Postoperative Complications Followed by Septoplasty Comparison between Conventional Nasal Packing and Glove Finger Pack

ABSTRACT Objective Objective of this study is to compare complications in postseptoplasty patients using conventional nasal packing and glove finger packing. Materials and methods In our study 95 patients who underwent septoplasty were enrolled and written consent taken for the study among these 95 patients, 50 patients were put in group A and 45 patients in group B. In group A patients glove finger packing was done and in group B patients conventional packing using medicated gauze was done and postoperative complications like postoperative pain, hemorrhage, septal perforation, toxic shock syndrome, septal hematoma, septal deviation and synechia/adhesion bands were compared between two groups, follow-up was done for both groups for 3 weeks. Result Our study showed that their was significantly less pain in group A patients and also their was less incidence of synechia in group A patients as compared to group B patients, their was not much difference in other complications. Conclusion Our results point out that glove finger pack has more advantage than conventional medicated gauze pack. We recommend use of glove finger pack after septoplasty procedure. How to cite this article Beigh Z, Yousuf A, Malik MA, Ahmad R. Postoperative Complications Followed by Septoplasty Comparison between Conventional Nasal Packing and Glove Finger Pack. Clin Rhinol Int J 2012;5(1):11-13.

Myringoplasty: a comparison of bismuth iodoform paraffin paste gauze pack and tri-adcortyl ointment ear dressing

Objectives: To assess the myringoplasty graft take rate, comparing two methods of post-operative ear packing: bismuth iodoform paraffin paste (BIPP) gauze versus tri-adcortyl ointment (TAO).Methods: A retrospective study of patients who had undergone myringoplasty at our department within a three-year period was undertaken. Data, including age, site and size of perforation, grade of surgeon, surgical approach, use of post-operative ear dressings, complications, and audiometric outcome, were collected from the patient notes and analysed. The overall success rate of the operation (with success being defined as an intact tympanic membrane at six months) was noted.Results: One hundred and seventy myringoplasties were performed over the study period, but data were complete on 154 patients and these constituted the study population. Age ranged from nine to 71 years (mean age 34 years) and the mean follow-up period was seven months. Consultants performed 62 per cent of the operations, with an 85 per cent success rate, whereas trainees performed the remaining 38 per cent, with a success rate of 73 per cent (p=0.059). The overall success rate was 80 per cent; 79 per cent for BIPP and 83 per cent for TAO (p=0.55), and 87 per cent for small perforations and 75 per cent for subtotal perforations (p=0.22). There was audiometric improvement in 74 per cent of cases.Conclusion: We found no significant difference in outcome between patients packed with TAO and BIPP. Packing with TAO is therefore a suitable alternative to BIPP gauze ear dressing following myringoplasty.