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Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study

CONTEXT: Postoperative throat complaints such as postoperative sore throat (POST), dysphagia, and hoarseness frequently arises after tracheal intubation and throat packing for patient undergoing general anesthesia. This condition is very disturbing to patient. Avoiding POST is a major priority for t...

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Autores principales: Rizvi, Mohd Meesam, Singh, Raj Bahadur, Rasheed, Mohd Asim, Sarkar, Arindam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563953/
https://www.ncbi.nlm.nih.gov/pubmed/26417132
http://dx.doi.org/10.4103/0259-1162.156347
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author Rizvi, Mohd Meesam
Singh, Raj Bahadur
Rasheed, Mohd Asim
Sarkar, Arindam
author_facet Rizvi, Mohd Meesam
Singh, Raj Bahadur
Rasheed, Mohd Asim
Sarkar, Arindam
author_sort Rizvi, Mohd Meesam
collection PubMed
description CONTEXT: Postoperative throat complaints such as postoperative sore throat (POST), dysphagia, and hoarseness frequently arises after tracheal intubation and throat packing for patient undergoing general anesthesia. This condition is very disturbing to patient. Avoiding POST is a major priority for these patients because preventing postoperative complications contributes to patient satisfaction. AIMS: To describe and analyze the postoperative throat effects of nasopharyngeal packing and oropharyngeal packing in patients undergoing nasal surgery. SETTINGS AND DESIGN: A randomized comparative study. SUBJECTS AND METHODS: After obtaining approval of Ethical Committee 40 patients were included in study. After this patient were randomly allocated into two groups of 20 each. Group A - in which the oropharynx was packed and Group B - inwhich the nasopharynx was packed. General anesthesia were given and throat packing was done and patients were interviewed postoperatively for any throat complications such as sore throat, difficulty in swallowing (dysphagia), hoarseness of voice, throat irritation, and any other symptom pertaining to the study were noted and data were analyzed. STATISTICAL ANALYSIS USED: T-test to compare the age, while Chi-square test and Fisher's exact test were used to compare sex distribution, sore throat, dysphagia, hoarseness, and throat irritation. RESULTS: Results showed statistically significant difference in incidence and severity of POST in Group A patients when compared to Group B patients to be more. Patients in Group A had a higher incidence of dysphagia when compared to their Group B counterparts. With respect to the incidence of hoarseness and throat irritation, there was no statistical significance between the groups. CONCLUSION: We concluded that the site of pharyngeal packing influences the incidence and severity of POST and as well as the incidence of dysphagia after general anesthesia. The use of nasopharyngeal packing in the patients undergoing nasal surgeries might lead to a reduction of the same.
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spelling pubmed-45639532015-09-28 Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study Rizvi, Mohd Meesam Singh, Raj Bahadur Rasheed, Mohd Asim Sarkar, Arindam Anesth Essays Res Original Article CONTEXT: Postoperative throat complaints such as postoperative sore throat (POST), dysphagia, and hoarseness frequently arises after tracheal intubation and throat packing for patient undergoing general anesthesia. This condition is very disturbing to patient. Avoiding POST is a major priority for these patients because preventing postoperative complications contributes to patient satisfaction. AIMS: To describe and analyze the postoperative throat effects of nasopharyngeal packing and oropharyngeal packing in patients undergoing nasal surgery. SETTINGS AND DESIGN: A randomized comparative study. SUBJECTS AND METHODS: After obtaining approval of Ethical Committee 40 patients were included in study. After this patient were randomly allocated into two groups of 20 each. Group A - in which the oropharynx was packed and Group B - inwhich the nasopharynx was packed. General anesthesia were given and throat packing was done and patients were interviewed postoperatively for any throat complications such as sore throat, difficulty in swallowing (dysphagia), hoarseness of voice, throat irritation, and any other symptom pertaining to the study were noted and data were analyzed. STATISTICAL ANALYSIS USED: T-test to compare the age, while Chi-square test and Fisher's exact test were used to compare sex distribution, sore throat, dysphagia, hoarseness, and throat irritation. RESULTS: Results showed statistically significant difference in incidence and severity of POST in Group A patients when compared to Group B patients to be more. Patients in Group A had a higher incidence of dysphagia when compared to their Group B counterparts. With respect to the incidence of hoarseness and throat irritation, there was no statistical significance between the groups. CONCLUSION: We concluded that the site of pharyngeal packing influences the incidence and severity of POST and as well as the incidence of dysphagia after general anesthesia. The use of nasopharyngeal packing in the patients undergoing nasal surgeries might lead to a reduction of the same. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4563953/ /pubmed/26417132 http://dx.doi.org/10.4103/0259-1162.156347 Text en Copyright: © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rizvi, Mohd Meesam
Singh, Raj Bahadur
Rasheed, Mohd Asim
Sarkar, Arindam
Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study
title Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study
title_full Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study
title_fullStr Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study
title_full_unstemmed Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study
title_short Effects of different types of pharyngeal packing in patients undergoing nasal surgery: A comparative study
title_sort effects of different types of pharyngeal packing in patients undergoing nasal surgery: a comparative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563953/
https://www.ncbi.nlm.nih.gov/pubmed/26417132
http://dx.doi.org/10.4103/0259-1162.156347
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