OPTIMIZATION OF REHABILITATION IN PATIENTS AFTER SURGICAL CORRECTION OF THE NASAL SEPTUM
DOI:
https://doi.org/10.37219/f0mec467Keywords:
septoplasty, nasal septum deviation, rehabilitation, "Sparklin" nasal spray, "Forinex", carbon dioxideAbstract
Abstract
Introduction. Nasal septum deformity is one of the most common anatomical abnormalities of the upper respiratory tract, leading to chronic nasal obstruction and systemic hypoxia. Septoplasty is the primary treatment method. However, the early postoperative period is accompanied by reactive mucosal inflammation, edema, and intensive formation of fibrinous-hemorrhagic crusts, which requires the optimization of local rehabilitation protocols.
Objective. To evaluate the clinical efficacy and pathogenic impact of the combined use of "Sparklin" effervescent nasal spray and "Forinex" topical steroid on the dynamics of local symptoms and the mucosal regeneration rate in patients during the postoperative period after septoplasty.
Materials and Methods. The study involved 60 patients (aged 18–58 years) who underwent elective septoplasty at the Chernihiv Regional Hospital. Patients were divided into two representative groups (n = 30 each). In the main group, "Sparklin" effervescent spray was administered from the 2nd postoperative day (2 sprays 5 times a day), and "Forinex" topical steroid was added from the 7th day (2 sprays twice a day). The control group received standard therapy without "Sparklin" spray. Clinical evaluation using the modified SNOT-22 scale and endoscopic monitoring were performed on days 3, 7, and 14.
Results. On day 3, the baseline severity of nasal obstruction, crust formation, and pain intensity did not differ between the groups (p > 0.05). On day 7, a rapid regression of symptoms was recorded in the main group: the nasal obstruction level decreased to 1.8 ± 0.1 points compared to 2.9 ± 0.2 in the control group (p < 0.05). Due to the lytic effect of CO₂ microbubbles, crust evacuation in the main group occurred atraumatically, reducing pain during nasal toilet to 1.6 ± 0.1 points versus 2.8 ± 0.2 in the control group (p < 0.05). By day 14, the main group patients achieved almost complete mucosal regeneration and restoration of free breathing (0.4 ± 0.1 points).
Conclusions. The combined use of "Sparklin" and "Forinex" nasal sprays ensures high topical efficacy, accelerates epithelialization, minimizes painful discomfort during hygienic manipulations, and serves as a pathogenetically justified standard of medical support for patients after septoplasty.
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