{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:24:52Z","timestamp":1780493092524,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,11,7]],"date-time":"2012-11-07T00:00:00Z","timestamp":1352246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nasal packing is routinely used after septoplasty because it is believed to decrease risk of postoperative bleeding, hematomas, and adhesions. Multiple studies have shown, however, that there are numerous complications associated with nasal packing. The purpose of this work was to perform a meta\u2010analysis on the existing literature to evaluate the role of nasal packing after septoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two independent reviewers conducted a literature search using EMBASE, OVID, Medline, PubMed, Google scholar, Cochrane Library, and reference list review from 1966 to August 2010 to identify studies assessing nasal packing after septoplasty. All papers were reviewed for study design, results, and were assigned an Oxford level of evidence grade, Detsky score, and Methodological Index for Nonrandomized Studies (MINORS) score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen papers were identified that met the inclusion criteria. Eleven papers were randomized control trials, 3 were prospective, and 2 were retrospective studies. Nasal packing did not show benefit in reducing postoperative bleeding, hematomas, septal perforations, adhesions, or residual deviated nasal septum. There was, however, an increase in postoperative infections. Two studies using fibrin products as nasal packing showed a decreased bleeding rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nasal packing after septoplasty does not show any postoperative benefits. Fibrin products show a possibility of decreasing postoperative bleeding. Routine use of nasal packing after septoplasty is not warranted. This is the first meta\u2010analysis conducted on this topic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alr.21110","type":"journal-article","created":{"date-parts":[[2012,11,7]],"date-time":"2012-11-07T12:42:56Z","timestamp":1352292176000},"page":"418-424","source":"Crossref","is-referenced-by-count":32,"title":["Is nasal packing necessary after septoplasty? A meta\u2010analysis"],"prefix":"10.1002","volume":"3","author":[{"given":"Sarfaraz M.","family":"Banglawala","sequence":"first","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery McMaster University  Hamilton, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep","family":"Gill","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery McMaster University  Hamilton, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doron D.","family":"Sommer","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery McMaster University  Hamilton, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkis","family":"Psaltis","sequence":"additional","affiliation":[{"name":"Ear, Nose and Throat (ENT) Department Medical University of South Carolina (MUSC)  Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodney","family":"Schlosser","sequence":"additional","affiliation":[{"name":"Ear, Nose and Throat (ENT) Department Medical University of South Carolina (MUSC)  Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gupta","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery McMaster University  Hamilton, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02439733"},{"key":"e_1_2_6_3_1","first-page":"334","article-title":"Degree of the patient satisfaction and post\u2010operative complications for septoplasty surgery with the use of nasal buffer","volume":"12","author":"Baptistella E","year":"2008","journal-title":"Int Arch Otorhinolaryngol"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000196947.58929.51"},{"key":"e_1_2_6_5_1","first-page":"54","article-title":"Hemostatic suture for septoplasty: how we do it","volume":"17","author":"Lee IN","year":"1988","journal-title":"J Otolaryngol"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107001016"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199903000-00008"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.05.012"},{"key":"e_1_2_6_9_1","first-page":"215","article-title":"Septal suturing following nasal septoplasty, a valid alternative for nasal packing","volume":"55","author":"Lemmens W","year":"2001","journal-title":"Acta Otorhinolaryngol Belg."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2008.01799.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2011.01.024"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1542-x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.11.036"},{"key":"e_1_2_6_14_1","first-page":"9","article-title":"Does post septoplasty nasal packing reduce complications","volume":"49","author":"Naghibzadeh B","year":"2011","journal-title":"Acta Med Iran"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556130808701108"},{"key":"e_1_2_6_16_1","first-page":"1534","article-title":"Suturing of the nasal septum after septoplasty, is it an effective alternative to nasal packing","volume":"28","author":"Al\u2010Raggad DK","year":"2007","journal-title":"Saudi Med J"},{"key":"e_1_2_6_17_1","first-page":"571","article-title":"Fibrin sealant: alternative to nasal packing in endonasal operations. 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