Nasal Packing – Survey of Materials
Authors:
Z. Knížek 1; J. Vodička 1,2
Authors place of work:
Klinika otorinolaryngologie a chirurgie hlavy a krku, NPK Pardubická nemocnice
1,2; Fakulta zdravotnických studií, Univerzita Pardubice
2
Published in the journal:
Otorinolaryngol Foniatr, 65, 2016, No. 1, pp. 35-42.
Category:
Review Article
Summary
Nasal packing is used for treating nose bleeding or bleeding during nasal surgery. Patients often complain that removal of the packing from the nose is the most unpleasant moment of the whole hospital stay. That’s why new alternatives and modern materials are being developed to stop nose bleeding as well as to increase patient’s comfort and improve nasal wound healing. The aim of the article is to demonstrate acquirable modern packing materials, to show how to use them and to introduce their advantages and disadvantages. Nasal packing materials can be divided into two groups: non-absorbable and absorbable. Most kinds of non-absorbable nasal packing definitively improve patient’s comfort especially during removing the packing, some of them improve wound healing too. Their price is not high and they can be easily introduced in the clinical practice. The advantage of non-absorbable packing materials (e.g. balloon nasal packing) is simplicity of their placement. However, the risk of pressure necrosis and adhesion formation is high. The best way to use them is to stop massive nose bleeding from dorsal part of nasal cavity and perform definitive treatment of epistaxis under general anesthesia.
Absorbable packing materials do not need to be removed, and therefore they are very comfortable for patients. Because of different mechanism of hemostasis these kinds of packing are not always the best choice to stop nose bleeding. The biggest disadvantage is the price that does not allow these materials to be used widely. In conclusion the ideal nasal packing is still to be found.
Keywords:
nasal packing, epistaxis, endonasal surgery
Zdroje
1. Aziz, M. A., Cabral, J. D., Brooks, H. J., Moratti, S. C., Hanton, L. R.: Antimicrobial properties of a chitosan dextran-based hydrogel for surgical use.2
Antimicrob. Agents Chemother., 56, 2012, 1, s. 280-287. 2. Berlucchi, M., Castelnuovo, P., Vincenzi, A., Morra, B., Pasquini, E.: Endoscopic outcomes of resorbable nasal packing after functional endoscopic sinus surgery: a multicenter prospective randomizde controlled study. Eur. Arch. Otorholaryngol., 266, 2009, 6, s. 839-845.
3. Cochrane, J.: Case of epistaxis Complicated with an Epileptiform Seizure. Br. Med. J., 970, 1879, 2, s. 170-171.
4. Côté, D., Barber, B., Diamond, C., Wright, E.: FloSeal hemostatic matrix in persistent epistaxis: prospective clinical trial. J. Otolaryngol. Head Neck Surg., 39, 2010, 3, s. 304-308.
5. Cruise, A. S.,
, Amonoo-Kuofi, K., Srouji, I., Kanagalingam, J., Georgalas, C., Patel, N. N., Badia, L., Lund, V. J.: A randomized trial of Rapid Rhino Riemann and Telfa nasal packs following endoscopic sinus surgery. Clin. Otolaryngol., 31, 2006, 1, s. 25-32.
6. Dunn, C. J., Goa, K. L.: Fibrin sealant: a review of its use in surgery and endoscopy. Drugs., 58, 1999, 5, 863-886.
7. Gajdziok, J.: Lokální hemostatika. Remedia, 20, 2010, s. 185-190.
8. Gotwald, T. F., Sprinzl, G. M., Fischer, H., Rettenbacher, T.: Retained packing gauze in the ethmoidal sinuses after endonasal sinus surgery: CT and surgical appearances. AJR Am. J. Roentgenol., 177, 2001, 6, s. 1487-1489.
9. Hashmi, S. M., Gopaul, S. R., Prinsley, P. R., Sansom, J. R.: Swallowed nasal pack: a rare but serious complication of the management of epistaxis. J. Laryngol. Otol., 118, 2004, 5, 372-373.
