’s Tip

A doctor might tell a patient that trans-septal suturing after septoplasty can result in less pain, headache, and adhesion compared to traditional nasal packing. This technique may also lead to higher patient satisfaction and improved quality of life. Patients may consider discussing trans-septal suturing as a potential alternative to nasal packing for their septoplasty procedure.

Suitable For

Patients with a deviated nasal septum who are experiencing symptoms such as nasal obstruction, difficulty breathing, snoring, recurrent sinus infections, or nosebleeds are typically recommended for septoplasty. Patients with a deviated nasal septum may also have cosmetic concerns due to the appearance of their nose. Septoplasty is a common surgical procedure performed to correct a deviated nasal septum and improve nasal airflow and overall quality of life.

Timeline

Before septoplasty:

  1. Patient experiences symptoms such as nasal congestion, difficulty breathing, snoring, and recurrent sinus infections.
  2. Patient consults with an otolaryngologist who recommends septoplasty to correct the deviated nasal septum.
  3. Pre-operative assessments and evaluations are conducted to determine the patient’s eligibility for surgery.
  4. Patient undergoes pre-operative preparation including fasting and discontinuation of certain medications.

After septoplasty:

  1. Patient undergoes septoplasty surgery to correct the deviated nasal septum.
  2. Trans-septal suturing or nasal packing is used to control bleeding and support the septum during the healing process.
  3. Patient may experience post-operative pain, headache, and discomfort.
  4. Follow-up appointments are scheduled to monitor the healing process and remove any sutures or packing.
  5. Patient may experience improved nasal breathing, reduced symptoms of congestion, and improved quality of life following septoplasty.

What to Ask Your Doctor

Some questions a patient should ask their doctor about septoplasty include:

  1. What are the potential risks and complications associated with septoplasty?
  2. How long is the recovery process and what can I expect during the healing period?
  3. Will I need to have nasal packing or trans-septal suturing after the surgery, and what are the differences between the two techniques?
  4. What is the success rate of septoplasty in improving my breathing and nasal congestion?
  5. Will I need to follow any specific post-operative care instructions or restrictions?
  6. How long will the results of the septoplasty last?
  7. Are there any alternative treatments or procedures that I should consider?
  8. What is the experience and success rate of the surgeon performing the septoplasty?
  9. How can I prepare for the septoplasty procedure, including any pre-operative tests or medications?
  10. Are there any long-term effects or considerations I should be aware of after having septoplasty?

Reference

Authors: Wang WW, Dong BC. Journal: Eur Arch Otorhinolaryngol. 2017 Nov;274(11):3915-3925. doi: 10.1007/s00405-017-4709-2. Epub 2017 Sep 15. PMID: 28917002