비중격 성형술 후 비강 충전과 비중격 관통봉합의 효용성 비교

Abstract

Background and Objectives：Nasal packing at the completion of septoplasty is considered routine by most surgeons. However,nasal packing can cause nasal injury, hypoxia, cardiovascular change and most importantly patients discomfort. The purpose ofthis study was to compare nasal packing and septal suture (through-and-through suture) with respect to immediate postoperativepatients discomfort and final outcome. Subjects and Method：Fifty patients undergoing routine septoplasty were randomizedon the basis of sex and age to receive either nasal packing or septal suture. Fourty-two patients completed their symptomand discomfort scores according to the visual analogue scale (VAS) for 4 days after septoplasty and completed another questionnairebefore and 8 weeks after septoplasty. Results：The nasal packing group gave significantly higher scores in headache comparedwith the septal suturing group. The final outcome of the procedure was the same between both groups. Conclusion：Septal suture is a good alternative for nasal packing. It does cause less pain for patients and no statistically significant differencesin outcome were found between both groups. (Korean J Otolaryngol 2006;49:904-7)