Comparison of Finger Glove and Ribbon Gauze Nasal Packing after Septal Surgery
Keywords:
Nasal packing, Septal Surgery, Packing material, Epistaxis, PainAbstract
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.
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Copyright (c) 2016 Iqbal Hussain Udaipurwala, Shoaib Ahmed, Junaid Hussain
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