Clinical Research Directory

Inclusion Criteria: 1. Patients undergoing nasal surgeries requiring bilateral nasal packs. 2. Patients 18 years or older. Exclusion Criteria: 1. Patients in whom fentany is contraindicated such as respiratory comorbidites (COPD and Asthma), hypersensitivity to fentanyl, liver diseases or had previous biliary tract surgeries 2. Systemic medical problems interfering with surgery. 3. Patients with traumatic conditions e.g fracture face or fracture nasal bone. 4. patients who refuse to take part in the study. 5. Patients with different nasal pathology in both sides e.g if partial turbinectomy is indicated in one side of the nose or patients with unilateral nasal polyp.