• S Arslan, H Yıldırım, B Çobanoğlu, A Ü Işık, and O Bahadır.
• Department of Otorhinolaryngology, Karadeniz Technical University, School of Medicine, Head and Neck Surgery, Trabzon, Turkey.
• Niger J Clin Pract. 2024 Apr 1; 27 (4): 430434430-434.

BackgroundVarious types of nasal tampons are used for packing after septoplasty. Intranasal splints are widely used as they are more advantageous than other materials regarding the lower complication rates of synechia, and lesser pain during removal. However, there is no consensus on the timing of intranasal splint removal after septoplasty operations.AimIn this study, we aimed to investigate the effects of removal time of intranasal splints on postoperative complications after septoplasty.MethodsOne hundred patients who had septoplasty were randomly divided into two groups according to splint removal time. In group I, the splints were removed on the third postoperative day and in group II, splints were removed on the seventh postoperative day. Pain during splint removal was evaluated by visual analog scale (VAS). Complications of hemorrhage, septal hematoma, crusting, mucosal injury, and infection were recorded during splint removal and compared. In the first postoperative month, hemorrhage, crusting, mucosal injury, infection, synechia, and in the second postoperative month, synechia and perforation rates were compared between two groups.ResultsMucosal crusting was significantly higher in group II during splint removal. There was no statistically significant difference between the two groups regarding the complication rates and pain scores. Our findings showed no significant difference in pain scores during splint removal and postoperative complications between the two groups except for mucosal crusting.ConclusionBased on our findings, although there is no consensus on the optimal time for splint removal, earlier removal of splints can be considered a favorable option after septoplasty operations.Copyright © 2024 Copyright: © 2024 Nigerian Journal of Clinical Practice.

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