Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 6 Issue 6

Correction of Nocturnal Bruxism After Nasal Airway Surgery in Adults and Children

Priyank R Akhani1, Sushant Joshi2*, Samta Verma3, Ramkalyan Meena4, Siddharth Gautam1 and Harjider Singh Bhuie5

1Junior Resident, Department of ENT, Ananta Institute of Medical Science and Research Centre, Rajsamand, Rajasthan, India
2Associate Professor and Head, Department of ENT, Ananta Institute of Medical Science and Research Centre, Rajsamand, Rajasthan, India
3Senior Resident, Department of ENT, Ananta Institute of Medical Science and Research Centre, Rajsamand, Rajasthan, India
4Assistant Professor, Department of ENT, Ananta Institute of Medical Science and Research Centre, Rajsamand, Rajasthan, India
5Professor, Department of ENT, Ananta Institute of Medical Science and Research Centre, Rajsamand, Rajasthan, India

*Corresponding Author: Sushant Joshi, Associate Professor and Head, Department of ENT, Ananta Institute of Medical Science and Research Centre, Rajsamand, Rajasthan, India.

Received: March 01, 2024; Published: May 20, 2024

Abstract

Introduction: Nasal packing after septoplasty surgery is a common practice among ENT surgeons. Conventional nasal packing with antibiotic ribbon gauze, merocele and nasal silicon splints are commonly used for nasal packing after septoplasty surgery. Silicon nasal splint has been tried as an alternative in an attempt to diminish morbidity associated with nasal packing. The aim of our study is to compare between silicon nasal splints and conventional ribbon gauze nasal packing with a focus on assessing their impact on postoperative outcomes.

Methods: A 1-year comparative study was conducted on 50 patients who underwent septoplasty in Otorhinolaryngology department at Ananta institute of medical sciences and research centre, Rajsamand, Rajasthan. Patients were randomly allotted in 2 groups; in group A nasal packing done with conventional ribbon gauge and in group B packing done with silicon septal splint. In the postoperative period, patients were assessed for pain, nasal obstruction, bleeding, crusting and nasal synechiae.

Results: Patients in whom nasal splint were used, were found to have less postoperative nasal packing related morbidities when compared to conventional nasal packing, which was found to be statistically significant.

Conclusion: An emerging alternative to conventional nasal ribbon gauze packing includes nasal splinting with silicone plates. Our findings conclude that silicone splint utilization represents a straight forward and secure approach to reduce postoperative complications of septoplasty.

Keywords: Septoplasty; Nasal Packing; Silicon Splint; Complications

References

  1. Asaka D., et al. “Nasal splinting using silicone plates without gauze packing following septoplasty combined with inferior turbinate surgery”. Auris Nasus Larynx1 (2012): 53-58.
  2. Pandurangarao SU., et al. “A comparative study between conventional nasal packing versus nasal splint with clip after septoplasty with bilateral reduction of inferior turbinates with bipolar cautery”. International Journal of Otorhinolaryngology and Head and Neck Surgery 4 (2018): 986-989.
  3. Wadhera R., et al. “Comparative study of intranasal septal splints and nasal packs in patients undergoing nasal septal surgery”. Ear Nose Throat Journal 93 (2014): 396-408.
  4. Kurle G., et al. “A comparative study between nasal clips and anterior nasal packing in septoplasty/submucosal resection patients at VIMS Bellary, Karnataka”. International Journal of Otorhinolaryngology and Head and Neck Surgery 2 (2017): 364-370.
  5. M Sloth and L Kolendorf. “Late complications after septum surgery”. Ugeskrift for Laeger (1976).
  6. Fjermedal O., et al. “Septoplasty and/or submucous resection? 5 years nasal septum operations”. JLO 102 (1988): 796-798.
  7. Arora P., et al. “Comparative study of nasal packs, quilts and splints in septal surgery”. International Journal of Otorhinolaryngology and Head and Neck Surgery 6 (2020): 1793-1798.
  8. Becker H. “Paraffinoma as a complication of nasal packing”. Plastic Reconstructive Surgery 72 (1983): 735-736.
  9. Ghouri SM., et al. “Prevention of Intra Nasal Adhesions by Using Intranasal Splints after Septoplasty”. PJMHS 1 (2018): 286-288.
  10. Deniz M., et al. “The impact of different nasal packings on post-operative applications”. American Journal of Otolaryngology 35 (2014): 554-557.

Citation

Citation: Sushant Joshi., et al. "Silicon Nasal Splints v/s Conventional Nasal Packing: A Comparative Study to Assess Post Operative Outcome After Septoplasty". Acta Scientific Otolaryngology 6.6 (2024): 25-29.

Copyright

Copyright: © 2024 Sushant Joshi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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