Our Summary

This research paper is about the use of nasal packing after nose reshaping surgery, a procedure known as rhinoplasty, and septoplasty, a procedure to correct a deviated septum. Nasal packing is a method where material is inserted into the nasal cavity to control bleeding and support healing, but it can cause discomfort for patients. The researchers looked at 30 articles, published between 2000 and 2023, on the subject to weigh up the pros and cons. They found that nasal packing may have some benefits in reducing bleeding, swelling and bruising, but its use should be carefully considered as it might not always be beneficial and could lead to negative results. The researchers suggest that nasal splints, which are used to keep the nose stable after surgery, might be a good alternative. They call for more research to improve the aftercare of these types of surgeries.

FAQs

  1. What is nasal packing and why is it used in nose surgeries?
  2. What are the potential downsides to using nasal packing after rhinoplasty and septoplasty?
  3. What alternative to nasal packing do the researchers suggest, and why?

Doctor’s Tip

A helpful tip a doctor might tell a patient about septoplasty is to follow post-operative care instructions carefully, including avoiding strenuous activities, keeping the head elevated, and using any prescribed medications as directed. It is also important to attend follow-up appointments to monitor healing progress and address any concerns. Additionally, staying well-hydrated and avoiding smoking can help promote healing and reduce the risk of complications.

Suitable For

Patients who are typically recommended septoplasty are those who have a deviated septum, which can lead to difficulty breathing, chronic nasal congestion, frequent sinus infections, and snoring. Septoplasty is often recommended for patients who have tried conservative treatments such as medication and nasal sprays without success. Additionally, patients with nasal trauma or deformities that affect the structure of the nose may also be recommended for septoplasty. It is important for patients to undergo a thorough evaluation by an otolaryngologist (ear, nose, and throat specialist) to determine if septoplasty is the appropriate treatment option for their specific condition.

Timeline

Before septoplasty:

  1. Patient experiences symptoms of a deviated septum such as difficulty breathing, snoring, recurrent sinus infections, and nasal congestion.
  2. Patient consults with an ENT specialist who recommends septoplasty to correct the deviated septum.
  3. Pre-operative assessments and tests are conducted to ensure the patient is a suitable candidate for surgery.

After septoplasty:

  1. Patient undergoes the septoplasty procedure which typically takes 1-2 hours and is performed under general anesthesia.
  2. Patient may experience mild to moderate pain and discomfort in the first few days after surgery.
  3. Nasal packing is typically used to control bleeding and support healing in the nasal cavity.
  4. Patient may experience nasal congestion, swelling, and bruising in the days following surgery.
  5. Follow-up appointments are scheduled to monitor the healing process and remove any nasal packing or splints.
  6. Patient gradually experiences improved breathing and relief from symptoms of a deviated septum.

Overall, the timeline of a patient’s experience before and after septoplasty involves consultation with a specialist, undergoing surgery, post-operative care, and gradual improvement in symptoms and nasal function.

What to Ask Your Doctor

  1. How long will I need to have nasal packing in place after my septoplasty?
  2. What are the potential risks and side effects of having nasal packing after septoplasty?
  3. Are there alternative methods to control bleeding and support healing that do not involve nasal packing?
  4. How will having nasal packing affect my recovery time and overall healing process?
  5. What can I do to alleviate any discomfort or pain associated with having nasal packing after septoplasty?
  6. Are there any specific post-operative care instructions I should follow while I have nasal packing in place?
  7. Will having nasal packing increase my risk of infection or other complications?
  8. How will I know if there are any issues or complications with the nasal packing that require medical attention?
  9. When will the nasal packing need to be removed and what is the process for doing so?
  10. Are there any factors that would make me a poor candidate for nasal packing after septoplasty?

Reference

Authors: Caimi E, Balza A, Vaccari S, Bandi V, Klinger F, Vinci V. Journal: Aesthetic Plast Surg. 2024 Aug;48(15):2812-2817. doi: 10.1007/s00266-024-03907-4. Epub 2024 Mar 14. PMID: 38485786