Salassa J R, Pearson B W
Section of Otolaryngology, Mayo Clinic Jacksonville, Fla. 32224.
Arch Otolaryngol Head Neck Surg. 1991 Dec;117(12):1365-7. doi: 10.1001/archotol.1991.01870240057009.
The purpose of intranasal dressings after septorhinoplasty is to absorb secretions, stop bleeding, act as an internal splint, discourage adhesions, and facilitate nasal hygiene. The ideal dressing should conform to the irregularities of the nasal cavity and resist adherence to the wounds of the nasal lining so it can be easily removed. It should be nonirritating, antiseptic, and economical. The failure of previously reported dressings in one or more of these requirements led us to evaluate a new alternative. Polyethylene oxide gel (Vigilon) was identified as a potential improvement and investigated in 48 patients over 17 months. There were no significant complications. Polyethylene oxide gel appears superior to previously described dressings, primarily because of comfort for the patient at removal.
鼻中隔鼻成形术后鼻内敷料的目的是吸收分泌物、止血、起到内部夹板作用、防止粘连并促进鼻腔卫生。理想的敷料应贴合鼻腔的不规则形状，且不易粘附于鼻黏膜伤口，以便于轻松取出。它应无刺激性、具有抗菌性且经济实惠。先前报道的敷料在这些要求中的一项或多项上存在不足，这促使我们评估一种新的替代品。聚环氧乙烷凝胶（Vigilon）被认为是一种潜在的改进产品，并在17个月内对48例患者进行了研究。未出现明显并发症。聚环氧乙烷凝胶似乎优于先前描述的敷料，主要是因为取出时患者感觉舒适。
