About this trial
the aim of the study is to compare complication of trans-nasal quilting sutures, nasal pack and intra intranasal silicon splint in endoscopic septoplasty
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Healthy adult patient of different ages from 16 to 60 year-old with symptomatic deviated nasal septum
Disqualifiers
Patient with nasal polyposis or nasal tumors or patients with sinusitis not responding to medical treatment.
Patient with previous septal operation
Patient who is planned to do partial inferior turbinectomy or turbinoplasty with septoplasty
Patients with contraindications for general surgery
Trial design
Parallel
Treatments tested in this trial
septoplasty with nasal packs
Procedure/SurgerySeptoplasty to all the patients will be done using general hypotensive anesthesia via cuffed oral endotracheal tube. The patient will be positioned in a slight reverse Trendelenburg position. Local hemostasis will be achieved by injection of lidocaine with epinephrine (1:100000) with placement of topical epinephrine soaked cotton (1:1000) then nasal packs in inserted at the end of operation for prevention of post operative complication
septoplasty with intra-nasal silicon splint
Procedure/SurgerySeptoplasty to all the patients will be done using general hypotensive anesthesia via cuffed oral endotracheal tube. The patient will be positioned in a slight reverse Trendelenburg position. Local hemostasis will be achieved by injection of lidocaine with epinephrine (1:100000) with placement of topical epinephrine soaked cotton (1:1000) then intra-nasal silicon splint is inserted at the end of operation for prevention of post operative complication
septoplasty with trans--septal quilting sutures
Procedure/SurgerySeptoplasty to all the patients will be done using general hypotensive anesthesia via cuffed oral endotracheal tube. The patient will be positioned in a slight reverse Trendelenburg position. Local hemostasis will be achieved by injection of lidocaine with epinephrine (1:100000) with placement of topical epinephrine soaked cotton (1:1000) then trans-septal quilting sutures is done at the end of operation for prevention of post operative complication
Treatment groups
Trial outcomes
Primary outcomes
complication of septoplasty
endoscopic assessment of post operative recovery and complication
post operative pain
post operative pain will be assessed via Visual Analogue scale ( VAS ) on scale from 0 to 10 as higher scores mean worse outcome.
improvement of nasal symptoms
improvement of nasal symptoms will be assessed by using validated Arabic version of NOSE score from 0 to 4 as higher scores mean worse outcome.
Sponsors and contacts
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