Research Article
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Surgicel ® kullanımının epistaksis kontrolünde nazal tampon ile karşılaştırılması

Year 2019, , 33 - 36, 15.03.2019
https://doi.org/10.25000/acem.489634

Abstract

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.

References

  • 1. Pallin D, Chng Y, McKay M, Emond J, Pelletier A, Camargo C. Epidemiology of epistaxis in US emergency departments 1992 to 2001. Ann Emerg Med. 2005;46:77–81.
  • 2. Vhichweg T, Roberson J, Hudson J. Epistaxis: diagnosis and treatment. J Oral Maxillofac Surg. 2006; 64:511–8.
  • 3. Ha J, Hodge J, Lewis R. Comparison of nasendoscopic-assisted cautery versus packing for the treatment of epistaxis. ANZ J Surg. 2011;81:336-9.
  • 4. Bahreini M, Jalili M, Morafi-Lakeh M. A comparison of three self-reported pain scales in adults with acute pain. J Pain. 2013;14:1653-62.
  • 5. Duncan I, Fourie P, Ic Grange C, Van der Walt H. Endovascular treatment of intractable epistaxis results of a 4 year local audit. S Afr Med J. 2004;94:373-8.
  • 6. McGarry G, Moulton C. The first aid management of epistaxis by accident and emergency department staff. Arc of Emerg Med.1993;10:290-300.
  • 7. Farneti P, Pasquini E, Sciarretta V, Macrì G, Gramellini G, Pirodda A. Comparison of Local Sclerotherapy With Lauromacrogol Versus Nasal Packing in the Treatment of Anterior Epistaxis. Clin Exp Otorhinolaryngol. 2016; 9:131-5.
  • 8. Kucik CJ, Clenney T. Management of epistaxis. Am Fam Physician. 2005;71:305–11.
  • 9. Morgan DJ, Kellerman R. Epistaxis: evaluation and treatment. Prim Care. 2014;41:63–73.
  • 10. Toner JG, Walby AP. Comparison of electro and chemical cautery in the treatment of anterior epistaxis. J Laryngol Otol. 1990;104:617–8.
  • 11. Stangerup SE, Dommerby H, Lau T. Hot water irrigation as a treatment of posterior epistaxis? Rhinology. 1996;34:18-20.
  • 12. Meric A, Korkut AY, Kahya V, Gedikli O. Prospective, randomized, controlled clinical trial of Ankaferd Blood Stopper in patients with acute anterior epistaxis. Eur Arch Otorhinolaryngol. 2010; 267:1377–81.
  • 13. Certal V, Silva H, Santos T, Correia A, Carvalho C. Trans-septal suturing technique in septoplasty: a systematic review and meta-analysis. Rhinology. 2012;50:236-45.
  • 14. Zayyan E, Bajin MD, Aytemir K, Yılmaz T. The effects on cardiac functions and arterial blood gases of totally occluding nasal packs and nasal packs with airway. Laryngoscope. 2010;120:2325-30.
  • 15. Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am. 2009;42:279-85.
  • 16. Al-Shaikh S, Muddaiah A, Lee RJ, Bhutta MF. Oxidised cellulose powder for haemostasis following sinus surgery: a pilot randomised trial. J Laryngol Otol. 2014;128:709-13.
  • 17. Valentine R, Wormald PJ, Sindwani R. Advances in absorbable biomaterials and nasal packing. Otolaryngol Clin North Am. 2009;42:813-28.
  • 18. Lewis KM, Spazierer D, Urban MD, Lin L, Redl H, Goppelt A. Comparison of regenerated and non-regenerated oxidized cellulose hemostatic agents. Eur Surg. 2013;45:213-20.
  • 19. Bhatnagar RK, Berry S. Selective Surgicel ® packing for the treatment of posterior epistaxis. Ear Nose Throat J. 2004;83:633-4.
  • 20. Günaydın RÖ, Aygenc E, Karakullukcu S, Fidan F, Celikkanat S. Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives. Eur Arch Otorhinolaryngol. 2011;268:1151-6.
  • 21. Certal V, Silva H, Santos T, Correia A, Carvalho C. Trans-septal suturing technique in septoplasty: a systematic review and meta-analysis. Rhinology. 2012;50:236-45.
  • 22. Wysocki J, Niszczota CS. Use of trans-septal mattress suture of Little's area for anterior epistaxis. J Laryngol Otol. 2011;125:399-401.
  • 23. Newton E, Lasso A, Petrcich W, Kilty S.J. An outcomes analysis of anterior epistaxis management in the emergency department. J Otolaryngol Head Neck Surg. 2016;45:24.
  • 24. Gallo A, Moi R, Minni A, Simonelli M, DeVincentiis M. Otorhinolaryngology emergency unitcare: the experience of a large university hospital in Italy. ENT J. 2000;79: 155–60.
  • 25. Traboulsi H, Alam E, Hadi U. Changing Trends in the Management of Epistaxis. Int J Otolaryngol. 2015; 2015:263987.
  • 26. Hady MR, Kodeira KZ, Nasef AH. The effect of nasal packing on arterial blood gases and acid-base balance and its clinical importance. J Laryngol Otol. 1983;97:599-604.
  • 27. Schaitkin B, Strauss M, Houck J R. Epistaxis: medical versus surgical therapy: a comparison of efficacy, complications, and economic considerations. Laryngoscope. 1987;97:1392–96.
  • 28. Aslan G, Güvenç MG, Sapçi T, Candan S. Use of nasal bivalve septal teflon splint for the treatment of recurrent epistaxis in patients undergoing anticoagulant therapy. Rhinology. 2009;47:141-3.
  • 29. Huggins S. Control of hemorrhage in otorhinolaryngologic surgery with oxidized regenerated cellulose. Eye Ear Nose Throat Mon. 1969;48:420-3.
  • 30. Mathiasen RA, Cruz RM. Prospective, randomized, controlled clinical trial of a novel matrix hemostatic sealant in patients with acute anterior epistaxis. Laryngoscope. 2005;115: 899-902.
  • 31. ZhengHua Z , Gang F, BingWei Z, JiaWen C. Suturing of Little's area of the nasal septum for epistaxis. J Laryngol Otol. 2009;123:787-8.

