Análisis comparativo entre el taponamiento nasal anterior vs puntos transeptales en adultos operados de septoplastia; evaluación de comodidad y complicaciones.

Background: Another choice after rhinoseptoplasty is transseptal puncture. Ramirez Oropeza concerns ferulization and stabilize all the septum portions, avoiding hematomas, and allowing the coping of mucosal lacerations when this presents. Objective: To demonstrate that transseptal punctures are less discomfort and have fewer complications than nasal packing in adult patients postoperated of semptumplasty. Material and method: A cohort, random, longitudinal and prospective study was done at Otorhynolaringology and Head and Neck Surgery of Mexican General Hospital with 50 adult patients aged from 16 to 62, with an average of 33, with topographic and clinical diagnosis of septal deviation, whom was placed nasal packing or transseptal puncture post-septumplasty with technique of upper jaw premaxilla. A measuring instrument was designed and implemented by a single observator about symptoms presented during the first seven days of postoperative, related to the use of one or another treatment modality. Results: There was no statistically significant difference in the clinical evolution and complications with nasal packing or transseptal puncture. Conclusion: The choice of placement of nasal packing or transseptal puncture does not affect the evolution and postoperative complications. [ABSTRACT FROM AUTHOR]