TY - JOUR
T1 - Alternatives to Packing in Septorhinoplasty
AU - Reiter, David
AU - Alford, Eugene
AU - Jabourian, Zaven
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 1989/10
Y1 - 1989/10
N2 - Nasal packing is considered routine by most physicians and patients at the completion of nasal and septal surgery. Yet the rationale for this maneuver is not clearly defined by reported investigation or logical analysis. We discuss 75 consecutive nasal surgical procedures completed without packing. There were two postoperative episodes of bleeding, both from pyriform aperture incisions for lateral osteotomy and both managed in the recovery room with an absorbable gelatin sponge. Technical refinements such as scrupulous preoperative history taking, through-and-through suturing of the entire septal flaps, small-caliber osteotomy, meticulous closure of all intranasal incisions, and proper application of a conforming dressing are essential for hemostasis. We offer specific procedural guidance to minimize the risk of postoperative nasal bleeding.
AB - Nasal packing is considered routine by most physicians and patients at the completion of nasal and septal surgery. Yet the rationale for this maneuver is not clearly defined by reported investigation or logical analysis. We discuss 75 consecutive nasal surgical procedures completed without packing. There were two postoperative episodes of bleeding, both from pyriform aperture incisions for lateral osteotomy and both managed in the recovery room with an absorbable gelatin sponge. Technical refinements such as scrupulous preoperative history taking, through-and-through suturing of the entire septal flaps, small-caliber osteotomy, meticulous closure of all intranasal incisions, and proper application of a conforming dressing are essential for hemostasis. We offer specific procedural guidance to minimize the risk of postoperative nasal bleeding.
UR - http://www.scopus.com/inward/record.url?scp=0024443442&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0024443442&partnerID=8YFLogxK
U2 - 10.1001/archotol.1989.01860340057017
DO - 10.1001/archotol.1989.01860340057017
M3 - Article
C2 - 2789775
AN - SCOPUS:0024443442
VL - 115
SP - 1203
EP - 1205
JO - Archives of Otolaryngology - Head and Neck Surgery
JF - Archives of Otolaryngology - Head and Neck Surgery
SN - 0886-4470
IS - 10
ER -