Nasal Packing after Functional Endoscopic Sinus Surgery

Wang, Tang‐Chuan; Hsiao, Hung‐Ta

doi:10.5772/intechopen.68993

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…Today, there are a variety of options, ranging from absorbable to nonabsorbable nasal packing, and some surgeons prefer no packing at all. Regarding postoperative pain, numerous studies have shown that nasal packing increases the intensity of pain, especially nonabsorbable nasal packing 19 .…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain Following Functional Endoscopic Sinus Surgery

Kavangh

2022

ACC

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We conducted a retrospective review of medical records using our institution electronic database with the purpose to identify factors that could influence postoperative pain after functional endoscopic sinus surgery. The studied factors were gender, age, American Society of Anesthesiologists (ASA) status, duration of surgery, extent of surgery, primary versus revision surgery, and extent of nasal packing. One hundred and twenty-four patients were enrolled in this study, 60.5% of them male, mean age 48 years. The mean postoperative pain reported on the visual analog scale was 1.20 on the day of surgery and 1.05 on postoperative day 1. On the day of surgery, patients who had unilateral type of surgery experienced less pain than patients with bilateral surgery (p<0.01). We did not find any statistically significant association of the reported postoperative pain with age, gender, ASA status, duration of surgery, antibiotic therapy, and type and extensiveness of nasal packing.

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Section: Discussionmentioning

confidence: 99%

Postoperative Pain Following Functional Endoscopic Sinus Surgery

Kavangh

2022

ACC

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Rehabilitation of patients with chronic rhinosinusitis after functional endoscopic sinus surgery

Jeican

Trombitaș²,

Crivii

et al. 2021

Balneo and PRM Research Journal

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Introduction. In the case of many patients with chronic rhinosinusitis (CRS), antibiotic and steroid therapies fail, and surgery is required. The recovery of patients after surgery equally depends on the postoperative behavior of each individual patient. The paper presents the outcomes of recovery after functional endoscopic sinus surgery (FESS) in a group of 74 patients. Methods. The study was conducted in patients undergoing surgical treatment by FESS, performed by the same surgeon. For the development of the statistical database, the clinical records were collected by the same investigator. Results. On the day of surgery and on the first postoperative day, 72.9% of patients reported facial pain, 41.8% nausea, 9.4% nasal bleeding, 8.8% vomiting. At 6 months postoperatively, 71.6% of patients estimated that they had a better quality of life than before surgery, 64.8% mentioned an improvement of olfaction as an effect, and 6.7% developed septal turbinate synechiae. Conclusions. No major complications were identified in the recovery of CRS patients after FESS. Postoperative facial pain was less well tolerated by young patients (18-35 years old). The improvement of smell and the increase of disease-specific quality of life are the most relevant results of recovery after FESS mentioned by the patients included in our study. The otorhinolaryngologist and the family doctor play an important role in the education of patients regarding the importance of treatment with mineral and thermal waters in post-FESS recovery. Keywords: chronic rhinosinusitis, endoscopic sinus surgery, FESS, rehabilitation, ERAS protocols,

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Biodegradable Gelatin–Carrageenan Sponges: High-Potential Functional Nasal Packs for Efficient Secretome Delivery

Razali,

Muhammad Firdaus,

Fauzi

et al. 2024

Polymers

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Nasal packing is a critical procedure in postoperative care and trauma management aimed at controlling bleeding, providing structural support, and promoting tissue healing. However, conventional nasal packs often lead to discomfort, infection risks, and secondary tissue damage. To address these challenges, this study explores the potential use of biodegradable and biocompatible gelatin–carrageenan composite scaffolds as an alternative nasal packing material. Five compositions of gelatin–carrageenan scaffolds (ratios 10:0, 7:3, 5:5, 3:7, and 0:10) were fabricated and evaluated for physicochemical properties, hemocompatibility, and cytocompatibility. Results suggest that balanced ratios, such as 7:3 and 5:5, may provide a combination of structural integrity, improved biocompatibility, and controlled degradation, making them a potential candidate for nasal packing applications. The scaffolds exhibited low cytotoxicity and reasonable blood compatibility, which could reduce the risks associated with conventional materials. While these findings are promising, further in vivo studies are necessary to validate the efficacy and safety of these scaffolds in clinical settings. If proven effective, gelatin–carrageenan scaffolds may help address some of the limitations of conventional nasal packing materials and improve postoperative care outcomes.

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Nasal Packing after Functional Endoscopic Sinus Surgery

Cited by 3 publications

References 18 publications

Postoperative Pain Following Functional Endoscopic Sinus Surgery

Postoperative Pain Following Functional Endoscopic Sinus Surgery

Rehabilitation of patients with chronic rhinosinusitis after functional endoscopic sinus surgery

Biodegradable Gelatin–Carrageenan Sponges: High-Potential Functional Nasal Packs for Efficient Secretome Delivery

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