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Pharyngeal packing is a predisposing factor for postoperative aphthous stomatitis in nasal surgery

To evaluate whether pharyngeal packing is a predisposing factor for the development of postoperative aphthous stomatitis in nasal surgery. A prospective, randomized, controlled trial. A tertiary referral center. After the study was approved by the local ethics committee, 100 adult patients scheduled...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2010-05, Vol.142 (5), p.672-676
Main Authors: Erkalp, Kerem, Korkut, Yasemin Arzu, Meric, Aysenur, Kahya, Volkan, Gedikli, Orhan, Su, Ozlem Kucuk, Saitoglu, Leyla
Format: Article
Language:English
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Summary:To evaluate whether pharyngeal packing is a predisposing factor for the development of postoperative aphthous stomatitis in nasal surgery. A prospective, randomized, controlled trial. A tertiary referral center. After the study was approved by the local ethics committee, 100 adult patients scheduled for routine nasal surgery were enrolled. The development of postoperative aphthous lesions within three days after surgery was evaluated in patients in whom a pharyngeal pack was (Group 1) or was not (Group 2) applied during nasal surgery. In Group 1, the presence of pharyngeal pack increased the risk for postoperative oral mucosal aphthae development by 4.64 times ( P = 0.02, RR = 4.64, 95% CI = 1.22-17.91). No significant associations were found between postoperative oral mucosal aphthae development and sex ( P = 1), age ( P = 0.69), height ( P = 0.73), weight ( P = 0.22), or duration of surgery ( P = 0.47) in Group 1. Pharyngeal packing during nasal surgery increases postoperative morbidity by leading to the development of painful oral aphthous lesions.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2009.12.040