Effects of nasal packing and transseptal suturing on swallow
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A recent research report has indicated that transseptal suturing has a lesser effect on swallowing than other techniques and also more comfortable than the other techniques in the postoperative period.

This clinical trial aimed to investigate the effects of different nasal packing methods and transseptal suture techniques on swallowing after septoplasty. It was published by the European Archives of Oto-Rhino-Laryngology.

This randomized prospective study consists of 180 consecutive patients with septal deviation. All the patients underwent a septoplasty. All the patients were randomly assigned to three groups. In group A, transseptal sutures were used for septal stabilization. In group B, both nasal passages were packed with Merocel tampons for septal stabilization. In group C, both nasal passages were packed with Doyle silicone splints for septal stabilization.

For the evaluation of swallowing, the Eating Assessment Tool (EAT-10) questionnaire and a visual analog scale (VAS) were administered to all the patients preoperatively and on the second and seventh postoperative days.

--Both EAT-10 and VAS scores on the second postoperative day were significantly higher than the preoperative scores in all the groups.

--The transseptal suture group had significantly lower EAT-10 and VAS scores on the second postoperative day than the Merocel packing and silicone packing groups.

--Both EAT-10 and VAS scores on the postop 7th day significantly decreased in all groups compared to the postop second day.

In particular, septoplasty affects swallowing, regardless of whether a tampon is applied. Transeptal suturing has a lesser effect on swallowing than other techniques. Although silicone packing is a less invasive method, it negatively affects swallowing, similar to Merocel packing. The transseptal suture technique is more comfortable than the other techniques in terms of swallowing function in the postoperative period.

Source: https://doi.org/10.1007/s00405-021-06854-x
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