The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty

Adnan Ekinci; Hakan Dağıstan

doi:10.5152/ejra.2021.20710

The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty

Abstract

Objective: Epistaxis is one of the common complications after septoplasty. The type of packs more effective in preventing bleeding after the surgery is still a matter of debate. The aim of this study is to compare the effects of airway Doyle Silicone pack, Merocel pack, and the combination of Merocel and silicone packs on pain, bleeding, and mucociliary clearance after septoplasty. Material and Methods: This study is a prospective cohort study. A total of 75 patients who underwent septoplasty were divided into 3 groups: silicone pack was applied to the first group (termed group S), Merocel pack was applied to the second group (termed group M), and a combination of Merocel and silicone packs was applied to the third group (termed group M+S). The amount of bleeding, the intensity of pain, and mucociliary clearance duration were compared. Results: The amount of bleeding in group M+Swas significantly lower than that in group S (p<.001). The amount of bleeding in group M+Swas significantly lower than that in group M (P=.003). Pain was significantly lower in group S than in groups M and M+S (p<.001 and p=.024). Conclusion: It was determined that combined use of silicone and Merocel packs after septoplasty caused less bleeding than the useof silicone pack or Merocel pack alone. The combined use of Merocel and silicone packs can be a good alternative packing method because it reduces nasal bleeding after septoplasty.

Keywords

References

Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and valida-tion of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004; 130: 157-63.
Ertugay ÇK, Külekçi S, Naiboglu B, Ertugay ÖÇ, Sengül E, Kaya KS. Effect of nasal packs on nasal obstruction and complications of septoplasty. J Med Updates 2014; 4: 56-60.
Hwang JH, Liu CM, Liu TC, Hsu MC. Sphenopalatine ganglion block before removal of nasal packing. Laryngoscope. 2003; 113: 1423-4.
Genç E, Ergin NT, Bilezikçi B. Comparison of suture and nasal packing in rabbit noses. Laryngo-scope 2004; 114: 639-45.
Acıoğlu E, Edizer DT, Yiğit Ö, Onur F, Alkan Z. Nasal septal packing: Which one? Eur Arch Oto-rhinolaryngol 2012; 269: 1777-81.
Ardehali M, Bastaninejad S. Use of nasal packs and intranasal septal splints following septo-plasty. Int J Oral Maxillofac Surg 2009; 38: 1022-24.
Weber R, Keerl R, Hochapfel F, Draf W, Toffel PH. Packing in endonasal surgery. Am J Oto-laryngol 2001; 22: 306-20.
Alkan Z, Yiğit O, Acıoğlu E, Server EA, Uzun H, Civelek S. The effect of nasal packing on oxida-tive stress in septoplasty operation. Turk Arch Otolaryngol 2013; 251: 20-2.

