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Dr. Said Mustafa Said, Dr. Abubakir F. Abdulrazzaq

Background, Septoplasty is a common surgical procedure performed by otolaryngologists for the correction of deviated nasal septum. This surgery may be associated with numerous complications. To minimize these complications, otolaryngologists frequently pack both nasal cavities with different types of nasal packing. Despite all its advantages, nasal packing is also associated with some disadvantages. To avoid these issues, many surgeons use suturing techniques to obviate the need for packing after surgery. Objective, To determine the efficacy and safety of trans septal suture technique in preventing complications and decreasing morbidity after septoplasty in comparison with nasal packing. Patients and methods, Prospective comparative study. This study was conducted in the department of Otolaryngology Head and Neck Surgery, Rizgary Teaching Hospital Erbil, from the 6th of May 2014 to the 30th of November 2014. A total of 60 patients aged 18 45 years, undergoing septoplasty, were included in the study. Before surgery, patients were randomly divided into two equal groups. Group (A) with trans septal suture technique was compared with group (B) in which nasal packing with Merocel was done. Postoperative morbidity in terms of pain, bleeding, postnasal drip, sleep disturbance, dysphagia, headache and epiphora along with postoperative complications including septal hematoma, septal perforation, crustation and synechiae formation were assessed over a follow up period of four weeks. Results, Out of 60 patients, 37 patients were males (61.7%) and 23 patients were females (38.3%). Patients with nasal packing had significantly more postoperative pain (P 0.05) and a significantly higher incidence of postnasal drip, sleep disturbance, dysphagia, headache and epiphora on the night of surgery (P 0.05). There was no significant difference between the two groups with respect to nasal bleeding, septal hematoma, septal perforation, crustation and synechiae formation. Conclusion, Septoplasty can be safely performed using trans septal suturing technique without nasal packing.