Presented to the Section of Laryngology, Royal Society of Medicine, 4 May 1990
Intranasal splints and their effects on intranasal adhesions and septal stability*
Article first published online: 2 AUG 2007
Clinical Otolaryngology & Allied Sciences
Volume 17, Issue 1, pages 24–27, February 1992
How to Cite
COOK, J. A., MURRANT, N. J., EVANS, K. L. and LAVELLE, R. J. (1992), Intranasal splints and their effects on intranasal adhesions and septal stability. Clinical Otolaryngology & Allied Sciences, 17: 24–27. doi: 10.1111/j.1365-2273.1992.tb00982.x
- Issue published online: 19 JAN 2009
- Article first published online: 2 AUG 2007
- Accepted for publication 16 January 1991
- nasal septal surgery;
- post-operative complications;
- post-operative pain
Intranasal splints have been used to maintain septal stability and prevent intranasal adhesions following septal surgery. However, their efficacy and attendant morbidity have received surprisingly little attention.
Our prospective study of 100 adults was divided into patients undergoing septoplasty or submucous resection of the nasal septum alone (n= 50) and those undergoing combined septal and inferior turbinate surgery (n= 50). All patients were randomized to have paired silicon rubber splints inserted for 7 days or not at all. All noses were additionally packed with 2 pieces of Jelonet for 12–20h and examined and cleaned at 1 and 6 weeks post-operatively. The position of the septum, patency of the airways, presence of adhesions and degree of discomfort were recorded.
Statistical analysis of the 89 complete sets of results obtained indicated splints added significantly to post-operative discomfort in both groups, with no demonstrable benefit to the patient.