Sewing: A New Quilting Suture Method for Nasal Septum Repair.

A deviated nasal septum leads to congestion and headaches. Surgery is the primary treatment, requiring careful postoperative septum positioning to prevent bleeding and hematoma. The study compared this method with nasal packing and traditional nasal septum suturing regarding surgical time, patient pain, nasal obstruction, and bleeding after septoplasty. The surgical time for nasal packing was significantly shorter than that for the other 2 suturing methods (P < 0.0001), but there was no statistically significant difference between the two suture methods (P = 0.1358). The Visual Analog Scale scores showed that the pain in the packing group was significantly higher than that in the other 2 groups within 2 days after surgery (P < 0.0001). The pain during suture removal was significantly higher in the packing group than in the "sewing group" (P < 0.0001). The number of injuries to the outer wall of the nasal cavity by continuous suturing was significantly higher than that by sewing (P < 0.0001). Tearing within 2 days after surgery was significantly higher in the packing group than in the other 2 groups (P < 0.0001). Compared with nasal packing, nasal septum suturing can significantly reduce postoperative pain and tearing, improve comfort, and do not increase bleeding. The newly described nasal septum sewing method in this study has no difference in surgical time compared with the traditional suturing method and can reduce injuries to the outer wall of the nasal cavity. In addition, it is painless and easy to remove during suture removal.