Nasal packing: When a routine practice becomes a life‐threatening emergency

Novoa, Eva María; Junge, Helge

doi:10.1002/ccr3.3241

Cited by 9 publications

(3 citation statements)

References 4 publications

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“…They are usually removed 48 to 72 hours after the surgery. Nasal packing can lead to adverse events such as sleep disturbance, epiphora, dysphagia, and even rare complications such as toxic shock syndrome, packing dislodgment with aspiration, and septal perforation 18 . Today, there are a variety of options, ranging from absorbable to nonabsorbable nasal packing, and some surgeons prefer no packing at all.…”

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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“…Regarding effectiveness, use, patient comfort, and potential consequences, each material has pros and cons. 7 , 8 …”

Section: Introductionmentioning

confidence: 99%

“…Regarding effectiveness, use, patient comfort, and potential consequences, each material has pros and cons. 7,8 It is worth noting that advances in nasal packing techniques have been made to address some of these concerns. For example, the use of absorbable nasal packing materials, such as Nasopore, has gained popularity.…”

Section: Introductionmentioning

confidence: 99%

Comparison of complete nasal packing with and without integrated airways

Jamil,

Hameed,

Sidiqqui

et al. 2023

Pak J Med Sci

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Objective: To compare the effects of nasal packing using a Nasopore nasal packing with and without an airway tube on postoperative pain, SpO2, nasal obstruction, and difficulty in breathing complaints. Methods: This comparative study was conducted at Dow University of Health Sciences (DUHS), DMC Civil Hospital Karachi between September 18, 2021, to May 19, 2022. A total of 70 patients who underwent septoplasty for septal deviation and chronic hypertrophic rhinitis were equally divided into two groups. Group-A patients received nasal packing using a Nasopore nasal packing with an airway tube, and Group-B patients received nasal packing using a Nasopore nasal packing without an airway tube. Post-operation Nasal pain sensations were measured using the Wong-Baker Faces Pain Rating Scale at 2 and 12 hours. SpO2 was measured at 30 minutes pre-operatively with an O2 saturation monitor and 12 hours post-operatively during sleep. Results: The postoperative pain at two hours and 12 hours was compared between the two groups, and a significant difference was observed. In Group-A, the average SpO2 decreased > 4% from baseline in 5.7% patients, and 37% in Group-B. A significant difference was observed in the severity of nasal obstruction and difficulty breathing, P-value < 0.05. Conclusion: It is concluded that septoplasty followed by applying nasal packing with integrated airway reduces postoperative pain and improves oxygen saturation compared to nasal packing without integrated airways. doi: https://doi.org/10.12669/pjms.39.5.7478 How to cite this: Jamil A, Hameed HA, Sidiqqui AH, Farrukh M.S. Comparison of complete nasal packing with and without integrated airways. Pak J Med Sci. 2023;39(5):---------. doi: https://doi.org/10.12669/pjms.39.5.7478 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Nase, Nasenhaupt- und Nasennebenhöhlen

Michel

2023

Gutachten in Der HNO

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Nasal packing: When a routine practice becomes a life‐threatening emergency

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 9 publications

References 4 publications

Postoperative Pain Following Functional Endoscopic Sinus Surgery

Postoperative Pain Following Functional Endoscopic Sinus Surgery

Comparison of complete nasal packing with and without integrated airways

Nase, Nasenhaupt- und Nasennebenhöhlen

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