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Comparison between Gelfoam packing and no packing after endoscopic sinus surgery in the same patients

  • Rhinology
  • Published:
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Abstract

After functional endoscopic sinus surgery (FESS), nasal packing may be necessary and a packing material which has benefits in both cost and efficacy would be required. This study aimed to determine the efficacy of Gelfoam packing on hemostasis and wound healing after FESS. Patients who underwent bilateral FESS due to chronic bilateral rhinosinusitis were enrolled. Randomly, one side was selected for Gelfoam packing and the other side for no packing. Subjective symptoms and objective findings such as synechia, granulation, pus discharge, edema, stenosis, and crust were evaluated. A total of 21 patients (17 men and 4 women; mean age 39.7 years ranging from 12 to 75 years) were included. There were no statistical significant differences between two groups regarding both subjective symptoms and objective findings during 4 months after surgery. Three patients had postoperative bleeding in the no packing side. Gelfoam packing may be recommendable in terms of efficacy and cost-benefit after FESS.

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References

  1. Valentine R, Wormald PJ, Sindwani R (2009) Advances in absorbable biomaterials and nasal packing. Otolaryngol Clin North Am 42:813–828

    Article  PubMed  Google Scholar 

  2. Bugten V, Nordgard S, Skogvoll E, Steinsvag S (2006) Effects of nonabsorbable packing in middle meatus after sinus surgery. Laryngoscope 116:83–88

    Article  PubMed  Google Scholar 

  3. Miller RS, Steward DL, Tami TA, Sillars MJ, Seiden AM, Shete M, Paskowski C, Welge J (2003) The clinical effects of hyaluronic acid ester nasal dressing (Merogel) on intranasal wound healing after functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 128:862–869

    Article  PubMed  Google Scholar 

  4. Orlandi RR, Lanza DC (2004) Is nasal packing necessary following endoscopic sinus surgery? Laryngoscope 114:1541–1544

    Article  PubMed  Google Scholar 

  5. Eliashar R, Gross M, Wohlgelernter J, Sichel JY (2006) Packing in endoscopic sinus surgery: is it really required? Otolaryngol Head Neck Surg 134:276–279

    Article  PubMed  Google Scholar 

  6. Woodworth BA, Chandra RK, LeBenger JD, Ilie B, Schlosser RJ (2009) A gelatin-thrombin matrix for hemostasis after endoscopic sinus surgery. Am J Otolaryngol 30:49–53

    Article  PubMed  CAS  Google Scholar 

  7. Athanasiadis T, Beule AG, Wormald PJ (2007) Effects of topical antifibrinolytics in endoscopic sinus surgery: a pilot randomized controlled trial. Am J Rhinol 21:737–742

    Article  PubMed  Google Scholar 

  8. Berlucchi M, Castelnuovo P, Vincenzi A, Morra B, Pasquini E (2009) Endoscopic outcomes of resorbable nasal packing after functional endoscopic sinus surgery: a multicenter prospective randomized controlled study. Eur Arch Otorhinolaryngol 266:839–845

    Article  PubMed  Google Scholar 

  9. Shinkwin CA, Beasley N, Simo R, Rushton L, Jones NS (1996) Evaluation of Surgicel Nu-knit, Merocel and Vasolene gauze nasal packs: a randomized trial. Rhinology 34:41–43

    PubMed  CAS  Google Scholar 

  10. Shoman N, Gheriani H, Flamer D, Javer A (2009) Prospective, double-blind, randomized trial evaluating patient satisfaction, bleeding, and wound healing using biodegradable synthetic polyurethane foam (NasoPore) as a middle meatal spacer in functional endoscopic sinus surgery. J Otolaryngol Head Neck Surg 38:112–118

    PubMed  Google Scholar 

  11. Hajosch R, Suckfuell M, Oesser S, Ahlers M, Flechsenhar K, Schlosshauer B (2010) A novel gelatin sponge for accelerated hemostasis. J Biomed Mater Res B Appl Biomater 94:372–379

    PubMed  Google Scholar 

  12. Antisdel JL, West-Denning JL, Sindwani R (2009) Effect of microporous polysaccharide hemospheres (MPH) on bleeding after endoscopic sinus surgery: randomized controlled study. Otolaryngol Head Neck Surg 141:353–357

    Article  PubMed  Google Scholar 

  13. Kastl KG, Betz CS, Siedek V, Leunig A (2009) Control of bleeding following functional endoscopic sinus surgery using carboxy-methylated cellulose packing. Eur Arch Otorhinolaryngol 266:1239–1243

    Article  PubMed  Google Scholar 

  14. von Schoenberg M, Robinson P, Ryan R (1993) Nasal packing after routine nasal surgery–is it justified? J Laryngol Otol 107:902–905

    Article  Google Scholar 

  15. Barnes AC (1947) The use of gelatin foam sponges in obstetrics and gynecology. Am J Obstet Gynecol 54:105–107

    PubMed  CAS  Google Scholar 

  16. Ogawa S, Satoh I, Tanaka H (1976) Patulous Eustachian tube. A new treatment with infusion of absorbable gelatin sponge solution. Arch Otolaryngol 102:276–280

    Article  PubMed  CAS  Google Scholar 

  17. Liening DA, Lundy L, Silberberg B, Finstuen K (1997) A comparison of the biocompatibility of three absorbable hemostatic agents in the rat middle ear. Otolaryngol Head Neck Surg 116:454–457

    Article  PubMed  CAS  Google Scholar 

  18. Falbe-Hansen J, Tos M (1975) Silastic and gelatin film sheeting in tympanoplasty. Ann Otol Rhinol Laryngol 84:315–317

    PubMed  Google Scholar 

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The authors have no conflict of interest and no financial disclosures.

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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Kyunggi-do, 463-707, Korea

    Jee Hye Wee, Chul Hee Lee, Chae Seo Rhee & Jeong-Whun Kim

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  1. Jee Hye Wee
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  2. Chul Hee Lee
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  3. Chae Seo Rhee
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Correspondence to Jeong-Whun Kim.

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Wee, J.H., Lee, C.H., Rhee, C.S. et al. Comparison between Gelfoam packing and no packing after endoscopic sinus surgery in the same patients. Eur Arch Otorhinolaryngol 269, 897–903 (2012). https://doi.org/10.1007/s00405-011-1768-7

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  • DOI: https://doi.org/10.1007/s00405-011-1768-7

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