Patient comfort following FESS and Nasopore® packing, a double blind, prospective, randomized trial

Abstract

Background: The use of nasal packing after functional endoscopic sinus surgery (FESS) is often associated with pain and a feeling of pressure for patients. The aim of the present work was to investigate a modern wound dressing made of polyurethane (Nasopore®) that makes removal of the nasal packing unnecessary and is focussed on patient comfort. Methodology: Following bilateral FESS, after randomisation, one side was packed with Nasopore® while the other side was without packing as a control. The following parameters from 47 patients were determined daily in two centres from post-operative day 1 for the duration of the inpatient stay in a double-blinded setting: side-specific post-operative bleeding, nasal breathing and feeling of pressure as well as the general parameters sleep disturbance, headaches and general well-being. Which side patients considered subjectively the better was also recorded. Results: No significant differences were determined between the two sides in terms of the rates of post-operative bleeding and nasal breathing. The feeling of pressure was slightly less on the side packed with Nasopore® on post-operative days 2 and 3. No trend could be observed regarding which side patients described as being subjectively better. Conclusion: There were only slight differences in patient comfort between the Nasopore® side and the control. Because the feeling of pressure in the midface was significantly less and there were no complications, this suggests there is greater patient comfort when using Nasopore® compared to using no nasal packing.

The Effect of External Auditory Canal Packing Duration on Healing After Endoscopic Cartilage Myringoplasty

“…Also, Nasopore can accelerate wound healing by providing a moist dressing environment. 19 The Nasopore composite blood clot not only well maintain the durability for supporting cartilage graft but also acts as a scaffold for epithelial cell migration and slowly releases growth factors to promote eardrum healing. 21 Song et al 22 used gelfoam with blood clot from the refreshed edges to repair chronic TMPs following ventilation tube insertion and achieved successful tympanic membrane closure in 90.6% of the patients.…”

“…14,18 However, the Nasopore is fragmented by repeatedly spraying with saline solution and is thus gradually flushed out following nasal surgery. 19 Nasopore is believed to provide gentle compression and offer sufficient wound support during the critical healing period through the absorption of effusion and blood. 20 The more effusion was present in the EAC of the early group than that of the late group when the packing was removed.…”

Clinical outcome and patient satisfaction using biodegradable (NasoPore) and non-biodegradable packing, a double-blind, prospective, randomized study

“…Recently, different absorbable biomaterials have become available for use as middle meatus packing after functional endoscopic sinus surgery (FESS). 3 , 4 , 5 , 6 , 7 , 8 , 10 These kind of packs do not need to be removed and therefore improve patient comfort after surgery. 3 , 4 , 7 , 8 , 10 The material prevents synechiae formation and stabilizes the middle turbinate.…”

“… 3 , 4 , 5 , 6 , 7 , 8 , 10 These kind of packs do not need to be removed and therefore improve patient comfort after surgery. 3 , 4 , 7 , 8 , 10 The material prevents synechiae formation and stabilizes the middle turbinate. It starts to dissolve within a few days and can be washed out or suctioned from the nose.…”

“…It starts to dissolve within a few days and can be washed out or suctioned from the nose. 5 , 8 , 10 …”