ABSTRACT
Objective: Synechia is an important and frequently encountered complication of nasal surgery. Recurrent synechia can be seen after synechia correction surgeries. Sucralfate has recently come up with its topical use in healing epithelial wounds
Design: Retrospective analyses of prospective recorded data
Setting: Department of Otorhinolaryngology, Numune Education and Research Hospital, Ankara, Turkey
Subjects: Records of 16 patients who had previously undergone nasal surgery were investigated. Nasal synechia was detected in their controls and they underwent surgery for synechiae correction. During the synechiae correction surgery of 16 patients, topical sucralfate was used in 11 different synechiae regions in nine patients in group A and in the control group [Group B], it was not used in 9 separate regions in 7 patients
Interventions: Nine patients in group A received topical sucralfate. Seven patients in group B had surgery without topical sucralfate
Main outcome measure: We have investigated the effect of topical application of sucralfate on the success of nasal synechia correction surgery
Results: Recurrent synechia wasn't detected in group A, treated with topical sucralfate, whereas in the control group, seven patients had recurrent synechia in three of the nine separate regions. When statistically analyzed, recurrence is seen to be much lower in group A
Conclusion: In conclusion, topical use of sucralfate in synechia correction surgery applied in cases of postoperative nasal synechiae increases the success rate of surgery