Chandra Rakesh K, Kern Robert C
Department of Otolaryngology-Head & Neck Surgery, University of Tennessee, Memphis, USA.
Curr Opin Otolaryngol Head Neck Surg. 2004 Feb;12(1):21-6. doi: 10.1097/00020840-200402000-00007.
Practices regarding the use of nasal packing after endoscopic sinus surgery vary widely among surgeons. Recent trends have included the use of various topical, absorbable agents. The purpose of this review is to clarify the rationale for the selection of these products.
Although many of these materials have proven to be effective as hemostats, data are conflicting regarding their effect on mucosal healing. Studies in both humans and animals have raised the concern that these agents may be associated with increased scar tissue formation.
The exact roles for the various available materials are yet to be established. The primary advantage is that they do not require removal, which may improve patient comfort. Currently, however, it does not appear that the use of topical absorbable packing is a substitute for routine postoperative debridement.
鼻窦内窥镜手术后鼻腔填塞的使用方法在外科医生中差异很大。最近的趋势包括使用各种局部可吸收药物。本综述的目的是阐明选择这些产品的基本原理。
尽管这些材料中的许多已被证明可有效止血，但关于它们对黏膜愈合的影响的数据存在矛盾。人和动物的研究都引发了人们对这些药物可能与瘢痕组织形成增加有关的担忧。
各种现有材料的确切作用尚未确定。其主要优点是无需取出，这可能会提高患者的舒适度。然而，目前看来，使用局部可吸收填塞物并不能替代常规的术后清创。
