Start Submission Become a Reviewer

Reading: Comparison of outcomes using conventional nasal pack with hydroxylated polyvinyl acetate pac...

Download

A- A+
Alt. Display

Original Articles

Comparison of outcomes using conventional nasal pack with hydroxylated polyvinyl acetate pack following Septoplasty

Authors:

A. Bhattarai ,

Kathmandu University School of Medical Sciences, NP
About A.
Consultant ENT and Head and Neck Surgeon
X close

B. L. Shrestha,

Kathmandu University School of Medical Sciences, NP
About B. L.
Professor, ENT department
X close

A. Dhakal,

Kathmandu University School of Medical Sciences, NP
About A.
Assistant Professor, ENT department
X close

K. C. Abha Kiran,

Kathmandu University School of Medical Sciences, NP
About K. C. Abha
Lecturer, ENT department
X close

B. K. Chaudhary

Nobel Medical College, NP
About B. K.
Passed graduate
X close

Abstract

Aim:

To compare the conventional anterior nasal packing (CANP) with Hydroxylated polyvinyl acetate pack (Merocele) after septoplasty, in terms of pain, bleeding, and postoperative complications like synechia formation.

 

Material and Methods:

This study was a prospective, randomized, interventional study conducted among 48 patients. Patients underwent septoplasty under general anesthesia for symptomatic deviated nasal septum. In all the 48 patients, post-surgery, one nasal cavity was packed with a conventional nasal pack and the other cavity was packed with Merocele nasal pack. Pain and bleeding were evaluated during pack removal on the third post-operative day. Synechia was assessed at the 8th postoperative week (2 months) follow-up. The results were compared between the two groups.

 

Result:

Out of 48 patients who underwent surgery, 3 patients were lost to follow-up. So, results were compared between 45 patients. Pain and bleeding during removal of conventional and merocele packs were not seen to be statistically significant. Post-operative synechia was not seen in any of the nasal cavities, irrespective of the packing material used.

 

Conclusion:

Hence, in terms of pain, bleeding during pack removal, and post-operative synechia; conventional and merocele nasal packs were comparable and there was no significant difference in using either of the materials post-septoplasty.

How to Cite: Bhattarai, A., Shrestha, B.L., Dhakal, A., Kiran, K.C.A. and Chaudhary, B.K., 2023. Comparison of outcomes using conventional nasal pack with hydroxylated polyvinyl acetate pack following Septoplasty. Ceylon Journal of Otolaryngology, 12(1), pp.9–17. DOI: http://doi.org/10.4038/cjo.v12i1.5342
49
Views
14
Downloads
Published on 15 Mar 2023.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus