Clinical application and curative effects of continuous through-suture of the nasal septum for endoscopic septoplasty in randomised trials

OBJECTIVES: To evaluate the clinical application and curative effect of continuous through-suture of the nasal septum (NS) of patients undergoing nasal septum correction surgery with nasal endoscopy. METHODS: A total of 600 patients with deviated NS (DNS) were randomly divided into a tamponade group and a suture group using odd-even admission number (n = 300 cases/group). The visual analog scale (VAS) was used to evaluate the patients’ symptoms 6, 12, 24 and 48 h after surgery based on their experience of nasal pain, congestion, eye discomfort and headache. The postoperative complications of the two groups, including nasal bleeding, hematoma, infection and punch, were also recorded and compared. RESULTS: Within 48 h after surgery, the VAS scores for nasal pain, nasal congestion, eye discomfort and headache in the suture group were significantly lower than in the tamponade group (P < 0.05), while no statistically significant difference was observed in postoperative complications between the two groups. Importantly, neither nasal septum hematoma, perforation, nor local infection occurred in either group. CONCLUSIONS: Continuous through-suture of the nasal septum can significantly improve the perioperative symptoms and postoperative quality of life without increasing the risk of postoperative complications in patients with DNS.