A new approach to nasal septal suturing

Deviated nasal septum is a common anatomical abnormality that requires surgical correction in severe cases. Although septal surgery is a minor procedure, it is routinely followed by nasal tamponade to stop bleeding, usually for 48 hours, and in some cases for 72 hours or longer, which is often painful for the patient. Common symptoms are unbearable headache, lacrimation and photophobia, irritating sneezing, dry and sore throat, and other symptoms such as fever in some patients. Since some patients will have partial turbinate removal surgery at the same time, when removing the stuffing, it will cause the surgical wound to bleed again, which will not only cause local pain but also bring psychological panic to some patients. Nasal septal suture surgery can significantly reduce patients’ pain because it does not require post-surgical caulking.

Based on our experience from abroad, we use absorbable sutures to reset and fix the mucosa during surgery, without removing stitches and without caulking. It was observed clinically that the incidence of its postoperative complications did not differ from that of conventional caulking, but there was maximum reduction in headache, tearing, sneezing, and dry throat.