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European Archives of Oto-Rhino-Laryngology

, Volume 274, Issue 3, pp 1449–1454 | Cite as

Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery

  • Zalan PiskiEmail author
  • Imre Gerlinger
  • Nelli Nepp
  • Peter Revesz
  • Andras Burian
  • Kornelia Farkas
  • Laszlo Lujber
Rhinology

Abstract

The benefits of nasal packing after endoscopic sinus surgery (ESS) are still debated in the literature. Our aims were to evaluate the efficacy, and the clinical effects of a totally degradable nasal dressing used after ESS. Thirty patients with chronic rhinosinusitis with nasal polyps were enrolled in a prospective, randomized, double-blind, controlled study. Every patient underwent ESS and a polyurethane nasal dressing was used in one nasal fossa and the contralateral fossa was left unpacked. The extent of mucosal edema, crust formation, bleeding tendency, presence of synechiae, amount of nasal discharge, and the patency of the ostiomeatal complex (OMC) was evaluated during nasal endoscopy on the first, fourth, and twelfth postoperative weeks. All clinical findings were statistically analyzed. Endoscopy showed a significant improvement in the patency of the OMC on the side with resorbable material at 4 weeks after surgery. Follow-up at week 12 showed that in addition to the OMC patency scores, synechia formation and nasal discharge were also significantly improved in the packed fossa. Polyurethane packing is an effective alternative for nasal packing following functional endoscopic sinus surgery.

Keywords

Chronic rhinosinusitis Endoscopic sinus surgery Middle meatal dressing Nasal packing Nasopore Polyurethane 

Notes

Compliance with ethical standards

Conflict of interest

No conflict of interest.

Ethical statement

The study protocol was approved by the Ethics Committee of the Medical School—University of Pécs. (No. 4588/2012).

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology-Head and Neck Surgery, Clinical CenterUniversity of PecsPecsHungary
  2. 2.Institute of Bioanalysis, Faculty of MedicineUniversity of PecsPecsHungary

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