FloSeal use in endoscopic sinus surgery: effect on postoperative bleeding and synechiae formation

Jameson, Mark J.; Gross, Charles W.; Kountakis, Stilianos E.

doi:10.1016/j.amjoto.2005.07.011

Cited by 62 publications

(67 citation statements)

References 8 publications

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“…Although studies by Jameson et al 1274 and Baumann and Caversaccio 1275 reported no difference in wound healing or adhesion rates when Floseal R was compared to no treatment or packing with Merocel R , concerns have been raised regarding its possible proadhesion properties. Two studies by Chandra et al, 1297,1298 suggest that Floseal R may actually incite early granulation tissue formation, with a higher rate of symptomatic adhesion formation.…”

Section: Xd5 Surgical Principles/techniques: Use Of Packingmentioning

confidence: 99%

“…In fact, in the studies that evaluated Sepragel R and Floseal R , patients reported less subjective discomfort on the treated side. 1274,1291 Both studies were small in number, however, and did not use validated pain scoring systems. Bugten et al 1287 also reported no significant difference in pain scores between patients packed bilaterally with Merocel R and those left unpacked, although a patient self-controlled study has not yet been performed to validate this observation.…”

Section: Xd5 Surgical Principles/techniques: Use Of Packingmentioning

confidence: 99%

See 1 more Smart Citation

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Xd5 Surgical Principles/techniques: Use Of Packingmentioning

confidence: 99%

Section: Xd5 Surgical Principles/techniques: Use Of Packingmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

View full text Add to dashboard Cite

show abstract

“…6,9,12 Chitosan gel resulted in hemostasis at an average of 2 minutes vs 10 minutes for no dressing 12 and Floseal demonstrated a similar effect, resulting in cessation of bleeding after 16 minutes compared with 31 minutes in controls. 9 In contrast, Sepragel Sinus failed to show a difference in immediate hemostasis. 6 Several studies that looked at delayed postoperative bleeding in the weeks following FESS failed to show a significant difference for Merocel, CMC, MeroGel, and Floseal dressings.…”

Section: Discussionmentioning

confidence: 53%

“…[6][7][8][9][10][11][12][13][14][15][16][17][18] Three RCTs have evaluated the ability of absorbable dressings to improve intraoperative hemostasis at the conclusion of surgery. 6,9,12 Chitosan gel resulted in hemostasis at an average of 2 minutes vs 10 minutes for no dressing 12 and Floseal demonstrated a similar effect, resulting in cessation of bleeding after 16 minutes compared with 31 minutes in controls. 9 In contrast, Sepragel Sinus failed to show a difference in immediate hemostasis.…”

Section: Discussionmentioning

confidence: 99%

Post-FESS Middle Meatal Dressings

Soler

Schlosser

2013

JAMA Otolaryngol Head Neck Surg

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“…Several previous studies also suggest that packing with absorbable material (Meropack, Gelfoam) reduces postoperative bleeding compared with no packing [16,19]. Jameson et al [20] have also reported packing with absorbable material (FloSeal) decreased postoperative bleeding compared with nonabsorbable packing. In contrary, several other studies have found no diference in postoperative bleeding with absorbable (NasoPore, CMC) vs. nonabsorbable or no nasal packing [11,21].…”

Section: Discussionmentioning

confidence: 81%

Nasal Packing after Functional Endoscopic Sinus Surgery

Wang¹,

Hsiao²

2017

Paranasal Sinuses

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This chapter was to have a systematic review and meta-analysis on the available literature in order to compare the eicacy and postoperative outcomes of nasal packing (absorbable vs. nonabsorbable) after treatment of chronic rhinosinusitis with functional endoscopic sinus surgery (FESS). The systematic review included ive studies with 241 nasal cavities in each treatment group. The prevalence of synechia in the absorbable groups ranged from 4.6 to 8.0% while nonabsorbable groups ranged from 8.0 to 35.7%. The absorbable group had a lower postoperative bleeding; however, there were no clear indings on postoperative pain. Postoperative edema was in general similar among groups, and no consistent indings were found on bleeding and pain while removing packing. The meta-analysis included two studies using the same type of packing material. The combined OR (0.33, 95% CI = 0.04-2.78) for postoperative synechia did not signiicantly favor (P = 0.016308) absorbable packing over nonabsorbable packing. The available literature showed that there is some evidence that absorbable nasal packing may provide superior outcomes to nonabsorbable packing after FESS. However, lack of homogeneity between these studies makes it impossible to have a deinitive conclusion.

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FloSeal use in endoscopic sinus surgery: effect on postoperative bleeding and synechiae formation

Cited by 62 publications

References 8 publications

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Post-FESS Middle Meatal Dressings

Nasal Packing after Functional Endoscopic Sinus Surgery

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