Year 2020, Volume 10 , Issue 1, Pages 265 - 270 2020-04-25

The effect of merocel nasal packing use on cognitive functions

Fatih ARSLAN [1] , Tuğba KOKULU ARSLAN [2]


Objective: It is known that the use of nasal packing has many disadvantages. The aim of this study was to investigate the effects of short-term nasal obstruction due to nasal packing on cognitive functions.
Methods: The study group consisted of 40 patients who had nasal congestion due to unilateral nasal septal devi-ation and for whom septoplasty was planned with a mer-ocel pack to be used as a nasal pack at the end of surgery. All surgeries were performed under local anesthesia us-ing 10 cc of jetocaine ampoule. Brief Symptom Inventory Test (BSI), Visual Analog Scale (VAS), Serial Digit Learning Test (SDL), Stroop Test, Visual Aural Digit Span Test (VADS) and P300 test were used to evaluate cognitive functions, symptoms of concentration difficulties and blunted af-fect both preoperatively and peroperatively before nasal pack removal.
Results: All symptoms showed significant per-opera-tive (with a nasal pack in place) deterioration in all pa-tients (p<0.001) on the VAS. The mean per-operative SDL (16.34±5.77), Stroop Test (26.67±3.39), BSI (22.25±11.95) and VADS (21.13±3.44) scores showed significant deteri-oration compared with mean preoperative Stroop Test (20.06±3.14), SDL (22.38±4.34), VADS (25.86±2.92) and BSI (32.58±12.49) scores (p<0.001). The peroperative and preoperative P300 latency and amplitude values showed a significant difference (p<0.001).
Conclusion: The use of a nasal pack, which closes both nasal passages fully, such as a merocel pack, has negative effects on cognitive functions such as the ability to focus and maintain concentration. 

Nasal surgery, tampons, surgical, cognitive function, event-related potentials, p300
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Articles
Authors

Orcid: 0000-0001-6030-7694
Author: Fatih ARSLAN (Primary Author)
Institution: ANKARA BEYTEPE MURAT ERDİ EKER DEVLET HASTANESİ
Country: Turkey


Orcid: 0000-0003-2909-2116
Author: Tuğba KOKULU ARSLAN
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA DIŞKAPI YILDIRIM BEYAZIT SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ
Country: Turkey


Dates

Application Date : December 16, 2019
Acceptance Date : April 2, 2020
Publication Date : April 25, 2020

Bibtex @research article { entupdates659903, journal = {ENT Updates}, issn = {2149-7109}, eissn = {2149-6498}, address = {}, publisher = {Sürekli Eğitim ve Bilimsel Araştırmalar Derneği}, year = {2020}, volume = {10}, pages = {265 - 270}, doi = {10.32448/entupdates.659903}, title = {The effect of merocel nasal packing use on cognitive functions}, key = {cite}, author = {Arslan, Fatih and Kokulu Arslan, Tuğba} }
APA Arslan, F , Kokulu Arslan, T . (2020). The effect of merocel nasal packing use on cognitive functions . ENT Updates , 10 (1) , 265-270 . DOI: 10.32448/entupdates.659903
MLA Arslan, F , Kokulu Arslan, T . "The effect of merocel nasal packing use on cognitive functions" . ENT Updates 10 (2020 ): 265-270 <https://dergipark.org.tr/en/pub/entupdates/issue/53920/659903>
Chicago Arslan, F , Kokulu Arslan, T . "The effect of merocel nasal packing use on cognitive functions". ENT Updates 10 (2020 ): 265-270
RIS TY - JOUR T1 - The effect of merocel nasal packing use on cognitive functions AU - Fatih Arslan , Tuğba Kokulu Arslan Y1 - 2020 PY - 2020 N1 - doi: 10.32448/entupdates.659903 DO - 10.32448/entupdates.659903 T2 - ENT Updates JF - Journal JO - JOR SP - 265 EP - 270 VL - 10 IS - 1 SN - 2149-7109-2149-6498 M3 - doi: 10.32448/entupdates.659903 UR - https://doi.org/10.32448/entupdates.659903 Y2 - 2020 ER -
EndNote %0 ENT Updates The effect of merocel nasal packing use on cognitive functions %A Fatih Arslan , Tuğba Kokulu Arslan %T The effect of merocel nasal packing use on cognitive functions %D 2020 %J ENT Updates %P 2149-7109-2149-6498 %V 10 %N 1 %R doi: 10.32448/entupdates.659903 %U 10.32448/entupdates.659903
ISNAD Arslan, Fatih , Kokulu Arslan, Tuğba . "The effect of merocel nasal packing use on cognitive functions". ENT Updates 10 / 1 (April 2020): 265-270 . https://doi.org/10.32448/entupdates.659903
AMA Arslan F , Kokulu Arslan T . The effect of merocel nasal packing use on cognitive functions. ENT Updates. 2020; 10(1): 265-270.
Vancouver Arslan F , Kokulu Arslan T . The effect of merocel nasal packing use on cognitive functions. ENT Updates. 2020; 10(1): 265-270.