FORGOTTEN POST OPERATIVE NASAL SPLINT & ORO-NASAL FISTULA
Abstract
Oro-nasal fistula is an anomalous communication between the floor of nasal passage and the roof of the oral cavity. It may develop as a congenital defect e.g. cleft palate, or rarely, consequent to an operative procedure like a sub muco-perichondrial resection surgery of the nasal septum. After nasal septal corrective surgery, follow up of the patient with meticulous nasal toilet and detailed examination is mandatory. In operated patients who do not report to follow up, and later on present with persisting nasal discharge, pain, nasal blockage and exsanguination must alert a clinician for any evidence of a possibly retained foreign object. Inadvertently retained nasal splints can cause long lasting morbidity due to a possible chronic sinusitis, toxic shock syndrome and palatal perforation.
Keywords: Nasal septum; nasal lavage; nasal septal perforation; epistaxis; nasal surgical procedures; splints, fistulaReferences
Vainio-Mattila J. Correlations of nasal symptoms and signs in random sampling study. Acta Otolaryngol Suppl 1974;318:1-48.
McCaffrey TV, Kern EB. Clinical evaluation of nasal obstruction: a study of 1,000 patients. Arch Otolaryngol 1979;105(9):542-5.
Muhammad IA, Nabil-ur Rahman. Complications of the surgery for deviated nasal septum. J Coll Physicians Surg Pak 2003;13(10):565-8.
Deniz M, Çiftçi Z, Işık A, Demirel OB, Gültekin E. The impact of different nasal packings on postoperative complications. Am J Otolaryngol 2014;35(5):554-7.
Malki D, Quine S, Pfleiderer AG. Nasal splints, revisited. J Laryngol Otol 1999;113(8):725-7.
von Schoenberg M, Robinson P, Ryan R. The morbidity from nasal splints in 105 patients. Clin Otolaryngol Allied Sci 1992;17(6):528-30.
Al-Mazrou KA, Zakzouk SM. The impact of using intranasal splints on morbidity and prevalence of adhesions. Saudi Med J 2001;22(7):616-8.
Yilmaz MS, Guven M, Elicora SS, Kaymaz R. An evaluation of biodegradable synthetic polyurethane foam in patients following septoplasty: a prospective randomized trial. Otolaryngol Head Neck Surg 2013;148(1):140-4.
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