Hypopharyngeal packing during adenotonsillectomy by cold dissection in children: a randomized controlled trial

Oppermann, Luciana Pimentel; Neto, José Faibes Lubianca; Drummond, Renata Loss; Amantéa, Sérgio L.; Bressan, Mariele Zawierucka; Rodrigues, Eduardo Esteves de Alcântara Marques; Stangler, Maira Isis dos Santos

doi:10.1007/s00405-020-06032-5

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…After removing duplicates, 31 studies remained to be analyzed. Five of these were not fully available online and were therefore excluded [24][25][26][27][28]. A total of 26 studies were initially included.…”

Section: Selection Of Studiesmentioning

confidence: 99%

Interest of pharyngeal packing in head and neck surgery: a meta-analysis

Casenave

Raynaud

Geoffroy

et al. 2023

J Oral Med Oral Surg

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Introduction: There is controversy regarding the use of pharyngeal packing in oral and nasal surgery. The primary objective of this study was to examine the association between pharyngeal packing, throat pain, and postoperative nausea and vomiting (PONV) in head and neck surgery. Material and methods: A systematic review of clinical studies published from January 2000 to August 2020 concerning the use of pharyngeal packing in head and neck surgery was conducted in the Medline, ScienceDirect and Cochrane Library databases. Throat pain and PONV were collected in each article, and a meta-analysis was performed. Results: A total of 10 clinical trials involving 877 patients were included in the meta-analysis. Pharyngeal packing did not significantly decrease PONV score either during the immediate (OR = 0.90, 95% CI: 0.59 to 1.38, p = 0.52, I2 = 0%) or the delayed postoperative period (OR = 0.88, 95% CI: 0.54 to 1.43, p = 0.28, I2 = 21%), but significantly increased the immediate postoperative throat pain score (MD = 0.68, 95% CI: 0.21 to 1.16, p = 0.19, I2 = 35%). Conclusion: This study suggests that the use of a pharyngeal packing to improve the preoperative aftermath in head and neck surgery should not be recommended.

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Section: Selection Of Studiesmentioning

confidence: 99%

Interest of pharyngeal packing in head and neck surgery: a meta-analysis

Casenave

Raynaud

Geoffroy

et al. 2023

J Oral Med Oral Surg

View full text Add to dashboard Cite

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The Pharyngeal Packs for Dental and Otolaryngological Surgery: A Meta-Analysis of High-Quality Randomized Controlled Trials

Xie,

Yao,

Shi

et al. 2024

Ear Nose Throat J

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Background: Pharyngeal packs are employed to mitigate postoperative nausea and vomiting (PONV) and have become prevalent in dental and otolaryngological surgeries. However, their clinical efficacy continues to be a topic of debate. The objective of the present study was to conduct a quantitative assessment of the impact of pharyngeal packing in dental and otolaryngological surgeries through meta-analysis. Methods: We identified relevant randomized controlled trials (RCTs) through systematic searches of online databases, including PubMed, Embase, and Cochrane Central. Potential eligible studies were evaluated using the Jadad scoring system (range 0-5 points), with only high-quality RCTs (3 points or more) being included. The incidence of PONV, morbidity, and the level of throat pain were aggregated and estimated. Publication bias was evaluated using funnel plot symmetry and the Egger test. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was utilized to rate the evidence. Results: Ten high-quality RCTs comprising 1026 participants were ultimately included. Subsequent quantitative pooled estimation unveiled that the utilization of pharyngeal packing did not lead to a significant reduction in the incidence of nausea ( P = .272), vomiting ( P = .775), overall PONV ( P = .118), or throat pain ( P = .149). By contrast, the application of pharyngeal packs was found to significantly increase the level of throat pain ( P = .003). No obvious publication bias was detected, and the majority of evidence was rated high or moderate. Conclusion: Based on the existing evidence, we conclude that pharyngeal packing lacks clinical benefit and is not advised for dental and otolaryngological surgeries.

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Hypopharyngeal packing during adenotonsillectomy by cold dissection in children: a randomized controlled trial

Cited by 2 publications

References 30 publications

Interest of pharyngeal packing in head and neck surgery: a meta-analysis

Interest of pharyngeal packing in head and neck surgery: a meta-analysis

The Pharyngeal Packs for Dental and Otolaryngological Surgery: A Meta-Analysis of High-Quality Randomized Controlled Trials

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