Nasal Packing After Turbinoplasty

Nasal Packing After Turbinoplasty, Is it Worthwhile? A Prospective Study ?

This study aims to to compare postoperative pain, patient comfort, and hemostatic safety among four non-absorbable nasal packing techniques following microdebrider-assisted inferior turbinoplasty (MAIT) and to identify the most effective low-cost packing option.

Inclusion Criteria:

• Adults aged 18-65 years.
• Chronic bilateral nasal obstruction secondary to inferior turbinate hypertrophy.
• Failure of conservative medical management for at least 3 months, including intranasal corticosteroids and oral antihistamines.
• Positive decongestion test showing ≥30% improvement in anterior nasal cavity volume (V2-5 cm) on acoustic rhinometry after topical xylometazoline 0.5%, confirming predominantly mucosal rather than bony hypertrophy.
• Inferior turbinate hypertrophy grade 3 or 4 according to the Camacho classification system.

Exclusion Criteria:

• Significant nasal septal deviation affecting the nasal valve region.
• Internal or external nasal valve collapse or stenosis.
• Chronic rhinosinusitis with or without nasal polyposis.
• Previous nasal or paranasal sinus surgery.
• Coagulopathy or current anticoagulant therapy.
• Uncontrolled systemic disease.
• Pregnancy.
• Active smoking.
• Known allergic sensitization to any component of the nasal packing materials.