10. Humphreys, I., Saraiya, S., Belenky, W., Dworkin J.: Nasal packing with strips of cured pork as treatment for uncontrollable epistaxis in a patient with Glanzmann thrombasthenia. Ann. Otol. Rhinol. Laryngol., 120, 2011, 11, s. 732-736.
11. Hyo Young Kim, Kim, S. R., Park, J. H., Han, Y. S.: The usefulness ofn Nasal packing with vaseline gauze and airway silicone splint after closed reduction of nasal bone fracture. Arch. Plast. Surg., 39, 2012, 6, s. 612-617.
12. Chandra, R. K., Conley, D. B., Haines, G. K. 3rd, Kern, R. C.: Long-term effects of FloSeal packing after endoscopic sinus surgery. Am. J. Rhinol., 19, 2005, 3, s. 240-243.
13. Chevillard, C., Rugina, M., Bonfils, P., Bougara, A., Castillo, L., Crampette, L., Pandraud, L., Samardzic, M., Peynègre, R.: Evaluation of calcium alginate nasal packing (Algostéril) versus Polyvinyl .acetal (Merocel) for nasal packing after inferior turbinate resection. Rhinology, 44, 2006, 1, s. 58-61.
14. Cho, K. S., Shin, S. K., Lee, J. H., Kim, J. Y., Koo, S. K, Kim, Y. W., Kim, M. J., Roh, H. J.: The efficacy of Cutanplast nasal packing after endoscopic sinus surgery: a prospective, randomized, controlled trial. Laryngoscope, 123, 2013, 3, s. 564-568.
15. Jang, S. Y., Lee, K. H., Lee, S. Y., Yoon, J. S.: Effects of nasopore packing on dacryocystorhinostomy. Korean J. Ophthalmol., 27, 2013, 2, s. 73-80.
16. Klinger, M., Siegert, R.: Microcirculation of the nasal mucosa during use of balloon tamponade. Laryngorhinootologie, 76, 1997, 3, s. 127-130.
17. Leunig, A., Betz, C. S., Siedek, V., Kastl, K. G.: CMC packing in functional endoscopic sinus surgery: does it affect patient comfort? Rhinology, 47, 2009, 1, s. 36-40.
18. Melis, A., Karligkiotis, A., Bozzo, C., Machouchas, N., Volpi, L., Castiglia, P., Castelnuovo, P., Meloni F.: Comparison of three different polyvinyl alcohol packs following functional endoscopic nasal surgery. Laryngoskope, 29, 2014..
19. McDonald, S. E., Slater, J., Powell, R, Khalil, H. S., Garth, R. J.: A randomised controlled trial comparing Rapid Rhino Mannheim and Netcell Series 5000 packs following routine nasal surgery. Rhinology, 47, 2009, 1, s. 41-44.
20. Moon, S. H.,, Baek, S. O., Jung, S. N., Seo, B. F., Lee, D. C., Kwon, H.: Efficacy of biodegradable synthetic polyurethane foam for packing nasal bone fractures. J. Craniofac. Surg., 23, 2012, 6, s. 1848-1850.
21. Muroi, N., Mori, S., Ono, S., Takahashi, H. K., Fujii T., Hosoi, S., Henmi, K., Nishibori, M.: Allergy to carboxymethylcellulose. Allergy, 57, 2002, 12, s. 1212-1213.
22. Patterson, D. L., Yunginger, J. W., Dunn, W. F., Jones, R. T., Hunt, L. W.: Anaphylaxis induced by the carboxymethylcellulose component of injectable triamcinolone acetonide suspension (Kenalog). Ann. Allergy Asthma Immunol., 74, 1995, 2, 163-166.
23. Shippert, R.: The history of nasal packing. 1999.
24. Shoman, N., Gheriani, H., Flamer, D., Javer, A.: Prospective, double-blind, randomized trial evaluating patient satisfaction, bleeding, and wound healing using biodegradable synthetic polyurethane foam (NasoPore) as a middle meatal spacer in functional endoscopic sinus surgery. J. Otolaryngol. Head Neck Surg., 38, 2009, 1, s. 112-118.
