Arumugam Govindarajan, Surianarayanan Gopalakrishnan, Padmanabhan Karthikeyan, Vidyan Parvathy, Ravichandran Kirubhagaran
Department of ENT, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillaiyarkuppam, 607402 Pondicherry India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4300-4306. doi: 10.1007/s12070-024-04840-3. Epub 2024 Jul 9.
Nasal packing is one of the common procedures done following various intranasal surgeries in order to prevent the various complications that can arise post-operatively. Some of the complications noted include bleeding from the nose, septal hematoma, septal abscess and formation of mucosal adhesions. There are different types of nasal packing materials available. Few of the commonly used nasal packing material are ribbon gauzes impregnated with antibiotics, merocel, gel foam, glove fingers and Vaseline gauze. This study compared the effectiveness of Merocel nasal packing with Glove finger nasal packing after Septoplasty and Polypectomy. Merocel, a widely used expandable non-absorbable material, was compared with conventional ribbon gauze packs inserted into glove fingers. Results showed no significant differences in post-operative bleeding, pain, discomfort, mucociliary clearance, or late complications between the two groups. However, a slightly earlier return of mucociliary clearance in patients packed with Glove finger nasal packs was observed. Therefore, it can be concluded that both Merocel and Glove finger nasal packs are equally effective in managing post-operative complications following these procedures.
鼻腔填塞是各种鼻内手术后常见的操作之一，目的是预防术后可能出现的各种并发症。观察到的一些并发症包括鼻出血、鼻中隔血肿、鼻中隔脓肿和黏膜粘连形成。有不同类型的鼻腔填塞材料可供使用。常用的鼻腔填塞材料有浸渍抗生素的带状纱布、美罗海绵、凝胶海绵、手套指套和凡士林纱布。本研究比较了鼻中隔成形术和鼻息肉切除术后美罗海绵鼻腔填塞与手套指套鼻腔填塞的效果。美罗海绵是一种广泛使用的可膨胀不可吸收材料，与插入手套指套的传统带状纱布填塞物进行了比较。结果显示，两组在术后出血、疼痛、不适、黏液纤毛清除或晚期并发症方面无显著差异。然而，观察到使用手套指套鼻腔填塞的患者黏液纤毛清除恢复略早。因此，可以得出结论，美罗海绵和手套指套鼻腔填塞在处理这些手术后的并发症方面同样有效。
