A Novel Technique of Using Sponge as Post-Operative Nasal Packing

• Published in: Bengal journal of otolaryngology and head neck surgery Vol. 26; no. 1; pp. 23 - 28
• Main Authors: Thomas, Ike, Thekkethil, Jathin Sam, Kapoor, Ramesh Chandra, Thomas, Tina, Thomas, Pramod
• Format: Journal Article
• Language: English
• Published: The Association of Otolaryngologists of India, West Bengal 01-07-2020
• Subjects: Nasal Packing; Polyurethanes; Polyvinyl Alcohol
• ISSN: 2395-2393; 2395-2407
• DOI: 10.47210/bjohns.2018.v26i1.152

Introduction
In an effort to find a comparable but less expensive nasal pack with the qualities of MerocelR,this study was aimed at comparing the clinical efficacy and patient comfort level, while simultaneously using MerocelR and commercially available sponge as packing material in the same patient.
Materials and Methods
This study included those patients who underwent septoplasty, turbinoplasty or FESS and nasal packing was done randomly with MerocelR and commercially available sponge (polyurethane foam) on the same patient. Patients shared their experience on the symptom questionnaire on the first post-operative day and they underwent sequential diagnostic nasal endoscopy to assess the endoscopic status of the nasal cavity, which were documented meticulously.

Result
The post-operative bleeding control, pain during pack removal, general satisfaction, willingness to reuse and post-operative adhesion were same for both MerocelR and sponge.

Conclusion
The innovative technique of using a commonly available, commercially prepared sponge which is as good as MerocelR is well supported due to its efficacy in hemostasis, less mucosal trauma and less pain during pack removal. So it may be used in developing countries where cost is a factor for compliance of patients for undergoing surgeries without compromising on quality.