“…Nasal packing is not only uncomfortable for the patient and at times poorly tolerated, but it can be fraught with complications as well. In addition to discomfort and pain, nasal packing has been shown to cause alar necrosis, 7 nasal mucosal atrophy, 1 toxic shock syndrome, 8 sleep apnea, 9 and even cardiovascular collapse secondary to the nasal‐pulmonary reflex 10 . Furthermore, patients need to return to the physician's office within 5 to 7 days to have packing removed.…”
Floseal hemostatic sealant is a better tolerated, more effective, safe, and easy alternative to nasal packing in patients presenting with acute anterior epistaxis. Future studies may wish to evaluate Floseal's use in posterior epistaxis.
“…Nasal packing is not only uncomfortable for the patient and at times poorly tolerated, but it can be fraught with complications as well. In addition to discomfort and pain, nasal packing has been shown to cause alar necrosis, 7 nasal mucosal atrophy, 1 toxic shock syndrome, 8 sleep apnea, 9 and even cardiovascular collapse secondary to the nasal‐pulmonary reflex 10 . Furthermore, patients need to return to the physician's office within 5 to 7 days to have packing removed.…”
Floseal hemostatic sealant is a better tolerated, more effective, safe, and easy alternative to nasal packing in patients presenting with acute anterior epistaxis. Future studies may wish to evaluate Floseal's use in posterior epistaxis.
“…In fact, a number of studies demonstrated an increased number of arousals, more frequent sleep stage changes, and/or an increase in the number of obstructive apnoeas and hypopnoeas during sleep associated with nasal occlusion under experimental nasal obstruction [163][164][165]. Similarly, there is evidence of sleep-related breathing disorders associated with nasal obstruction as a result of bilateral nasal packing after nasal surgery [166][167][168][169]. One potential limitation in these reports may be the potential influence of general anaesthesia on the prevalence of postoperative upper airway obstruction.…”
Total nasal packing causes significant nocturnal oxygen desaturation. This must be taken into account in the postoperative nasal packing of patients with respiratory failure, obesity, or SDB.
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