Effectiveness of hemostatic gelatin sponge as a packing material after septoplasty: A prospective, randomized, multicenter study

被引:20
作者
Kim, Sung-Dong [1 ,2 ]
Hong, Sung-Lyong [1 ,2 ]
Kim, Min-Jung [3 ]
Kim, Joo-Yeon [4 ]
Kim, Yong-Wan [5 ]
Koo, Soo-Kweon [6 ]
Cho, Kyu-Sup [1 ,2 ]
机构
[1] Pusan Natl Univ, Pusan Natl Univ Hosp, Sch Med, Dept Otorhinolaryngol, 179 Gudeok Ro, Busan 602739, South Korea
[2] Pusan Natl Univ, Pusan Natl Univ Hosp, Sch Med, Biomed Res Inst, Busan, South Korea
[3] Wallace Mem Baptist Hosp, Dept Otorhinolaryngol, Busan, South Korea
[4] Kosin Univ, Gospel Hosp, Coll Med, Dept Otolaryngol, Busan, South Korea
[5] Inje Univ, Haeundae Paik Hosp, Dept Otolaryngol, Gimhae, South Korea
[6] Busan St Marys Med Ctr, Dept Otorhinolaryngol, Busan, South Korea
关键词
Gelatin sponge; Absorbable; Biocompatible materials; Nose; Septoplasty; Postoperative care; Pain; Polyvinyl acetate; ENDOSCOPIC SINUS SURGERY; NASAL PACKING; CUTANPLAST; TRIAL;
D O I
10.1016/j.anl.2017.05.007
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: Although hemostatic gelatin sponge is a gelatin-based packing material with a powerful hemostatic effect, there were no studies in regard to its efficacy for packing material after septoplasty. The purpose of this study was to investigate the efficacy of hemostatic gelatin sponge nasal packing on patient's subjective symptoms, hemostasis, and wound healing following septoplasty. Subjects and methods: Seventy six adult patients with nasal septum deviation requiring septoplasty were included. Following surgery, one nasal cavity was packed with hemostatic gelatin sponge and the other one with polyvinyl acetate. Patients' subjective symptoms while the packing was in situ, hemostatic properties, patients' pain on removal, degree of bleeding on removal of the packing, time for hemostasis after removal, postoperative wound healing, and the cost of the pack were evaluated. Results: Both packs were equally effective in the control of postoperative bleeding following septoplasty. However, hemostatic gelatin sponge packing was significantly more comfortable while in situ and less painful on removal of the pack. The polyvinyl acetate packing was associated with significantly more bleeding on removal, therefore much time was needed to control hemorrhage. There was no significant difference in the cost of the pack used and outcome of wound healing. Conclusion: The use of hemostatic gelatin sponge after septoplasty results in significantly less discomfort and greater patient satisfaction with no adverse reactions when compared with polyvinyl acetate packing. Therefore, hemostatic gelatin sponge may be a useful packing material after septoplasty. (C) 2017 Elsevier B.V. All rights reserved.
引用
收藏
页码:286 / 290
页数:5
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