Comparing efficacy of Surgicel ® application with nasal packing in epistaxis

Year 2019, , 33 - 36, 15.03.2019
https://doi.org/10.25000/acem.489634

Abstract

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.

References

  • 1. Pallin D, Chng Y, McKay M, Emond J, Pelletier A, Camargo C. Epidemiology of epistaxis in US emergency departments 1992 to 2001. Ann Emerg Med. 2005;46:77–81.
  • 2. Vhichweg T, Roberson J, Hudson J. Epistaxis: diagnosis and treatment. J Oral Maxillofac Surg. 2006; 64:511–8.
  • 3. Ha J, Hodge J, Lewis R. Comparison of nasendoscopic-assisted cautery versus packing for the treatment of epistaxis. ANZ J Surg. 2011;81:336-9.
  • 4. Bahreini M, Jalili M, Morafi-Lakeh M. A comparison of three self-reported pain scales in adults with acute pain. J Pain. 2013;14:1653-62.
  • 5. Duncan I, Fourie P, Ic Grange C, Van der Walt H. Endovascular treatment of intractable epistaxis results of a 4 year local audit. S Afr Med J. 2004;94:373-8.
  • 6. McGarry G, Moulton C. The first aid management of epistaxis by accident and emergency department staff. Arc of Emerg Med.1993;10:290-300.
  • 7. Farneti P, Pasquini E, Sciarretta V, Macrì G, Gramellini G, Pirodda A. Comparison of Local Sclerotherapy With Lauromacrogol Versus Nasal Packing in the Treatment of Anterior Epistaxis. Clin Exp Otorhinolaryngol. 2016; 9:131-5.
  • 8. Kucik CJ, Clenney T. Management of epistaxis. Am Fam Physician. 2005;71:305–11.
  • 9. Morgan DJ, Kellerman R. Epistaxis: evaluation and treatment. Prim Care. 2014;41:63–73.
  • 10. Toner JG, Walby AP. Comparison of electro and chemical cautery in the treatment of anterior epistaxis. J Laryngol Otol. 1990;104:617–8.
  • 11. Stangerup SE, Dommerby H, Lau T. Hot water irrigation as a treatment of posterior epistaxis? Rhinology. 1996;34:18-20.
  • 12. Meric A, Korkut AY, Kahya V, Gedikli O. Prospective, randomized, controlled clinical trial of Ankaferd Blood Stopper in patients with acute anterior epistaxis. Eur Arch Otorhinolaryngol. 2010; 267:1377–81.
  • 13. Certal V, Silva H, Santos T, Correia A, Carvalho C. Trans-septal suturing technique in septoplasty: a systematic review and meta-analysis. Rhinology. 2012;50:236-45.
  • 14. Zayyan E, Bajin MD, Aytemir K, Yılmaz T. The effects on cardiac functions and arterial blood gases of totally occluding nasal packs and nasal packs with airway. Laryngoscope. 2010;120:2325-30.
  • 15. Dubin MR, Pletcher SD. Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am. 2009;42:279-85.
  • 16. Al-Shaikh S, Muddaiah A, Lee RJ, Bhutta MF. Oxidised cellulose powder for haemostasis following sinus surgery: a pilot randomised trial. J Laryngol Otol. 2014;128:709-13.
  • 17. Valentine R, Wormald PJ, Sindwani R. Advances in absorbable biomaterials and nasal packing. Otolaryngol Clin North Am. 2009;42:813-28.
