Early complications of packing after nasal surgery with three different materials.

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dc.contributor.authorSirimanna, K Sen_US
dc.contributor.authorTodd, G Ben_US
dc.contributor.authorMadden, G Jen_US
dc.date.accessioned2009-05-28T05:12:43Z
dc.date.available2009-05-28T05:12:43Z
dc.date.issued1994-09-01en_US
dc.descriptionThe Ceylon Medical Journal.en_US
dc.description.abstractOBJECTIVE: To investigate and compare the early complications of nasal packing with three different packing materials after surgical trimming of nasal turbinates. DESIGN: From a group of patients admitted to two Ear, Nose and Throat Departments for surgical trimming of inferior turbinates, those who consented were included in this study. Randomised patient packs were used and randomisation was carried out by a third party not directly involved in the study. Patients' nostrils were packed with calcium sodium alginate (Kaltostat), glove finger packs or trousered paraffin gauze. SETTING: Two District General Hospitals (DGH) in the United Kingdom (UK) during the period from February 1989 to June 1990. SUBJECTS: 92 patients between the age of 16 years and 60 years who consented out of a population who were admitted to two DGHs for surgical trimming of inferior turbinates. MAIN OUTCOME MEASURES: The state of the nostrils in each patient was assessed by the authors (authors 1 and 3 in Hospital 1 and author 2 in Hospital 2) at the time of discharge and at a postoperative outpatient visit at 3 weeks after discharge. RESULTS: 5% of nostrils packed with calcium sodium alginate (Kaltostat), 27% of nostrils packed with glove finger packs and 20% of nostrils packed with paraffin trouser packs were found to have clots on discharge from the hospital. At the post-discharge followup, when each complication was considered separately, there were more complications in the group who had their nostrils packed for 48 hours (14.2%) than in those who had packs in for 24 hours (7.3%). Significantly less complications were seen at 3 weeks with paraffin gauze packs (6.6%) than in the other two packing material (13.9%). CONCLUSIONS: Our findings suggest that, of the pack types studied 1) nostrils packed with calcium sodium alginate (Kaltostat) leave less clots in the nostrils 2) leaving packing in for 48 hours produces significantly more complications in the early post-operative period especially with calcium sodium alginate.en_US
dc.description.affiliationNorthwick Park Hospital, Harrow, Middlesex, UK.en_US
dc.identifier.citationSirimanna KS, Todd GB, Madden GJ. Early complications of packing after nasal surgery with three different materials. The Ceylon Medical Journal. 1994 Sep; 39(3): 129-31en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/48113
dc.language.isoengen_US
dc.source.urihttps://www.infolanka.com/CMJhome/en_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAlginatesen_US
dc.subject.meshEpistaxis --prevention & controlen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshGloves, Surgicalen_US
dc.subject.meshGlucuronic Aciden_US
dc.subject.meshHexuronic Acidsen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOcclusive Dressingsen_US
dc.subject.meshParaffinen_US
dc.subject.meshPostoperative Complications --prevention & controlen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTurbinates --surgeryen_US
dc.titleEarly complications of packing after nasal surgery with three different materials.en_US
dc.typeClinical Trialen_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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