DOI: 10.36347/sjams.2014.v02i04.046

Pages: 1376-1380

Deviated nasal septum is a common condition in Rhinology. Septoplasty is routinely performed for symptomatic deviated nasal septum. The most unpleasant part of this procedure is the pain during removal of conventional ribbon gauze packing. It is most commonly used for post-operative hemostasis. Post-operative hemostasis can be achieved by newer technique of quilt suturing, nasal septal splints and merocele nasal packing are employed. The objective of this study was to compare the result of septoplasty with or without post-operative nasal packing and there by asses the necessity of nasal packing. The study was carried out in ENT department of NIMS medical college, Jaipur. Seventy two patients between age group 18-45 years, having symptomatic DNS were selected. Out of which 24 patients underwent septoplasty with ribbon gauze ointment packing in group A, 24 patients underwent septoplasty with merocele packing in group B and in group C include 24 patients septoplasty without nasal packing or quilting suture taken on septum. The cases were observed for 6 weeks and 3 month postoperatively for discomfort, haemorrahage, infection, hematoma, synaechiae, crusting, ulceration residual obstruction and hospital stay. It was concluded that merocele packing is better than conventional ribbon gauze packing. Quilt suturing is tedious and more time consuming then merocele packing .Quilt suturing also useful for closing any inadvertent tears of septal mucosa also providing additional support for cartilage pieces retained in septoplasty.