A comparison of packing materials used in nasal surgery

Anterior nasal packing, which is a common procedure in otorhinolaryngology practice, has different complications. Pain during introduction and removal of pack, bleeding after removal due to mucosal damage and synechia formation are common among them. A continuous effort is going on worldwide to combat those by modifying the nature of pack material or inventing new materials for nasal packing. In the present study an effort was made to compare a new modification of conventional gauze pack by using aluminum foil prepared from the cover of suture materials as septal splint (to reduce the mucosal damage) with conventional gauze pack and another costly material, nasal tampon (merocel). Comparisons were done in terms of cost, efficacy and complications. Prospective hospital based interventional study. Patients were distributed into three groups according to the material used for anterior nasal packing. Comparisons were made in terms of cost of the material used, pain during introduction of pack, rise of systolic blood pressure, incidences of bleeding while pack in situ, incidences of bleeding after removal of pack that required repacking and incidences of synechia formation after pack removal. The episodes of bleeding while pack in situ, within first 48 h and forced for repacking was observed to be significantly more prevalent among nasal tampon groups (12.5%) of patients but only 2.1 and 2.4% with use of conventional gauze pack and our modification respectively. Regarding bleeding after removal of pack, 10.6% patients experienced bleeding with conventional gauze pack, whereas with our modification it was only 2.4%. Synechia formation was found to be highest among the cases with conventional gauze pack (14.9%), but with our modification it is only 2.4%. In this study it is found that use of aluminum foil prepared from the cover of suture materials can be very useful and cost effective method to reduce some of the complications of anterior nasal packing.

show abstract

“…These methods are quite painful, so some less painful alternatives like nasal tampon (i.e. Merocel); Telfa [6,7] etc. came into use.…”

Section: Introductionmentioning

confidence: 99%

Modified Technique of Anterior Nasal Packing: A Comparative Study Report

Dutta

Mukherjee

Saha

et al. 2011

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Intranasal packing with a variety of materials is often applied to prevent postoperative hemorrhage and synechiae between the middle turbinate and lateral nasal wall [7][8][9][10][11]. Biodegradable nasal dressings that obviate the need for removal of nasal dressings are preferable for effective reduction of patient discomfort during postoperative care.…”

Section: Introductionmentioning

confidence: 99%

Effects of Meropack in the middle meatus after functional endoscopic sinus surgery in children with chronic sinusitis

Lin

et al. 2008

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…Important problems associated with Merocel tampons include pain and bleeding. Merocel tampons cause pain and bleeding on removal by adhering to the nasal septal mucosa and lateral nasal wall (19).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Early-period Results of Nasal Splint and Merocel Nasal Packs in Septoplasty

Bingöl¹,

Budak²,

Şimşek³

et al. 2017

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

Objective: Several types of nasal packs are used postoperatively in septoplasty. In this study, we compared two commonly used nasal packing materials, the intranasal septal splint with airway and Merocel tampon, in terms of pain, bleeding, nasal obstruction, eating difficulties, discomfort in sleep, and pain and bleeding during removal of packing in the early period. Methods:The study group included 60 patients undergoing septoplasty. Patients were divided into two groups (n=30 in each group). An intranasal splint with airway was used for the patients in the first group after septoplasty, while Merocel nasal packing was used for the second group. Patients were investigated in terms of seven different factors -pain, bleeding while the tampon was in place, nasal obstruction, eating difficulties, night sleep, pain during removal of the nasal packing, and bleeding after removal of packing. Results:There was no statistically significant difference between the groups in terms of pain 24 hours after operation (p=0.05), while visual analog scale (VAS) scores for nasal obstruction, night sleep, eating difficulties, and pain during packing removal were lower in the nasal splint group with a statistically significant difference (p<0.05). There was no statistically significant difference between the groups in terms of postoperative bleeding (p=0.23). Significantly less bleeding occurred during removal of the packing in the nasal splint group (p<0.05). Conclusion:Our study indicates that the nasal splint was more comfortable and effective in terms of causing lesser bleeding and pain during removal of packing.

show abstract

A comparison of packing materials used in nasal surgery

Cited by 47 publications

References 4 publications

Modified Technique of Anterior Nasal Packing: A Comparative Study Report

Modified Technique of Anterior Nasal Packing: A Comparative Study Report

Effects of Meropack in the middle meatus after functional endoscopic sinus surgery in children with chronic sinusitis

Comparison of Early-period Results of Nasal Splint and Merocel Nasal Packs in Septoplasty

Contact Info

Product

Resources

About