Journal of Rhinology

Korean Rhinologic Society (대한비과학회)
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Effectiveness of Polyvinyl Acetate Sheeted with Carboxymethyl Cellulose as a Packing Material after Septoplasty

비중격성형술 후 Carboxymethyl Cellulose 시트로 둘러싼 Polyvinyl Acetate의 비 패킹 재료로서 유용성

  • Kim, Sung-Dong (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Kim, Dongwon (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Kim, Deok-Soo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Kim, Ji-a (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Lee, Dong-Joo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Cho, Kyu-Sup (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Pusan National University Hospital)
  • 김성동 (부산대학교 의학전문대학원 부산대학교병원 이비인후과학교실) ;
  • 김동원 (부산대학교 의학전문대학원 부산대학교병원 이비인후과학교실) ;
  • 김덕수 (부산대학교 의학전문대학원 부산대학교병원 이비인후과학교실) ;
  • 김지아 (부산대학교 의학전문대학원 부산대학교병원 이비인후과학교실) ;
  • 이동주 (부산대학교 의학전문대학원 부산대학교병원 이비인후과학교실) ;
  • 조규섭 (부산대학교 의학전문대학원 부산대학교병원 이비인후과학교실)
  • Received : 2018.02.12
  • Accepted : 2018.08.25
  • Published : 2018.11.30
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Abstract

Background and Objectives: Although polyvinyl acetate ($Merocel^{(R)}$) has been widely used as a packing material after septoplasty, removable nasal packing can increase patient discomfort, local pain, and pressure. Furthermore, the removal of nasal packing has been described as the most uncomfortable and distressing feature associated with septoplasty. The purpose of this study was to investigate the efficacy of polyvinyl acetate with carboxymethyl cellulose sheet ($Rhinocel^{(R)}$) nasal packing on patient subjective symptoms, degree of bleeding, hemostasis, and wound healing following septoplasty. Subjects and Method: Forty patients with nasal septum deviation requiring septoplasty were included. Following surgery, one nasal cavity was packed with $Rhinocel^{(R)}$ and the other one with $Merocel^{(R)}$. Patient subjective symptoms while the packing was in situ, hemostatic properties, pain on removal, degree of bleeding on removal, duration of hemostasis after removal, postoperative wound healing, and the cost of the pack were evaluated. Results: Although the two types of packing materials were equally effective in controlling postoperative bleeding after septoplasty, $Rhinocel^{(R)}$ was significantly more comfortable while in situ and less painful on removal than $Merocel^{(R)}$, which was associated with significantly more bleeding on removal and so more time was needed to control hemorrhage. There was no significant difference in postoperative wound healing or pack cost. Conclusion: The use of $Rhinocel^{(R)}$ after septoplasty has less discomfort, greater patient satisfaction, and less bleeding on removal with no adverse reactions compared to $Merocel^{(R)}$ packing. Therefore, $Rhinocel^{(R)}$ may be a useful packing material after septoplasty.

Keywords

Acknowledgement

Supported by : Pusan National University Hospital

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