Usefulness of nasal packing with silver-containing carboxy methylated cellulose in endonasal sinus surgery

Akiyama, Kosuke; Karaki, Masayuki; Yonezaki, Masafumi; Goto, Rieko; Inamoto, Rhyuhei; Hoshikawa, Hiroshi; Mori, Nozomu

doi:10.1016/j.anl.2013.10.009

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…Like Floseal ® , CMC has not been shown to confer any significant benefit on wound healing compared to leaving a cavity unpacked 2185 . Two separate RCTs do suggest however that CMC dressings may be associated to a lower rate of adhesion formation when compared to commonly used non‐absorbable dressings 2196,2197 …”

Section: Surgery For Chronic Rhinosinusitismentioning

confidence: 99%

International consensus statement on allergy and rhinology: rhinosinusitis 2021

Orlandi

Kingdom

Smith

et al. 2021

Int Forum Allergy Rhinol

525

479

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I. Executive Summary Background The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS.

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Section: Surgery For Chronic Rhinosinusitismentioning

confidence: 99%

International consensus statement on allergy and rhinology: rhinosinusitis 2021

Orlandi

Kingdom

Smith

et al. 2021

Int Forum Allergy Rhinol

525

479

View full text Add to dashboard Cite

show abstract

“…1289 Two separate RCTs do suggest, however, that CMC dressings may be associated to a lower rate of adhesion formation when compared to commonly used nonabsorbable dressings. 1299,1300 Patient Comfort. Sinus surgery itself is not characteristically associated with significant amounts of pain, although patients do frequently report discomfort from nasal packing and its removal.…”

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

558

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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“…Thus, several adjunct MT‐medialization techniques have been developed to secure the MT to the septum. These include the use of a powered device, suturing, and placement of middle‐meatal spacers . Mucosal avulsion and subsequent bone exposure during ESS can induce ostial stenosis and osteitis‐like lesions, possibly rendering CRS recalcitrant to treatment .…”

Section: Discussionmentioning

confidence: 99%

“…These include the use of a powered device, suturing, and placement of middle-meatal spacers. [13][14][15] Mucosal avulsion and subsequent bone exposure during ESS can induce ostial stenosis and osteitis-like lesions, possibly rendering CRS recalcitrant to treatment. 16 Despite MTmedialization, however, no definitive means of preventing bone exposure-related sequelae, including ostial stenosis and osteitis-like lesions, is yet available.…”

Section: Discussionmentioning

confidence: 99%

Establishment and verification of a mouse model of nasal wound healing

Joo

Jeon

et al. 2019

The Laryngoscope

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Objectives Poor wound healing as reflected by the development of synechia and osteitis after endoscopic sinus surgery may trigger disease recurrence. Animal models provide insights into the pathogenesis of poor wound healing and may aid in the development of new therapeutics. Here, we established a mouse model of nasal wound healing and confirmed its utility. Study Design Animal study. Methods Unilateral intranasal wounds were induced using a small interdental brush in 6‐week‐old C57BL/6 mice. Forty‐five mice were divided into three groups (each n = 15): one control and two experimental groups (intranasal vs. intraperitoneal dexamethasone). Mice were sacrificed on days 2, 14, and 28 after injury (each n = 5). Serial changes in nasal wound histopathology were described, and intergroup differences were analyzed. Results On day 2, mucosal detachment, hemorrhage, and exudate were observed. On day 14, synechiae featuring neo‐osteogenesis (bone lacunae, osteoblasts, and multinucleated osteoclasts) between the septum and the maxilloturbinate were prominent, followed by wound maturation on day 28: fewer lacunae and smaller osteoblasts. Macrophages were evident only on day 2, and lymphocytes were predominant on day 28. The amount of exudate on day 2 and the synechial area on day 28 were significantly reduced in mice that received dexamethasone systemically compared with control mice, with similar trends in those treated intranasally. Conclusion Our mouse model of nasal wound healing was characterized by the development of bony synechia and neo‐osteogenesis, not soft‐tissue synechia. The model may be useful in the assessment of novel therapeutics to prevent those wounds. Level of Evidence NALaryngoscope, 129:E266–E271, 2019

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Usefulness of nasal packing with silver-containing carboxy methylated cellulose in endonasal sinus surgery

Cited by 9 publications

References 14 publications

International consensus statement on allergy and rhinology: rhinosinusitis 2021

International consensus statement on allergy and rhinology: rhinosinusitis 2021

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Establishment and verification of a mouse model of nasal wound healing

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