25. Shrime, M. G., Tabaee, A., Hsu, A. K., Rickert, S., Close, L. G.: Synechia formation after endoscopic sinus surgery and middle turbinate medialization with and without FloSeal. Am. J. Rhinol., 21, 2007, 2, s. 174-179.
26. Schalek, P.: Funkční endonazální chirurgie. 2011.
27. Sirimanna, K. S., Todd, G. B., Madden, G. J.: Early complications of packing after nasal surgery with three different materials. Ceylon Med. J., 39, 1994, 3, s. 129-131.
28. Szczygielski, K., Rapiejko, P., Wojdas, A., Jurkiewicz, D.: Use of CMC foam sinus dressing in FESS. Eur. Arch. Otorhinolaryngol., 267, 2010, 4, s. 537-540.
29. Thompson, J.: Epistaxis, and the means of arresting it. Br. Med. J., 361, 1867, 30, s. 498.
30. Vaiman, M., Eviatar, E., Shlamkovich, N., Segal, S.: Use of fibrin glue as a hemostatic in endoscopic sinus surgery. Ann. Otol. Rhinol. Laryngol., 114, 2005, 3, s. 237-241.
31. Vaiman, M., Martinovich, U., Eviatar, E., Kessler, A., Segal, S.: Fibrin glue in initial treatment of epistaxis in hereditary haemorrhagic telangiectasia (Rendu-Osler-Weber disease). Blood Coagul Fibrinolysis, 15, 2004, 4,s. 359-363.
32. Valentine, R., Athanasiadis, T., Moratti, S., Hanton, L., Robinson, S., Wormald, P. J.: The efficacy of a novel chitosan gel on hemostasis and wound healing after endoscopic sinus surgery. Am. J. Rhinol. Allergy, 24, 2010, 1, s. 70-75.
33. Verim, A., Seneldir, L., Naiboğlu, B., Karaca, Ç. T., Külekçi, S., Toros, S. Z., Oysu, Ç.: Role of nasal packing in surgical outcome for chronic rhinosinusitis with polyposis. Laryngoscope, 124, 2014, 7, s. 1529-1535.
34. Weber, R. K.: Nasal packing and stenting. GMS Curr. Top Otorhinolaryngol. Head Neck Surg., 2009, 8, Doc02.
35. Wu, W., Cannon, P. S., Yan, W., Tu, Y., Selva, D., Qu, J.: Effects of Merogel coverage on wound healing and ostial patency in endonasal endoscopic dacryocystorhinostomy for primary chronic dacryocystitis. Eye, (Lond), 25, 2011, 6, s. 746-753.
36. Yan, M., Zheng, D., Li, Y., Zheng, Q., Chen, J., Yang, B.: Biodegradable nasal packings for endoscopic sinonasal surgery: a systematic review and meta-analysis. PLoS One, 19, 2014, 12, e115458.
37. Yi, C. R., Kim, Y. J., Kim, H., Nam, S. H., Choi, Y. W.: Comparison study of the use of absorbable and nonabsorbable materials as internal splints after closed reduction for nasal bone fracture. Arch. Plast. Surg., 41, 2014, 4, s. 350-354.
38. Yu, H., Zheng, C., Wang, D., Zang, C., Zhang, C.: Sorbalgon strips for nasal packing used in 2013 cases of endoscopic sinus surgery. Lin Chuang Er Bi Yan Hou Ke Za Zhi, 19, 2005, 2 s. 65-66.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2016 Číslo 1
Najčítanejšie v tomto čísle
- Nasal Packing – Survey of Materials
- Peritonsillar Complications of Acute Inflammations of Palatine Tonsils (a Retrospective Study)
- Diagnostics of Meniere’s Disease by Objective Methods of Examination
- Drug-Induced-Sleep-Endoscopy, DISE