  • 18. Lewis KM, Spazierer D, Urban MD, Lin L, Redl H, Goppelt A. Comparison of regenerated and non-regenerated oxidized cellulose hemostatic agents. Eur Surg. 2013;45:213-20.
  • 19. Bhatnagar RK, Berry S. Selective Surgicel ® packing for the treatment of posterior epistaxis. Ear Nose Throat J. 2004;83:633-4.
  • 20. Günaydın RÖ, Aygenc E, Karakullukcu S, Fidan F, Celikkanat S. Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives. Eur Arch Otorhinolaryngol. 2011;268:1151-6.
  • 21. Certal V, Silva H, Santos T, Correia A, Carvalho C. Trans-septal suturing technique in septoplasty: a systematic review and meta-analysis. Rhinology. 2012;50:236-45.
  • 22. Wysocki J, Niszczota CS. Use of trans-septal mattress suture of Little's area for anterior epistaxis. J Laryngol Otol. 2011;125:399-401.
  • 23. Newton E, Lasso A, Petrcich W, Kilty S.J. An outcomes analysis of anterior epistaxis management in the emergency department. J Otolaryngol Head Neck Surg. 2016;45:24.
  • 24. Gallo A, Moi R, Minni A, Simonelli M, DeVincentiis M. Otorhinolaryngology emergency unitcare: the experience of a large university hospital in Italy. ENT J. 2000;79: 155–60.
  • 25. Traboulsi H, Alam E, Hadi U. Changing Trends in the Management of Epistaxis. Int J Otolaryngol. 2015; 2015:263987.
  • 26. Hady MR, Kodeira KZ, Nasef AH. The effect of nasal packing on arterial blood gases and acid-base balance and its clinical importance. J Laryngol Otol. 1983;97:599-604.
  • 27. Schaitkin B, Strauss M, Houck J R. Epistaxis: medical versus surgical therapy: a comparison of efficacy, complications, and economic considerations. Laryngoscope. 1987;97:1392–96.
  • 28. Aslan G, Güvenç MG, Sapçi T, Candan S. Use of nasal bivalve septal teflon splint for the treatment of recurrent epistaxis in patients undergoing anticoagulant therapy. Rhinology. 2009;47:141-3.
  • 29. Huggins S. Control of hemorrhage in otorhinolaryngologic surgery with oxidized regenerated cellulose. Eye Ear Nose Throat Mon. 1969;48:420-3.
  • 30. Mathiasen RA, Cruz RM. Prospective, randomized, controlled clinical trial of a novel matrix hemostatic sealant in patients with acute anterior epistaxis. Laryngoscope. 2005;115: 899-902.
  • 31. ZhengHua Z , Gang F, BingWei Z, JiaWen C. Suturing of Little's area of the nasal septum for epistaxis. J Laryngol Otol. 2009;123:787-8.
There are 31 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Original Research
Authors

Tevfik Sözen 0000-0002-5723-4161

Övsen Önay 0000-0002-8009-0311

Mehmet Seyit Ceylan This is me 0000-0002-8908-3345

Publication Date March 15, 2019
Published in Issue Year 2019

Cite

Vancouver Sözen T, Önay Ö, Ceylan MS. Comparing efficacy of Surgicel ® application with nasal packing in epistaxis. Arch Clin Exp Med. 2019;4(1):33-6.