Comparison of Finger Glove and Ribbon Gauze Nasal Packing after Septal Surgery

Authors

  • Iqbal Hussain Udaipurwala
  • Shoaib Ahmed
  • Junaid Hussain

Keywords:

Nasal packing, Septal Surgery, Packing material, Epistaxis, Pain

Abstract

Objective: To compare the efficacy of finger glove and ribbon gauze as nasal packing material after septal surgery by assessing
the two parameters of bleeding and pain.
Materials and Methods: This cross sectional comparative study was conducted at ENT Department of PNS SHIFA Hospital,
Karachi, over a period of one and a half years fromAugust 2014 to January 2016.A total of 100 patients were included in this
study. Inclusion criterion was all patients undergoing septal surgery requiring post-operative nasal packing. The right side of
nose was packed with finger glove packing and left side of nose was packed with ribbon gauze in every patient. Pain and
bleeding were assessed during 24 hour period of packing and on pack removal.
Results: Mean blood loss during the packing period and at the time of pack removal was 6.60 ml and 2.31 ml respectively on
the finger glove side and 11.40ml and 7.47 ml respectively on the ribbon gauze side (p = 0.001). Similarly mean pain score
on VAS during the packing period and at the time of removal was 2.62 and 3.65 respectively on the finger glove side while
3.37 and 4.41 on the ribbon gauze side(p = 0.001). No complication from nasal packing was seen on either side.
Conclusion: Finger glove is a better choice for packing after septal surgery than ribbon gauze because of less bleeding and
pain.

References

Rashid A, Aziz B, Khan MA, Hameed A. Analytical

assessment of nasal packing in septoplasty. Pak J Med

Health Sci 2011; 5(2): 232-5.

Sahin C, Aras HI. The effect of nasal packing removal

on patients anxiety. Med Arh 2015; 69(9): 393-5. Doi:

5455/medarh.2015.69.393-395

Daudia A, Alkhaddour U, Sithole J, Mortimore S, A

prospective objective study of the cosmetic sequelae of

nasal septum surgery. Acta Otolaryngol 2006; 126: 1201-5.

Bashir S, Jawaid A, Nawaz FH. Randamized controlled

trial between 24 and 48 hours nasal packing after sub

mucosal resection. Journal of Rawalpindi Medical College

; 17(1): 62-4.

Muhammad IA, Nabil-ur-Rehman. Complications of

the surgery for deviated nasal septum. J Coll Physicians

Surg Pak 2003; 13: 7-12.

Lachanas VA, Karatzias GT, Pinakas VG, Hatzuoannou

JK. The use of tetracaine 0.25% solution in nasal packing

removal. Am J Rhinol 2006; 20: 483-5.

Woodworth BA, Chandra RK, LeBenger JD, Ilie B,

Schlosser RJ. A gelatin-thrombin matrix for hemostasis

after endoscopic sinus surgery. Am J Otolaryngol 2009;

: 49-53.

Athanasiadis T, Beule AG, Wormald PJ. Effects of topical

antifibrinolytics in endoscopic sinus surgery: a pilot

randomized controlled trial. Am J Rhinol 2007; 21: 737-

Berlucchi M, Castelnuovo P, Vincenzi A, Morra B, Pasquini

E. Endoscopic outcomes of resorb¬able nasal

packing after functional endoscopic sinus surgery: a

multicenter prospective ran¬domized controlled study.

Eur Arch Otorhino-laryngol 2009; 266: 839-45.

Acioglu E, Edizer DT, Yigit O, Onur F, Alkan Z. Nasal

septal packing: which one?. Eur Arch Otorhinolaryngol

; 269: 1777-81.

Ansari MA, Islam U, Hirani I, Khayani IAM, Kashmiri

ZA. Trans-septal suturing technique without intra-nasal

packing in nasal septal surgery Pak J Surg 2013; 29(2):

-6.

Awan MS, Iqbal M. Nasal packing after septoplasty: a

randomized comparison of packing versus no packing

in 88 patients. Ear Nose Throat J 2008; 87: 624-7

HafeezM, Inayat-Ullah, Iqbal K, Zakir-Ullah. Septoplasty

without nasal packing.Gomal J Med Sci 2010; 8(2):

-2.

Baig MN, Malik AA, Ajmal M, Ashfaq AA. Comparison

of quilting of mucoperichondrial flaps with routine nasal

packing in patients undergoing septoplasty. Rawal Med

J 2012; 37(2): 187-90.

Gencer ZK, Ozkiris M, Gencer M, Saydam L. Comparison

of ropivacaine, bupivacaine, prilocaine and lidocaine

in the management of pain and hemorrhage during nasal

packing removal. Am J Rhinol Allergy 2013; 27: 423-

Basha SI, Gupta D, Kaluskar SK. Routine nasal packing

following nasal surgery – is it necessary? Indian J Otolaryngol

Head Neck Surg 2005; 57: 69-71.

Reiter D, Alford E, Jabourian Z. Alternative to packing

in septo-rhinoplasty. Arch Otolaryngol Head Neck Surg

; 115 (10): 1203-5.

Yin H, Han F, Cui Z. Application of new packing material

in endoscopic nasal surgery. Int J ClinExp Med 2015;

(1): 1558-60.

Dutta S, Mukherjee A, Saha J, Biswas G, Haldar D,

Sen I, Sinha R. Modified Technique of Anterior Nasal

Packing: A Comparative Study Report. Indian J Otolaryngol

Head Neck Surg 2012; 64(4): 341-5.

Lemmens W, Lemkens P. Septal suturing following

nasal septoplasty, a valid alternative for nasal packing?

Acta Otorhinolaryngol Belg 2001; 55: 215-21.

Plasencia DP, Falcon JC, Barreiro SB, Bocanegra-Perez

MS, Barreo MV, Macias AR. Transeptal suturing - a

cost-efficient alternative for nasal packing in septal

surgery. Braz J Otorhinolaryngol 2015;

http:/dx.doi.org/10.1016/j.bjorl.2015.05.016

Wang TC, Tai CJ, Tsou YA, Tsai LT, Li YF, Tsai MH.

Absorbable and nonabsorbable packing after functional

endoscopic sinus surgery: systematic review and metaanalysis

of outcomes. Eur Arch Otorhinolaryngol 2015;

: 1825-31.

Szczygielski K, Rapiejko P, Wojdas A, Jurkiewicz D.

Use of CMC foam sinus dressing in FESS. Eur Arch

Otorhinolaryngol 2010; 267: 537-40.

Yilmazer C, Sener M, Yilmaz I, Erkan AN, Cagisi CA,

Donmez A. Pre-emptive analgesia for removal of

packing: A double blind placebo controlled study.

AurisNasus Larynx2007; 34(4): 471-5.

Jinnas K, Bizako A, Fragiadakis G, Bourialas C. Optimal

time for removal of nasal packing after septoplasty. A

comparative study. Rhinology 2007; 45: 68-71.

Downloads

Published

2016-09-14

How to Cite

Udaipurwala, I. H. ., Ahmed, S. ., & Hussain, J. . (2016). Comparison of Finger Glove and Ribbon Gauze Nasal Packing after Septal Surgery. Journal of Bahria University Medical and Dental College, 6(3), 156–159. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/188

Issue

Section

Original Articles