Surgicel ® kullanımının epistaksis kontrolünde nazal tampon ile karşılaştırılması

Yıl 2019, Cilt: 4 Sayı: 1, 33 - 36, 15.03.2019

Tevfik Sözen , Övsen Önay , Mehmet Seyit Ceylan

https://doi.org/10.25000/acem.489634

Cited By: 2

Öz

Amaç: Transseptal
sütürasyon ile  Surgicel ^®
tatbikinin  burun kanamasındaki
etkinliğinin ve tolere edilebilirliğinin belirlenmesi.

Metod:  Ocak 2015 ile Ağustos 2016 tarihleri arasında
Kiesselbach bölgesinden kanaması tespit edilen ve tedavi edilen  hastalar retrospektif olarak tarandı.
Tedavide anterior nazal tampon (Merocel^®) uygulanmış 18 hasta,
transseptal sütürasyon ile Surgicel ^® tatbiki yapılmış olan 16 hasta
çalışmaya dahil edildi. Hastaların kontrol vizitlerinde NRS-11 morbidite
skalası kullanılarak  elde edilmiş olan
veriler, kişinin tecrübe ettiği ağrı ve yapılan işleme gösterdiği uyumu
kıyaslamada kullanıldı. 

Bulgular: İki grup
arasında kanama rekürrensi açısından istatiksel olarak anlamlı fark bulunmadı.
Transseptal sütürasyon ile Surgicel ^® tatbikinin nazal tampona
kıyasla daha iyi tolere edildiği  ve
düşük morbiditeye sahip olduğu görüldü.

Sonuç:
Anterior epistaksiste transseptal sütürasyon ile Surgicel ^®
tatbikinin etkili ve iyi tolere edilebilir alternatif bir prosedür olduğu
görüldü.

Anahtar Kelimeler

Nazal tampon, epistaksis, burun kanaması

Comparing efficacy of Surgicel ® application with nasal packing in epistaxis

Öz

Aim: To evaluate the efficacy and tolerability of Surgicel ® application
with transseptal suturing in epistaxis.

Methods: Thirty-four patients who underwent therapy for epistaxis from
Kiesselbach’s area, between January 2015 and August 2016, were retrospectively
analyzed. As a treatment modality, anterior nasal packing (Merocel^® tampon with airway) was inserted to 18 patients,
and transseptal suturing combined with the Surgicel ^® application
was performed in 16 patients. The pain experienced during the procedure and
compliance of the patients was evaluated using the NRS-11 morbidity scale that
was administered during the control visits.

Results: No significant difference was identified between the two groups
regarding the efficacy of bleeding control. Transseptal suturing combined with
the Surgicel ^® application was tolerated better and had lower
morbidity compared to nasal packing.

Conclusion: This study showed that transseptal suturing with the
Surgicel ^® application is an effective and well-tolerated procedure
in the treatment of anterior epistaxis.

Anahtar Kelimeler

Nasal packing, epistaxis, nasal bleeding

Kaynakça

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