A prospective randomised controlled trial comparing Merocel and Rapid Rhino nasal tampons in the treatment of epistaxis

Moumoulidis, Ioannis; Draper, Mark; Patel, Hemi; Jani, Piyush; Price, Timothy Trevor

doi:10.1007/s00405-006-0047-5

Cited by 52 publications

(56 citation statements)

References 7 publications

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“…9, 10 Badran et al 7 studied 52 patients with epistaxis, and concluded that both pack types were equally effective in epistaxis control, but that Rapid Rhino packs were more comfortable for patients and easier for healthcare workers to insert and remove. Similar results were reported by Moumoulidis et al, 8 in their study of 42 patients.…”

Section: Discussionsupporting

confidence: 92%

“…Since the introduction of Rapid Rhino nasal packs, four clinical trials have compared them with Merocel nasal packs: two trails studied patients with epistaxis, 7,8 while the other two assessed pack use after nasal surgery. 9, 10 Badran et al 7 studied 52 patients with epistaxis, and concluded that both pack types were equally effective in epistaxis control, but that Rapid Rhino packs were more comfortable for patients and easier for healthcare workers to insert and remove.…”

Section: Discussionmentioning

confidence: 99%

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Rapid Rhino versus Merocel nasal packs in septal surgery

Hesham

Ghali

2011

J. Laryngol. Otol.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Rapid Rhino versus Merocel nasal packs in septal surgery

Hesham

Ghali

2011

J. Laryngol. Otol.

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“…It has been widely studied and compared with other packing materials and almost all investigations point to the fact that Merocel has a tendency to adhere to mucosa. Most importantly, Merocel causes more bleeding and discomfort during removal [2,3,12,13]. In our study, Merocel caused the highest pain scores during removal, whereas Merocel in the glove finger caused the least pain on removal, with the difference between these two treatments reaching statistical significance (p = 0.03).…”

Section: Discussioncontrasting

confidence: 41%

Nasal septal packing: which one?

Acıoğlu¹,

Edızer²,

Yiğit³

et al. 2011

Eur Arch Otorhinolaryngol

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The aim of this study was to investigate the effects of four different types of nasal packs on pain, nasal fullness and postoperative bleeding following septoplasty. Prospective randomised double blind study was conducted. The study group included 119 patients who underwent endonasal septoplasty under general anaesthesia. Four types of nasal packing materials were utilized: (1) Merocel standard 8-cm nasal dressing without airway, (2) Doyle Combo splint (DCS), (3) Merocel in a glove finger and (4) Vaseline gauze. All packs were removed at the 48th hour (±3 h) after the surgery. Three different variables were investigated following the surgical procedure: (1) pain, (2) nasal fullness and (3) bleeding after removal of the nasal packing material. DCS produced the greatest pain at the first and sixth postoperative hours. At the first postoperative day, the greatest pain score was reported for Merocel in the glove finger and the least for Merocel. The pain scores during the removal of the nasal packings were highest for Merocel and lowest for Merocel in the glove finger. DCS had the lowest nasal fullness score. Bleeding ratio was highest for Merocel, followed by Vaseline gauze, DCS and Merocel in the glove finger. Many different commercially available packing materials are presently used, each with inherent advantages and disadvantages. We evaluated the pain, nasal fullness and bleeding potential of four nasal packing materials and determined that Merocel had the highest pain potential during removal and the highest rate of bleeding following removal.

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“…Most of the rhinologists are of the opinion that nasal packing is necessary as some bleeding after surgery is inevitable after meticulous surgery. 7 Though the measurement of pain is a complex problem with many pitfalls, the choice of visual analogue scale to measure pain as opposed to any other pain rating scales was based on the following advantages simplicity, high sensitivity and easily reproducible.…”

Section: Pain Score No Of Patients Minimum Score Maximum Score Meanmentioning

confidence: 99%

A Study of the Complications of Ribbon Gauze Impregnated With Soframycin Nasal Packing and Merocel Packing in Post Septoplasty Patients

M¹,

N²,

Shamim³

et al. 2015

jemds

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OBJECTIVE:To compare the complications of Ribbon Gauze Impregnated with soframycin nasal packing and Merocel Packing in Post Septoplasty patients. MATERIALS AND METHODS: A randomized trial was conducted in the department of Otorhinolaryngology and Head and Neck Surgery of Sri Siddhartha Medical College, Tumkur, Karnataka from July 2011-September 2014. In our study 100 patients who underwent septoplasty were divided into two groups. Group A and Group B consisting of 50 patients each. The Patients were alternately assigned into the two groups. In patients of Group A Merocel packing (size 8cm) impregnated with soframycin ointement was done. In patients of Group B Ribbon Gauze Impregnated with Soframycin packing was done. Cottle's maxillary-premaxillary septoplasty approach was employed in all the 100 patients under local anaesthesia. The complications of nasal packing like Bleeding during pack in situ, Bleeding during pack removal, Pain score during pack in-situ, Pain score during pack removal, Septal Hematoma, nasal synechia and Septal perforation were compared between the two groups. Both the groups were followed up for 8 weeks. RESULTS: In our study group A patients show statistically significant less pain score while pack was in situ and during pack removal compared with group B patients. Bleeding during pack removal and development of synechia in group A patients were statistically less compared to group B patients. None of the patients developed septal hematoma and septal perforation in both the groups. CONCLUSION: The use of Merocel nasal packing in post septoplasty patients have better compliance with respect to pain compared with conventional ribbon gauze. Although bleeding is well controlled with both Merocel and Ribbon gauze when the pack is in situ, Merocel cause less bleeding during pack removal and less nasal synechia compared to conventional ribbon gauze.

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A prospective randomised controlled trial comparing Merocel and Rapid Rhino nasal tampons in the treatment of epistaxis

Cited by 52 publications

References 7 publications

Rapid Rhino versus Merocel nasal packs in septal surgery

Rapid Rhino versus Merocel nasal packs in septal surgery

Nasal septal packing: which one?

A Study of the Complications of Ribbon Gauze Impregnated With Soframycin Nasal Packing and Merocel Packing in Post Septoplasty Patients

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