Comparison of complete nasal packing with and without integrated airways

Afifa Jamil; Hira Abdul  Hameed; Atif Hafeez  Sidiqqui; M. Shuja  Farrukh

doi:10.12669/pjms.39.5.7478

Afifa Jamil Civil Hospital, DUHS, Karachi
Hira Abdul Hameed ENT Unit-1, Dr Ruth K.M. PFAO, Civil Hospital, DUHS, Karachi,
Atif Hafeez Sidiqqui ENT Unit-1, Dr Ruth K.M. PFAO, Civil Hospital, DUHS, Karachi
M. Shuja Farrukh ENT Unit-1, Dr Ruth K.M. PFAO, Civil Hospital, DUHS, Karachi

DOI: https://doi.org/10.12669/pjms.39.5.7478

Keywords: Nasal Packing, Nasal Airway, Septoplasty, Oxygen Saturation, Postoperative Pain

Abstract

Objective: To compare the effects of nasal packing using a Nasopore nasal packing with and without an airway tube on postoperative pain, SpO2, nasal obstruction, and difficulty in breathing complaints.

Methods: This comparative study was conducted at Dow University of Health Sciences (DUHS), DMC Civil Hospital Karachi between September 18, 2021, to May 19, 2022. A total of 70 patients who underwent septoplasty for septal deviation and chronic hypertrophic rhinitis were equally divided into two groups. Group-A patients received nasal packing using a Nasopore nasal packing with an airway tube, and Group-B patients received nasal packing using a Nasopore nasal packing without an airway tube. Post-operation Nasal pain sensations were measured using the Wong-Baker Faces Pain Rating Scale at 2 and 12 hours. SpO2 was measured at 30 minutes pre-operatively with an O2 saturation monitor and 12 hours
post-operatively during sleep.

Results: The postoperative pain at two hours and 12 hours was compared between the two groups, and a significant difference was observed. In Group-A, the average SpO2 decreased > 4% from baseline in 5.7% patients, and 37% in Group-B. A significant difference was observed in the severity of nasal obstruction and difficulty breathing, P-value < 0.05.

Conclusion: It is concluded that septoplasty followed by applying nasal packing with integrated airway reduces postoperative pain and improves oxygen saturation compared to nasal packing without integrated airways.

doi: https://doi.org/10.12669/pjms.39.5.7478

How to cite this: Jamil A, Hameed HA, Sidiqqui AH, Farrukh M.S. Comparison of complete nasal packing with and without integrated airways. Pak J Med Sci. 2023;39(5):1317-1320. doi: https://doi.org/10.12669/pjms.39.5.7478

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.