Modified Nasal Vestibule Packing With Airway Preservation

Evaluation of Safety and Efficacy for an Intranasal Airway Device in Nasal Surgery

“…In addition, by the Poiseuille law, airflow through the intranasal device with a 7.5-cm length and 0.5-cm internal diameter is greater than that of other commercially available intranasal splints (188.1 cm 3 /Pa-s/tube compared with 14.7 cm 3 /Pa-s/tube for Doyle Splints). 19 Several modifications to commercially available packing attempt to provide an adequate postoperative airway in the setting of intranasal packing, for example, through introduction of an infusion tube through a Doyle intranasal splint 8 or silastic suction cathether through a modified Merocel pack (Medtronic Xomed). 7 These modifications essentially mimic the idea of the IA device in form and function, but require time-consuming or more tedious adaptation techniques.…”

“…Likewise, loss of airway patency at the time of extubation may lead to patient agitation resulting in bleeding and displacement of materials. Several devices and modifications to commercial packing materials have been developed to ensure patency of the nasal airway postoperatively, and require various techniques to secure the device for proper placement including suturing or vestibular packing abutment . The goal of these devices is to ensure airflow through the nasal cavity postoperatively while minimizing patient discomfort.…”