A Novel Technique of Using Sponge as Post-Operative Nasal Packing (original) (raw)
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Comparison of Polyvinyl Acetate Sponge and Medicated Ribbon Gauge Nasal Pack following Nasal Surgery
Nepal Medical College Journal, 2019
Nasal occlusive dressings are routine after nasal surgeries to arrest hemorrhage, to prevent septal hematoma, and to prevent postoperative adhesions. However, patients describe nasal packing and its removal as their worst experience. Various types of nasal packs are available. Medicated ribbon gauge is the traditional form of nasal pack which consists of an open-mesh cotton as a carrier whereas “Polyvinyl Acetate’ sponge is a compressed dehydrated material, an improvised one which increases in size and compresses blood vessels when rehydrated with normal saline. As Polyvinyl acetate sponge is smooth and spongy, it causes less pain and abrasion while in-situ and removal. This was a prospective comparative study done in tertiary hospital of Nepal. Patients were subjected to either polyvinyl acetate sponge or ribbon gauge nasal pack following nasal surgery. Comparisons were made in terms of pain score, maintenance of hemostasis and wound healing. There were 154 patients in the study w...
Nasal packing in endonasal surgery - a literature review LITERATuRE REVIEw
2020
Nasal packing is currently used as a step of the nasal surgery in order to prevent hemorrhage and to ensure a normal wound healing process. The range of materials used for this purpose is wide, including both removable and absorbable materials. Because currently there is no standardization in this matter, the choice is in the surgeon's hand, according to his abilities, beliefs, or technical possibilities. This article reviews the literature on the use of both absorbable and removable materials used for hemostasis after nasal surgery in the last decades, trying to reveal the advantages and also the weak points for both methods.
Nasal packing in endonasal surgery - a literature review
2011
Nasal packing is currently used as a step of the nasal surgery in order to prevent hemorrhage and to ensure a normal wound healing process. The range of materials used for this purpose is wide, including both removable and absorbable materials. Because currently there is no standardization in this matter, the choice is in the surgeon’s hand, according to his abilities, beliefs, or technical possibilities. This article reviews the literature on the use of both absorbable and removable materials used for hemostasis after nasal surgery in the last decades, trying to reveal the advantages and also the weak points for both methods.
Comparison of three different polyvinyl alcohol packs following functional endoscopic Nasal surgery
The Laryngoscope, 2014
To compare the extent of bleeding and patient discomfort during packing removal of three different polyvinyl alcohol (PVA) packs: 1) a standard PVA sponge (s-PVA) (Mondocel Standard 10 cm; Mondomed NV, Hamont-Achel, Belgium); 2) a PVA sponge with oxidized cellulose (oc-PVA) (Merocel Hemox 10 cm; Medtronic Xomed Surgical Products, Jacksonville, FL); and 3) a PVA sponge with polyethylene film (pf-PVA) (Merocel 2000 8 cm; Medtronic Xomed Surgical Products, Jacksonville, FL), after functional endoscopic sinus surgery and inferior turbinoplasty. A prospective, randomized, blinded, controlled trial. Ninety consecutive patients were enrolled and randomized to receive in each side one pack in the middle meatus and another pack of the same material in the nasal fossa. The patients were equally divided in three groups of 30 patients each. Group A received the pf-PVA; group B received oc-PVA; and group C received s-PVA. Postoperatively, bleeding after removal of the entire nasal packing was ev...
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
This study aimed to compare differences between medicated and nonmedicated Merocel middle meatal spacers (MMSs) on sinonasal mucosal healing (histopathologic and endoscopic difference), patient discomfort, and pain on removal of the MMS following functional endoscopic sinus surgery. Forty-eight patients with chronic rhinosinusitis undergoing bilateral functional endoscopic sinus surgery were enrolled in a prospective study. Patients were randomized and blinded to receive a medication-soaked Merocel MMS (either one of budesonide, gentamicin, or manuka honey) in one nostril and a nonmedicated Merocel MMS in the contralateral side. Patients were seen on postoperative day 7 and were asked to complete a visual analogue score to report the level of discomfort from nasal packing on each side. Under endoscopic visualization, biopsies of mucosa were taken from both middle meati and assessed by a blinded pathologist to determine the level of mucosal inflammation on a scale of 0 to 4. The bude...
Study of nasal packing versus quilting following septoplasty surgery
Journal of Gandaki Medical College-Nepal
Introduction: Nasal packing is a commonly performed procedure after septoplasty. Quilting is alternative procedure which reduces the complications of nasal packing. This study aims to compare the post-operative outcome of quilting and nasal packing following septoplasty. Methods: This is a prospective comparative study carried on 80 patients divided into two equal groups who had undergone quilting and nasal packing randomly after septoplasty surgery for symptomatic deviated nasal septum. Post-operative nasal outcome score, pain, haemorrhage, anxiety, infection was compared between two groups at 1st, 3rd, 7th and 30th post-operative days. Results: There was significant improvement in nasal obstruction post-operatively in quilting group (p<0.05). Polyvinyl acetate sponge nasal packing group patients experienced significantly higher intensity of pain on 1st and 3rd post-operative days (p<0.05). Post-operative bleeding was also relatively higher in nasal packing group compared to ...
Ceylon Journal of Otolaryngology, 2023
To compare the conventional anterior nasal packing (CANP) with Hydroxylated polyvinyl acetate pack (Merocele) after septoplasty, in terms of pain, bleeding, and postoperative complications like synechia formation. Material and Methods This study was a prospective, randomized, interventional study conducted among 48 patients. Patients underwent septoplasty under general anesthesia for symptomatic deviated nasal septum. In all the 48 patients, post-surgery, one nasal cavity was packed with a conventional nasal pack and the other cavity was packed with Merocele nasal pack. Pain and bleeding were evaluated during pack removal on the third post-operative day. Synechia was assessed at the 8th postoperative week (2 months) follow-up. The results were compared between the two groups. Result Out of 48 patients who underwent surgery, 3 patients were lost to follow-up. So, results were compared between 45 patients. Pain and bleeding during removal of conventional and merocele packs were not seen to be statistically significant. Post-operative synechia was not seen in any of the nasal cavities, irrespective of the packing material used. Conclusion Hence, in terms of pain, bleeding during pack removal, and post-operative synechia; conventional and merocele nasal packs were comparable and there was no significant difference in using either of the materials post-septoplasty..
Health Renaissance, 2012
Background: Packs are placed following nasal surgeries to arrest haemorrhage, to prevent septal haematoma and synechie formation. Despite Merocel, a tampon constructed from a foam polymer of hydroxylated polyvinyl acetate, which is less abrasive and hence associated with the less pain, we still use Neosporine Impregnated Ribbon Gauze (NIRG). Objective: To compare Merocel and the Neosporine Impregnated Ribbon gauze (NIRG) packs in regards to the post-operative pain levels caused by them and their ability to prevent haemorrhage, crusting and synechie. Methods: The nose was packed after surgery either with the Merocel pack or Neosporin Impregnated Ribbon Gauze (NIRG) according to the randomisation. The pain score was noted on the Visual analog score while packs were in situ and again immediately after the pack removal. The haemorrhage, crusting and synechie were noted if present. Results: Among 106 patients, 61 were male and 45 were female. In Merocel group there were 51 patients and i...