A COMPARATIVE STUDY OF MANAGEMENT OF SEPTOPLASTY WITH AND WITHOUT ANTIBIOTIC COVER POSTOPERATIVELY

Authors

  • RAJESH KUMAR Department of ENT, NMCH Patna, Bihar, India.
  • SUSHANT KUMAR Department of ENT, Darbhanga Medical College and Hospital, Bihar, India.
  • AMBILI P PANICKER Department of ENT, Darbhanga Medical College and Hospital, Bihar, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i7.44908

Keywords:

Nose, Septoplasty, Bacteremia, Osteomeatal, Breathing problem, Nose score

Abstract

Objective: The septum is the cartilage that divides the nostrils of the nose. It usually lies in the middle and equally separates the nostrils. However, this is not the case with all. Many individuals have a septum that is uneven, causing one nostril to be bigger than the other. A deviated septum is a severe unevenness. It may lead to health problems including a plugged nose or trouble breathing. The aim of the study was to study role of the antibiotics in post-operative period after septoplasty and to compare complications with and without pre- and post-operative antibiotics.

Methods: It was a prospective longitudinal and comparative type study. The present study was carried out on 60 patients with microscopically evident deviated nasal septum and was listed for septoplasty. Patients were divided into three groups: Group A, Group B, and Group C. Alternate patients were randomized in Group A, Group B, and Group C, respectively, with each group is 20 patients. The study was conducted in the Department of Otorhinolaryngology in Nalanda Medical College and Hospital, during the period of January 2019 to December 2020.

Results: The present study included 60 patients among them 39 were male (65%) and 21 female (35%) with a male to female ratio of 1.85:1. In the present study, while analyzing pre-operative NOSE score, it showed that maximum 37 (61.7%) patients showed significant problem (3). Mild (1) and Moderate (2) problem was observed in 8 (13.3%) and 6 (10%) patients, respectively. Severe (4) problem was observed in 9 (15%) patients. Post-operative NOSE score showed a significant improvement after septoplasty in almost every case irrespective of groups.

Conclusion: We conclude that infections after elective nasal surgery in healthy patients rarely occur, making routine antibiotic prophylaxis redundant. Patients who are immunocompromised, those with valvular heart disease, or patients otherwise susceptible to infections should receive antimicrobial prophylaxis even for simple procedures, as bacteremia may occur during nasal procedures.

Downloads

Download data is not yet available.

References

American Academy of Otolaryngology. Fact Sheet, Deviated Septum. Alexandria, Virginia: American Academy of Otolaryngology; 2009.

Cottle MH. Concepts of nasal physiology as related to nasal surgely. Arch Otolaryngol 1960;72:11-20. doi: 10.1001/ archotol.1960.00740010015003, PMID 13848219

Perrotti JA, Castor SA, Perez PC, Zins JE. Antibiotic use in aesthetic surgery: A national survey and literature review. Plast Reconstr Surg 2002;109:1685-93. doi: 10.1097/00006534-200204150-00033, PMID 11932619

Maran AG, Lund VJ. Trauma to nose and sinuses. In: Clinical Rhinology. 1st ed. United States: Thieme Publishing Group; 1990. p. 110-39.

Rao JJ, Kumar EC, Babu KR, Chowdary VS, Singh J, Rangamani SV. Classification of nasal septal deviations-relation to sinonasal pathology. Indian J Otolaryngol Head Neck Surg 2005;57:199-201. doi: 10.1007/ BF03008013, PMID 23120171

Iqbal K, Khan MI, Amanullah A. Submucous resection versus septoplasty: Complications and functional outcome in adult patients. Gomal J Med Sci 2011;9:23-7.

Bothra R, Mathur NN. Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol 2009;123:737-41. doi: 10.1017/S0022215108004192

Sam A, Deshmukh PT, Patil C, Jain S, Patil R. Nasal septa deviation and external deformity: A correlative study of 100 cases. Indian J Otolaryngol Head Neck Surg 2012;64:312-8. doi: 10.1007/s12070-011- 0311-x

Weimert TA, Yoder MG. Antibiotics and nasal surgery. Laryngoscope 1980;90:667-72. doi: 10.1288/00005537-198004000-00014, PMID 6965751

Rechtweg JS, Paolini RV, Belmont MJ, Wax MK. Postoperative antibiotic use of septoplasty: A survey of practice habits of the membership of the American rhiologic society. Am J Rhinol 2001;15:315-20. doi: 10.1177/194589240101500506

Mäkitie A, Aaltonen LM, Hytönen M, Malmberg H. Postoperative infection following nasal septoplasty. Acta Otolaryngol Suppl 2000;543:165-6. doi: 10.1080/000164800454297, PMID 10909010

Bandhauer F, Buhl D, Grossenbacher R. Antibiotic prophylaxis in rhinosurgery. Am J Rhinol 2002;16:135-9. doi: 10.1177/194589240201600302, PMID 12141769

Caniello M, Passerotti GH, Goto EY, Voegels RL, Butugan O. Antibiotics in septoplasty: is it necessary? Braz J Otorhinolaryngol 2005;71:734-8. doi: 10.1016/s1808-8694(15)31241-6, PMID 16878241

Georgiou I, Farber N, Mendes D, Winkler E. The role of antibiotics in rhinoplasty and septoplasty: A literature review. Rhinology 2008;46:267-70. PMID 19145993

Published

07-07-2022

How to Cite

KUMAR, R., S. KUMAR, and A. P PANICKER. “A COMPARATIVE STUDY OF MANAGEMENT OF SEPTOPLASTY WITH AND WITHOUT ANTIBIOTIC COVER POSTOPERATIVELY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 7, July 2022, pp. 92-96, doi:10.22159/ajpcr.2022.v15i7.44908.

Issue

Section

Original Article(s)