Akademik Veri Yönetim Sistemi
Ege Klinikleri Tıp Dergisi, cilt.61, sa.1, ss.56-63, 2023 (Hakemli Dergi)
Objective: Nasal septum surgery is a common surgical procedure to relieve nasal obstruction. The aim of this study is to evaluate the frequency of complications in patients who underwent nasal septal surgery such as closed or open technical septoplasty and septorhinoplasty performed in our clinic. In addition, it is to evaluate whether shaping and reimplanting the cartilage removed during septum surgery increases the risk in terms of septal hematoma or whether not reimplanting the cartilage increases the risk in terms of septum perforation. Also, the difference between preoperative and postoperative routine hemogram parameters was also investigated. Materials and Methods: 98 surgical operations of 94 patients who underwent septoplasty with Cottle technique, external septoplasty or external septorhinoplasty in our hospital were included. Complication rates were evaluated. Preoperative and postoperative hemogram results of the patients were compared. Results: Septal hematoma was observed in 3 of 25 surgeries in which the deviated septal cartilage was reshaped to correct the curvature and reimplanted back, and septal perforation was not observed in them. Septal perforation was observed in 2 of 73 surgeries in which the removed deviated septal cartilage was not reshaped and reimplanted, and septal hematoma was not observed in them. The risk of septal hematoma was found to be statistically increased by reimplanting the deviated septal cartilage. There was no statistically significant difference in terms of septum perforation between the techniques in which the deviated cartilage septum was reimplanted back in its place and not placed. Hemogram values of 31 patients with postoperative 3rd-12th mounth control were compared with their preoperative values. Statistically significant decrease was observed in hemoglobin and erythrocyte count. There was no statistical difference in mean platelet volume. Conclusion: Correcting and reimplanting of the deviated septum cartilage removed in nasal septum surgery may increase the development of septal hematoma or decrease the possibility of septal perforation. The risks should be evaluated and decided according to the patient and the situation.