A current survey on the use of intranasal splints among uk consultants

Abstract Objectives: A survey 12 years ago revealed that 64% of UK consultants routinely use intranasal splints primarily to prevent postoperative adhesions. There is increasing evidence that routine intranasal splints does not reduce postoperative intranasal adhesion rates and instead may increase patient morbidity. We conduct a similar survey to assess the current practice amongst UK consultants with regards to the application of splints. Methods: Postal questionnaires were sent out randomly to UK consultants asking about their usage of postoperative intranasal splints. The questions included the frequencies of splint usage in various intranasal operations, indications and types of splint used, and how long they were used for. Results: A total of 135 (68%) questionnaires were returned. Only 123 (62%) were completed and analyzed. Majority (72%) felt that the main indication of the splints was prevention of reformation of adhesions in patients who required adhesion division. Almost 70% of consultants performing division of adhesions would routinely apply splints. Although overall 80% rarely or never use intranasal splints, nearly half (48%) still believe that splints could prevent postoperative adhesions. An average 26% routinely use splints for operations involving both the septum and lateral wall of nasal cavity (eg, septoplasty+submucous resection). The most common splints used are flat silicone rubber (69%). Most would leave the splints intranasally for 1–2 weeks; 71% advocate saline nasal douching. Conclusion: The current practice among UK consultants regarding intranasal splint application appears to be leaning toward evidence-based practice.