Department of Otolaryngology Head and Neck Surgery, West China Hospital of Sichuan University, 37Guoxue Lane, Chengdu, 610041, Sichuan Province, China.
Eur Arch Otorhinolaryngol. 2019 Oct;276(10):2819-2826. doi: 10.1007/s00405-019-05568-5. Epub 2019 Jul 22.
The discomfort and complications have always been problems for nasal packing materials. This study provided a new nasal packing material called high expansion degradable cotton (HEDC).
Nasal endoscopic surgery was used to establish a dog model of nasal bleeding, and wound surfaces were filled with Merocel, Nasopore and HEDC, respectively. Intraoperative and postoperative bleeding of 24 h was calculated. We evaluate the absorbability score, adhesion score, infection sore and nasal mucosal epithelium in postoperative 3, 7, 14 and 28 days. HE staining and electron microscopy were used to evaluate the recovery of nasal mucosa.
There was no significant difference in nasal bleeding between HEDC, Merocel and Nasopore. Nasal endoscopic examination revealed HEDC absorbability of score, adhesion score, infection score were significantly lower than Merocel and Nasopore. The epithelialization time of HEDC was significantly shorter than that of Merocel and Nasopore. HE staining showed that HEDC and Nasopore could significantly reduce scar hyperplasia on the wound surface. The results of electron microscopy suggested that HEDC could protect the edge cilia of the wound.
HEDC could be used as new choice for hemostasis after nasal endoscopic surgery, which could reduce nasal epithelialization time, and protect wound edge cilia.
填塞材料一直存在不适感和并发症的问题。本研究提供了一种新的鼻腔填塞材料,称为高膨胀可降解棉(HEDC)。
采用鼻内镜手术建立犬鼻腔出血模型,分别用 Merocel、Nasopore 和 HEDC 填充创面。计算术中及术后 24 h 的出血量。术后 3、7、14、28 d 评估吸收评分、粘连评分、感染性溃疡和鼻黏膜上皮。采用 HE 染色和电镜观察评估鼻黏膜恢复情况。
HEDC、Merocel 和 Nasopore 之间的鼻腔出血无显著差异。鼻内镜检查显示,HEDC 的吸收评分、粘连评分、感染评分均显著低于 Merocel 和 Nasopore。HEDC 的上皮化时间明显短于 Merocel 和 Nasopore。HE 染色显示 HEDC 和 Nasopore 可显著减少创面瘢痕增生。电镜结果提示 HEDC 可保护创面边缘纤毛。
HEDC 可作为鼻内镜手术后止血的新选择,可减少鼻腔上皮化时间,保护创面边缘纤毛。