Usefulness of unilateral nasal packing for recurred septal deviation after septoplasty: Preliminary study

  • Vivek sharma Department of Medical Education Himalayan institute of medical science
  • Rahul Kumar Department of Medical Education Himalayan institute of medical science
Keywords: Nasal obstruction, Septal deviation, Packing, Acoustic rhinometry


Aims: To investigate the effect of unilateral nasal packing on the correction of recurred septal deviation after septoplasty. Materials and Methods: Twelve patients who had undergone septoplasty and developed septal deviation recurrence. Polyvinylacetate and Vaseline gauze were inserted into the nasal passage on the convex side of the septum for 4 days in order to shift the septum to the midline. We analyzed nasal symptoms, acoustic rhinometric results, and endoscopic findings before and after unilateral packing in order to evaluate the treatment outcomes. Results: Ten (83%) out of 12 patients showed improvements in nasal obstruction, acoustic rhinometric results and endoscopic findings. The mean visual analogue scale (VAS) score for nasal obstruction was 5.25 ± 1.60 before and 2.08 ± 1.50 after packing (p = 0.004). The minimal crosssection area (MCA) values improved from 0.17 ± 0.14 to 0.27 ± 0.13 (p = 0.002). The mean endoscopic score also improved from 2.0 ± 0.43 to 1.08 ± 0.29 (p = 0.002). Conclusion: Unilateral nasal packing was a safe, easy, and effective method for correcting recurred septal deviation after septoplasty.


1. Siegel NS, Gliklich RE, Taghizadeh F, and Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck
Surg. 2000;122:228–232.
2. Thomas JN. S.M.R.—A two year follow-up survey. J LaryngolOtol. 1978;92:661–666.
3. Illum P. Septoplasty and compensatory inferior turbinate hypertrophy: Long-term results after
randomized turbinoplasty. Eur Arch Otorhinolaryngol. 1997;254(suppl 1):S89–S92.
4. Fjermedal O, Saunte C, and Pederson S. Septoplasty and/or submucous resection? 5 years nasal septum
operations. J Laryngol Otol. 1988;102:796–798.
5. Sillers MJ, Cox AJ 3rd, Kulbersh B. Revision septoplasty. Otolaryngol Clin North Am. 2009;42(2):261-
6. Dinis PB, and Haider H. Septoplasty: Long term evaluation of results. Am J Otolaryngol. 2002;23:85–
7. Veit J, Rotter N, Feucht A, Rettinger G, Scheithauer M. Persistent nasal obstruction following
septoplasty: deviated nasal pyramid and perpendicular plate. Laryngorhinootol. 2012;91(6):363-367.
8. Kang IG, Jung JH, Woo JH, Cha HE, Kim ST. The effect of expandable polyvinyl acetate packing for
preventing stenosis of the frontal sinus ostium Am J Rhinol Allergy. 2010;24(5):392-395.
9. Kang JM, Nam ME, Dhong HJ, Kim HY, Chung SK, Kim JH. Modified mattress suturing technique for
correcting the septal high dorsal deviation around the keystone area. Am J Rhinol Allergy.
10. Lawson W, Westreich R. Correction of caudal deflections of the nasal septum with a modified
Goldman septoplasty technique: how we do it. Ear Nose Throat J. 2007;86(10):617-620.
11. Yang JW, Kim SI, Kwon JW, Park DJ. Are Cross-hatching Incisions Mandatory for Correction of
Cartilaginous Septal Deviation? Clin Exp Otorhinolaryngol. 2008;1(1):20-23.
How to Cite
sharma, V., & Kumar, R. (2016). Usefulness of unilateral nasal packing for recurred septal deviation after septoplasty: Preliminary study. Journal of Medical Practice and Review, 1(03), 12-17. Retrieved from