POST OPERATIVE CARE AFTER SEPTOPLASTY: COMPARISON OF ISOTONIC SALINE and SALINE WITH HYALURONATE

Abstract

Isotonic saline solution has been using for a long time but hyaluronic solutions are started to use widely after endonasal procedures. There is no study about the comparison of hyaluronic and saline solutions after septoplasty. Our aim in the study is to investigate effect of solutions on postoperative care after septoplasty Prospective blind study was designed. Forty-six individuals who have septal deviation included to tje study. Group 1 used isotonic saline, Grup 2 used hyaluronic irrigation. Mucociliary activity, peak nasal inspiratory flow meter, VAS were measured; preoperative, postoperative 10th day and 21st day. In group 2 mucociliary activity accelerated from 932 seconds to 827 seconds but this acceleration was not significant. (p:0.108) In group 1 flow decreases, (p:0.043) in group 2 flow increases significantly. (p:0.002) Nasal crusting showed no difference between the groups. Hyaluronic irrigation has positive effect after septoplasty operation. Isotonic saline solution compare to hyaluronic solution has no difference but isotonic had worse results.