Allergy to Merocel nasal packs causing septal perforation and inferior turbinate necrosis

Dowley, Andrew; Strachan, David

doi:10.1258/0022215011908784

Cited by 12 publications

(6 citation statements)

References 3 publications

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“…Nasal packing may cause various problems such as nasal septal perforations, 5 pyogenic granulomas, 6 life-threatening toxic shock syndromes, 7 obstructive sleep apneas, 8 reduced oxygen saturation and increased pulse rates, 9 pains, 10 , 11 and necrosis of the inferior turbinate. 5 Changes in the ear pressure associated with nasal packing were also found. 12 It has been accepted that the duration of nasal packing potentially influences the development of these complications.…”

Section: Discussionmentioning

confidence: 99%

Assessment of mucosal changes associated with nasal splint in a rabbit model

Tan

Kalcıoğlu

Şahin

et al. 2015

Brazilian Journal of Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Assessment of mucosal changes associated with nasal splint in a rabbit model

Tan

Kalcıoğlu

Şahin

et al. 2015

Brazilian Journal of Otorhinolaryngology

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“…NAP has been associated with allergic septal perforation, turbinate necrosis, and toxic shock syndrome. [16][17][18] Furthermore, patient comfort and preference are important considerations. NAP was assessed as more difficult to remove postoperatively in the office and was associated with more bleeding on removal than Telfa, ribbon gauze, or paraffin gauze in a previous study.…”

Section: Discussionmentioning

confidence: 99%

The Clinical Effects of Hyaluronic Acid Ester Nasal Dressing (Merogel) on Intranasal Wound Healing after Functional Endoscopic Sinus Surgery

Miller¹,

Steward²,

Tami³

et al. 2003

Otolaryngol.--head neck surg.

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OBJECTIVES: We sought to determine the efficacy of MeroGel, an absorbable hyaluronic acid nasal dressing (HA) in reducing synechia after functional endoscopic sinus surgery (FESS) compared with Merocel, a nonabsorbable packing (NAP) requiring removal. METHODS: We conducted a blinded, randomized, controlled trial of 37 patients requiring bilateral FESS for chronic sinusitis. Patients were randomized to placement of HA within the right or left middle meatus and NAP on the other side. Patients were evaluated at 2, 4, 6, and 8 weeks postoperatively. RESULTS: Blinded evaluation revealed 5 patients (14%) with synechia at last follow-up: 3 sides (8%) with HA and 3 (8%) with NAP. Thirteen patients (35%) had synechia at any visit, 10 sides (27%) with HA and 9 (24%) with NAP. Seven patients (19%) required lysis of synechia, 5 sides (14%) with HA and 3 (8%) with NAP. CONCLUSION: We found no statistically significant difference between HA and NAP dressings.

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“…Наиболее распространенным методом остановки кровотечения из полости носа является передняя тампонада [28]. С этой целью используются марлевые [28,29], поролоновые тампоны в перчаточной резине по методу Микулича [9,15,16], пневматические тампоны [7,36], тампоны из гидрофильных материалов [17,31,33]. При производстве тампонов носовых (ТН) применяются различные материалы, имеющие определенные достоинства и недостатки.…”

Section: ввдениеunclassified

Development of Nasal Tampons With Preservation of the Functions of Nasal Respiration to Stop Nasal Bleeding

Eremenko¹,

Scientific²,

Kornelyuk³

et al. 2021

Mil Med

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The use of the tampons made of hydrophilic materials while maintaining the function of nasal breathing allows avoiding the complications in the postoperative period, however, their use is complicated by the lack of domestic and high cost of the foreign analogues. The aim of the work is to develop pneumatic nasal tampons made of hydrophilic materials while maintaining the function of nasal breathing. Materials and research methods. Endoscopic examination of the nasal cavity was performed ОП 100 volunteers (mean age 38.4±1.5 years, of which 58 were men (58%) and 42 women (42%)) with the determination of the parameters of the nasal cavity and nasopharynx. Based on the analysis of the data obtained, the sizes and design features of the nasal tampons are proposed. Substantiated material for the manufacture of nasal tampons. The absorption capacity of the nasal tampons was studied. Results. The selected material for the manufacture of nasal tampons - cellulose. Based on the determination of the parameters of the nasal cavity, the optimal sizes of nasal tampons are proposed: TH2 (14x64x7 mm); TH3 (19x84x7 mm). The design features of the tampons have been determined. ne indications have been developed for the ше of certain types of the tampons. It has been proven that the nasal tampons have a high absorption capacity (1721.0±14.8%), which will ensure high-quality and effective hemostasis. Conclusion. An import-substituting technology for the manufacture of the nasal tampons with preservation of the function of nasal breathing has been developed, what allows to ensure high-quality and effective hemostasis.

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Allergy to Merocel nasal packs causing septal perforation and inferior turbinate necrosis

Abstract: We present a case of a patient with an allergy to Merocel nasal tampons and the subsequent complications and implications of this.

Cited by 12 publications

References 3 publications

Assessment of mucosal changes associated with nasal splint in a rabbit model

Assessment of mucosal changes associated with nasal splint in a rabbit model

The Clinical Effects of Hyaluronic Acid Ester Nasal Dressing (Merogel) on Intranasal Wound Healing after Functional Endoscopic Sinus Surgery

Development of Nasal Tampons With Preservation of the Functions of Nasal Respiration to Stop Nasal Bleeding

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