Dr. Arfat's technique of septoplasty without nasal packing

One of the most feared things about nasal surgeries is post operative nasal packing. Nasal packs are placed routinely after septoplasty to prevent bleeding and a collection of blood between septal flaps (septal hematoma). They cause discomfort while in place and a pain on placement (if surgery is not being done under general anesthesia) and on removal. Some surgeons don't pack the nose in selected clean surgeries. I have done 2 modifications in the standard technique that allow me to do all my septoplasties and SMRs without nasal packs. I do that both under local and general anesthesia. The patients can breathe through the nose just after surgery.