ANALYSIS OF PREDICTORS OF COMPLICATIONS AFTER SEPTOPLASTY

Abstract

Relevance. Septoplasty is one of the most popular surgical operations in otolaryngology and plastic surgery.The surgical technique of performing the operation is widely variable: endoscopic, endonasal and open operations are possible. Nasal septum repair methods can be divided into two categories: Killian septectomy and Cottle septoplasty. This surgical technique leads to typical complications, one of the most common being heavy bleeding. In patients with combined septoplasty and turbinoplasty, septal hematoma, hyposmia, prolonged healing due to infection, and adhesions are much more common.The aim of the study was to analyze the development of complications after septoplasty.Materials and methods. A retrospective analysis of clinical cases after septoplasty was performed for the period from 2022 to 2023 in the city of Irkutsk, Russian Federation. During this period, 34 patients met the study criteria. Surgical treatment included endonasal septoplasty with turbinoplasty.Results. When constructing a logistic analysis, a significant predictor of bleeding was found to include an operation duration of more than 100 minutes (OR 53.9; 95 % CI 1.02; 941.0; p = 0.049). A model with good predictive value was obtained (AUC = 0.73). The sensitivity and specificity of the test are 50 % and 96.88 %, respectively. The overall confidence level is 94.12 %.Conclusion. The information obtained about the predictors of postoperative bleeding after septoplasty allows us to predict these negative outcomes and prevent their development using active hemostatic procedures. Active use of tranexamic acid for patients at risk for postoperative bleeding will reduce the likelihood of this complication.

Keywords

• septoplasty
• bleeding
• rhinoseptoplasty
• predictors of complications