Nasal Packing

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Donald C Lanza - One of the best experts on this subject based on the ideXlab platform.

  • is Nasal Packing necessary following endoscopic sinus surgery
    Laryngoscope, 2004
    Co-Authors: Richard R Orlandi, Donald C Lanza
    Abstract:

    Objectives/Hypothesis: To determine the necessity of Nasal Packing or hemostatic agents or both following endoscopic sinus surgery. Study Design: Retrospective review of cases in a tertiary care sinus practice at an academic medical center. Methods: Records of 165 patients undergoing 169 endoscopic sinus surgeries were reviewed to determine the presence of adjunctive Nasal procedures, the use of Nasal Packing or hemostatic agents or both, blood loss during surgery, and the incidence of bleeding complications following surgery. Results: The median estimated blood loss during surgery was 50.0 mL (range, 5-1000 mL). In four surgeries (2.4%) hemostatic agents were placed in the nose at the conclusion of surgery, 19 (11.2%) had Packing, and 147 (87.0%) had no material left in the nose. No patients had bleeding complications postoperatively. There was a significant decrease in the use of Packing or hemostatic agents or both over time. Conclusion: Placement of Nasal Packing or other hemostatic agents or both within the Nasal cavity is not necessary in the majority of endoscopic sinus surgeries. The risks, costs, and discomforts associated with these interventions can often be avoided.

Vassilios G. Sandris - One of the best experts on this subject based on the ideXlab platform.

Richard R Orlandi - One of the best experts on this subject based on the ideXlab platform.

  • is Nasal Packing necessary following endoscopic sinus surgery
    Laryngoscope, 2004
    Co-Authors: Richard R Orlandi, Donald C Lanza
    Abstract:

    Objectives/Hypothesis: To determine the necessity of Nasal Packing or hemostatic agents or both following endoscopic sinus surgery. Study Design: Retrospective review of cases in a tertiary care sinus practice at an academic medical center. Methods: Records of 165 patients undergoing 169 endoscopic sinus surgeries were reviewed to determine the presence of adjunctive Nasal procedures, the use of Nasal Packing or hemostatic agents or both, blood loss during surgery, and the incidence of bleeding complications following surgery. Results: The median estimated blood loss during surgery was 50.0 mL (range, 5-1000 mL). In four surgeries (2.4%) hemostatic agents were placed in the nose at the conclusion of surgery, 19 (11.2%) had Packing, and 147 (87.0%) had no material left in the nose. No patients had bleeding complications postoperatively. There was a significant decrease in the use of Packing or hemostatic agents or both over time. Conclusion: Placement of Nasal Packing or other hemostatic agents or both within the Nasal cavity is not necessary in the majority of endoscopic sinus surgeries. The risks, costs, and discomforts associated with these interventions can often be avoided.

Zeliha Kapusuz Gencer - One of the best experts on this subject based on the ideXlab platform.

  • Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing.
    Acta medica (Hradec Kralove), 2017
    Co-Authors: Kamran Sari, Ali Irfan Gul, Yunus Kantekin, Ozgul Karaaslan, Zeliha Kapusuz Gencer
    Abstract:

    BACKGROUND We measured postoperative anxiety in patients who underwent transseptal suturing or Nasal Packing after septoplasty. MATERIALS AND METHODS Transseptal suturing was performed on Group 1 patients and Nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of Nasal Packing in Group 2. RESULTS Transseptal suturing was performed after septoplasty in 28 patients and Nasal Packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the Nasal Packing group; the difference was found significant (p 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. CONCLUSIONS Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with Nasal Packing) with only a minor increase in operating time and hemorrhage.

  • Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing
    Karolinum Press, 2017
    Co-Authors: Kamran Sari, Ali Irfan Gul, Yunus Kantekin, Ozgul Karaaslan, Zeliha Kapusuz Gencer
    Abstract:

    Background: We measured postoperative anxiety in patients who underwent transseptal suturing or Nasal Packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and Nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of Nasal Packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and Nasal Packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the Nasal Packing group; the difference was found significant (p < 0.05). The STAI-T scores were found 42.6 in the transseptal suturing group and 45.7 in the Nasal Packing group; the difference was not found significant (p > 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with Nasal Packing) with only a minor increase in operating time and hemorrhage

Vassilios A. Lachanas - One of the best experts on this subject based on the ideXlab platform.