Deitmer T. Physiology and pathology of the mucociliary system. Special regards to mucocili-ary transport in malignant lesions of the human larynx. Adv Otorhinolaryngol 1989; 43: 105-36.
Lale A, Mason J, Jones N. Mucociliary transport and its assessment: A review. Clin Otolaryngol 1998; 23: 388-96.
Alberty J, Stoll W. The effect of antiallergic intranasal formulations on ciliary beat frequency of human nasal epithelium in vitro. Allergy 1998; 53: 986-9.
Uslu H, Uslu C, Varoglu E, Demirci M, Seven B. Effects of septoplasty and septal deviation on nasal mucociliary clearance. Int J ClinPract 2004; 58: 1108-11.
Ginzel A, Illum P. Nasal mucoliliary clearance in patients with septal deviation. Rhinology 1980; 18: 177-81.
Jang YJ, Myong NH, Park KH, Koo TW, Kim HG. Mucociliary transport and histologic charac-teristics of the mucosa of deviated nasal septum. Arch Otolaryngol Head Neck Surg 2002; 128: 421-4.
Çukurova I, Yalçin Y, Kirsen H. Comparison of postoperative mucociliary clearance times in patients who had undergone septoplasty with or without tampon application. J Med Updates 2012; 2: 15-8.
Chevillard C, Rugina M, Bonfils P, et al. Evaluation of calcium alginate nasal packing (Algosté-ril®) versus polyvinyl acetal (Merocel®) for nasal packing after inferior turbinate resection. Rhinology 2006; 44: 58-61.
Bresnihan M, Mehigan B, Curran A. An evaluation of Meroceland Series 5000 nasalpacks in patients following nasal surgery: A prospective randomised trial. Clin Otolaryngol 2007; 32: 352-5.
Garth R, Brightwell A. A comparison of packing materials used in nasal surgery. J Laryngol Otol 1994; 108: 564-6.
Özkırış M. Comparison of the use of merocel and ınternal nasal splınt tampons after septo-plasty. ACU SağlıkBilDerg 2011: 199-202.
Kim YS, Kim YH, Kim NH, Kim SH, Kim KR, Kim K-S. A prospective, randomized, single-blinded controlled trial on biodegradable synthetic polyurethane foam as a packing material after sep-toplasty. Am J Rhinol Allergy 2011; 25: 77-9.
Bingöl F, Budak A, Şimşek E, Kılıç K, Bingöl BÖ. Comparison of early-period results of nasal splint and merocel nasal packs in septoplasty. Turk Arch Otorhinolaryngol 2017; 55: 136-9.
Wadhera R, Zafar N, Gulati SP, Kalra V, Ghai A. Comparative study of intranasal septal splints and nasal packs in patients undergoing nasal septal surgery. Ear Nose Throat J 2014; 93: 396-408.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Adnan Ekinci
0000-0001-7725-8024
Türkiye

Hakan Dağıstan
0000-0003-4717-5337
Türkiye

Publication Date

April 1, 2021

Submission Date

October 21, 2020

Acceptance Date

February 16, 2021

Published in Issue

Year 2021 Volume: 4 Number: 1

DOI

https://doi.org/10.5152/ejra.2021.20710

IZ

https://izlik.org/JA25NK96SU

Cite

RIS / Bibtex

APA

Ekinci, A., & Dağıstan, H. (2021). The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty. European Journal of Rhinology and Allergy, 4(1), 30-35. https://doi.org/10.5152/ejra.2021.20710

AMA

1.Ekinci A, Dağıstan H. The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty. Eur J Rhinol Allergy. 2021;4(1):30-35. doi:10.5152/ejra.2021.20710

Chicago

Ekinci, Adnan, and Hakan Dağıstan. 2021. “The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty”. European Journal of Rhinology and Allergy 4 (1): 30-35. https://doi.org/10.5152/ejra.2021.20710.

EndNote

Ekinci A, Dağıstan H (April 1, 2021) The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty. European Journal of Rhinology and Allergy 4 1 30–35.

IEEE

[1]A. Ekinci and H. Dağıstan, “The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty”, Eur J Rhinol Allergy, vol. 4, no. 1, pp. 30–35, Apr. 2021, doi: 10.5152/ejra.2021.20710.

ISNAD

Ekinci, Adnan - Dağıstan, Hakan. “The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty”. European Journal of Rhinology and Allergy 4/1 (April 1, 2021): 30-35. https://doi.org/10.5152/ejra.2021.20710.

JAMA

1.Ekinci A, Dağıstan H. The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty. Eur J Rhinol Allergy. 2021;4:30–35.

MLA

Ekinci, Adnan, and Hakan Dağıstan. “The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty”. European Journal of Rhinology and Allergy, vol. 4, no. 1, Apr. 2021, pp. 30-35, doi:10.5152/ejra.2021.20710.

Vancouver

1.Adnan Ekinci, Hakan Dağıstan. The Effects of the Combined Use of Merocel and Silicone Nasal Packs on Pain, Bleeding, and Mucociliary Activity After Septoplasty. Eur J Rhinol Allergy. 2021 Apr. 1;4(1):30-5. doi:10.5152/ejra.2021.20710