Salassa J R
Section of O.R.L., Mayo Clinic Jacksonville, Jacksonville, Florida.
Rhinology. 1992 Mar;30(1):25-32.
The purpose of dressings after endoscopic sinus surgery is to absorb secretions, tamponade bleeding, discourage adhesions, and facilitate sinus and nasal hygiene. The ideal dressing should conform to the irregularities of the nasal-sinus cavity and resist adherence to the wounds so it can be easily removed. It should be economical, non-irritating, and antiseptic. The failure of previous dressings to fulfill all of these criteria led the author to evaluate a new alternative. Polyethylene oxide gel (Vigilon) was identified as a potential improvement and investigated in a clinical trial of 60 cases. This paper presents the author's observations and technique for application. Polyethylene oxide gel resulted in no significant complications. It appears superior to previously described dressings, primarily because of patient comfort at removal.
内镜鼻窦手术后敷料的目的是吸收分泌物、压迫止血、防止粘连并促进鼻窦和鼻腔卫生。理想的敷料应贴合鼻窦腔的不规则形状，且不易粘附于伤口，以便于轻松取出。它应经济实惠、无刺激性且具有抗菌性。以往的敷料未能满足所有这些标准，促使作者评估一种新的替代品。聚环氧乙烷凝胶（Vigilon）被认为具有潜在的改进效果，并在一项60例患者的临床试验中进行了研究。本文介绍了作者的观察结果及应用技术。聚环氧乙烷凝胶未导致明显并发症。它似乎优于先前描述的敷料，主要原因是取出时患者感觉舒适。
