Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Comparison Study of the Use of Absorbable Materials as Internal Splints with Airway Silicone Splint and Absorbable Materials as Internal Splints Alone

  • Ji, So Young (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Kim, Seung Soo (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Park, Ki Sung (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Baik, Bong Soo (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital)
  • Received : 2016.09.02
  • Accepted : 2016.12.14
  • Published : 2016.12.20
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Abstract

Background: Packing after closed reduction of nasal fracture causes uncomfortable nasal obstruction in patients. We packed the superior meatus with synthetic polyurethane foam (SPF) to support the nasal bone, and packed the middle nasal meatus with a nasal airway splint (NAS) and SPF. The aim of this article is prospectively to compare the subjective patient discomfort of SPF (Nasopore Forte plus) packing alone and SPF with NAS. Methods: We compared the prospectively subjective patient discomfort of SPF packing alone (group A) and SPF with NAS (group B) via visual analog scale (VAS; 0, no symptom; 100, most severe symptom). Results: At first postoperative day group B showed significant lower scores in dry mouth, sleep disturbance, conversation difficulty. However at third postoperative day, VAS scores of each group had no statistically significant differences. Moreover at fifth postoperative day group A had statistically significant lower scores for nasal pain, dry mouth than the group B. Conclusion: Combination method of using NAS and SPF have some advantage on the patient comfort from first postoperative day to third postoperative day.

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References

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  2. Yi CR, Kim YJ, Kim H, Nam SH, Choi YW. Comparison study of the use of absorbable and nonabsorbable materials as internal splints after closed reduction for nasal bone fracture. Arch Plast Surg 2014;41:350-4. https://doi.org/10.5999/aps.2014.41.4.350
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Cited by

  1. Improving Postoperative Nasal Airway Patency in Le Fort-Based, Maxillofacial Trauma Patients Via a Modified Nasal Packing Technique vol.29, pp.5, 2016, https://doi.org/10.1097/scs.0000000000004491