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European Archives of Oto-Rhino-Laryngology

Published in:

01-03-2017 | Rhinology

Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery

Authors: Zalan Piski, Imre Gerlinger, Nelli Nepp, Peter Revesz, Andras Burian, Kornelia Farkas, Laszlo Lujber

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2017

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.

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Title: Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery
Authors: Zalan Piski
Imre Gerlinger
Nelli Nepp
Peter Revesz
Andras Burian
Kornelia Farkas
Laszlo Lujber
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 3/2017
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-016-4354-1

At a glance: The STEP trials

Springer Medicine

Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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