{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:07:31Z","timestamp":1792782451788,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T00:00:00Z","timestamp":1480464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Fund of Biomedical Research Institute, Chonbuk National University Hospital","id":[{"id":"https:\/\/ror.org\/03by16w37","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Septoplasty is one of the most frequently performed rhinologic surgeries. Complications include nasal bleeding, pain, headache, septal hematoma, synechia, infection, residual septal deviation, and septal perforation. In this study, we aimed to compare complication rates among patients according to packing method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a literature search using PubMed, Embase, and the Cochrane Library through August 2016. Our systematic review followed Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses guidelines. Random effect models were used to calculate risk differences and risk ratio with 95% confidence intervals (CIs). Cases referred to the nonpacking group included patients treated with transseptal sutures or septal splints. Cases referred to as the packing group included patients treated with nonabsorbable packing such as Merocel or gauze.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our search included 20 randomized controlled trials (RCTs) with a total of 1,321 subjects in the nonpacking group and 1,247 subjects in the packing group. There were no significant differences between packing methods regarding bleeding, hematoma, perforation, infection, and residual septal deviation. The risk differences of postoperative pain, headache, and postoperative synechia were \u22120.50 [95% CI: \u22120.93 to \u22120.07,\n                      <jats:italic>P<\/jats:italic>\n                      = .02], \u22120.42 [95% CI: \u22120.66 to \u22120.19,\n                      <jats:italic>P<\/jats:italic>\n                      = .0004], and \u22120.03 [95% CI: \u22120.06 to \u22120.01,\n                      <jats:italic>P<\/jats:italic>\n                      = .01], respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nonabsorbable nasal packing is no more effective than treatments without packing after septoplasty. Septal splints and transseptal sutures reduce postoperative pain, headache, and synechia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      1B\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 127:1026\u20131031, 2017\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.26436","type":"journal-article","created":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T01:28:47Z","timestamp":1480469327000},"page":"1026-1031","source":"Crossref","is-referenced-by-count":28,"title":["Is nonabsorbable nasal packing after septoplasty essential? A meta\u2010analysis"],"prefix":"10.1002","volume":"127","author":[{"given":"Jong Seung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery College of Medicine, Chonbuk National University  Jeonju Korea"},{"name":"Research Institute of Clinical Medicine of Chonbuk National University Biomedical Research Institute of Chonbuk National University Hospital Jeonju Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam Hyun","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery College of Medicine, Chonbuk National University  Jeonju Korea"},{"name":"Research Institute of Clinical Medicine of Chonbuk National University Biomedical Research Institute of Chonbuk National University Hospital Jeonju Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2165-6"},{"key":"e_1_2_6_3_1","first-page":"396","article-title":"Comparative study of intranasal septal splints and nasal packs in patients undergoing nasal septal surgery","volume":"93","author":"Wadhera R","year":"2014","journal-title":"Ear Nose Throat J"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23848"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21110"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin12.051"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.5935\/1808-8694.20130084"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2013.878476"},{"key":"e_1_2_6_9_1","first-page":"111","article-title":"Retrospective analysis of 697 septoplasty surgery cases: packing versus trans\u2010septal suturing method","volume":"32","author":"Cukurova I","year":"2012","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-014-0763-x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.5606\/kbbihtisas.2016.62444"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0388-2"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0141-x"},{"key":"e_1_2_6_14_1","first-page":"165","article-title":"Trans\u2010septal suturing following septoplasty: an alternative for nasal packing","volume":"14","author":"Ghimire A","year":"2012","journal-title":"Nepal Med Coll J"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2010.09.001"},{"key":"e_1_2_6_16_1","first-page":"68","article-title":"Optimal time for nasal packing removal after septoplasty. A comparative study","volume":"45","author":"Hajiioannou JK","year":"2007","journal-title":"Rhinology"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002805"},{"key":"e_1_2_6_18_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_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1542-x"},{"key":"e_1_2_6_20_1","first-page":"49","article-title":"Packing and stents in endonasal surgery","volume":"38","author":"Weber R","year":"2000","journal-title":"Rhinology"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2011.01.024"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1119-0"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00916562"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.2000.00455.x"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198907000-00008"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1991.tb00971.x"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb00982.x"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100145037"},{"key":"e_1_2_6_32_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_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556130808701108"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.05.012"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin09.098"},{"key":"e_1_2_6_36_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_37_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_38_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0093959"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2011.02.008"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815606435"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)60373-0"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24356"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2006.11.013"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.26436","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.26436","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.26436","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.26436","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.26436","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T16:17:38Z","timestamp":1694103458000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.26436"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,30]]},"references-count":42,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1002\/lary.26436"],"URL":"https:\/\/doi.org\/10.1002\/lary.26436","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.727054856.793526886","asserted-by":"object"}]},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,30]]}}}