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<p>Postoperative sore throat and pharyngitis are common causes of patient discomfort following septorhinoplasty. Nasal packing, routinely used to prevent postoperative bleeding and septal hematoma, causes complete nasal obstruction and obligates mouth breathing, which may contribute to pharyngeal morbidity. The impact of nasal packing duration on postoperative sore throat remains under-investigated. To evaluate the effect of nasal packing duration (24 versus 48&#xa0;h) on the incidence and severity of postoperative sore throat and pharyngitis after septorhinoplasty. This prospective randomized comparative study included 100 ASA I–II patients aged 20–40 years undergoing septorhinoplasty under general anesthesia. Patients were randomly allocated into two groups: Group A (nasal packing removed after 24&#xa0;h) and Group B (nasal packing removed after 48&#xa0;h). Postoperative sore throat severity was assessed using the Visual Analog Scale (VAS), while dysphagia and throat irritation were recorded as present or absent at predefined postoperative intervals up to 48&#xa0;h. Baseline demographic and operative characteristics were comparable between groups. The incidence and severity of postoperative sore throat were significantly higher in the 48-hour nasal packing group starting from 12&#xa0;h postoperatively and persisted up to 48&#xa0;h (<i>p</i> &lt; 0.05). Dysphagia and throat irritation were also significantly more frequent in patients with prolonged nasal packing. Prolonged nasal packing for 48&#xa0;h following septorhinoplasty is associated with significantly worse postoperative sore throat and pharyngitis compared with 24-hour packing. Early removal of nasal packing may improve postoperative comfort and patient satisfaction.</p>

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Nasal Packing Duration and Its Role in the Development of Postoperative Sore Throat and Pharyngitis After Septorhinoplasty: a Prospective Comparative Study

  • 期刊论文

  • 发表日期：

    2026年3月25日

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  • Ahmed M. Abosakaya,
  • Rami Fatouh Tantawy,
  • Neveen A. Kohaf,
  • Hany Bauiomy

摘要

Postoperative sore throat and pharyngitis are common causes of patient discomfort following septorhinoplasty. Nasal packing, routinely used to prevent postoperative bleeding and septal hematoma, causes complete nasal obstruction and obligates mouth breathing, which may contribute to pharyngeal morbidity. The impact of nasal packing duration on postoperative sore throat remains under-investigated. To evaluate the effect of nasal packing duration (24 versus 48 h) on the incidence and severity of postoperative sore throat and pharyngitis after septorhinoplasty. This prospective randomized comparative study included 100 ASA I–II patients aged 20–40 years undergoing septorhinoplasty under general anesthesia. Patients were randomly allocated into two groups: Group A (nasal packing removed after 24 h) and Group B (nasal packing removed after 48 h). Postoperative sore throat severity was assessed using the Visual Analog Scale (VAS), while dysphagia and throat irritation were recorded as present or absent at predefined postoperative intervals up to 48 h. Baseline demographic and operative characteristics were comparable between groups. The incidence and severity of postoperative sore throat were significantly higher in the 48-hour nasal packing group starting from 12 h postoperatively and persisted up to 48 h (p < 0.05). Dysphagia and throat irritation were also significantly more frequent in patients with prolonged nasal packing. Prolonged nasal packing for 48 h following septorhinoplasty is associated with significantly worse postoperative sore throat and pharyngitis compared with 24-hour packing. Early removal of nasal packing may improve postoperative comfort and patient satisfaction.