Skip to main content
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 2/2022

30.09.2020 | Original Article

Efficacy of Balloon Tamponade Versus Merocel Nasal Packs in Endoscopic Sinonasal Surgery: A Randomized Controlled Study

verfasst von: Pradeep Pradhan, Chappity Preetam, Pradipta Kumar Parida

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 2/2022

Einloggen, um Zugang zu erhalten

Abstract

Although absorbable nasal packings have been abundantly used in the recent time, the conventional packings are still used in different sinonasal surgeries in the various parts of the globe due to their lower cost. To compare the effectiveness of the balloon tamponade (Rapid Rhino) with Merocel nasal pack in sinonasal diseases. This study was conducted from July 2018 to July 2019 in a tertiary care referral hospital. Rapid Rhino and Merocel were put in 30 patients and 31 patients, respectively. Pain, bleeding, and mucosal healing was evaluated and compared between two groups postoperatively. The reduction in the pain and postoperative bleeding was significant with balloon tamponade (Rapid Rhino) compared to the Merocel (p < .05). Although insignificant (p > 0.05), patients with balloon tamponade nasal packs had less crusting and synechia in the postoperative period. Balloon tamponade (Rapid Rhino) nasal pack can be a better alternative to the Merocel nasal pack in reducing postoperative pain, bleeding, and mucosal damage.
Literatur
1.
Zurück zum Zitat Weber R, Hochapfel F, Draf W (2000) Pack Stents Endonasal Surg. Rhinology 38:49–62PubMed Weber R, Hochapfel F, Draf W (2000) Pack Stents Endonasal Surg. Rhinology 38:49–62PubMed
2.
Zurück zum Zitat Wang YP, Wang MC, Chen YC, Leu YS, Lin HC, Lee KS (2011) The effects of Vaseline gauze strip, Merocel, and Nasopore on the formation of synechiae and excessive granulation tissue in the middle meatus and the incidence of major postoperative bleeding after endoscopic sinus surgery. J Chin Med Assoc 74:16–21CrossRefPubMed Wang YP, Wang MC, Chen YC, Leu YS, Lin HC, Lee KS (2011) The effects of Vaseline gauze strip, Merocel, and Nasopore on the formation of synechiae and excessive granulation tissue in the middle meatus and the incidence of major postoperative bleeding after endoscopic sinus surgery. J Chin Med Assoc 74:16–21CrossRefPubMed
3.
Zurück zum Zitat Weber R, Keerl R, Hochapfel F, Draf W, Toffel PH (2001) Packing in endonasal surgery. Am J Otolaryngol 22:306–320CrossRefPubMed Weber R, Keerl R, Hochapfel F, Draf W, Toffel PH (2001) Packing in endonasal surgery. Am J Otolaryngol 22:306–320CrossRefPubMed
4.
Zurück zum Zitat Gudziol V, Mewes T, Mann WJ (2005) Rapid Rhino: a new pneumatic nasal tamponade for posterior epistaxis. Otolaryngol Head Neck Surg 132:152–155CrossRefPubMed Gudziol V, Mewes T, Mann WJ (2005) Rapid Rhino: a new pneumatic nasal tamponade for posterior epistaxis. Otolaryngol Head Neck Surg 132:152–155CrossRefPubMed
5.
Zurück zum Zitat Iqbal IZ, Jones GH, Dawe N, Mamais C, Smith ME, Williams RJ, Carrie S et al (2017) Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review. J Laryngol Otol 131:1065–1092CrossRefPubMed Iqbal IZ, Jones GH, Dawe N, Mamais C, Smith ME, Williams RJ, Carrie S et al (2017) Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review. J Laryngol Otol 131:1065–1092CrossRefPubMed
6.
Zurück zum Zitat Fokkens WJ, Lund VJ, Mullol J et al (2012) European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 23:3 preceding table of contents, 1–298PubMed Fokkens WJ, Lund VJ, Mullol J et al (2012) European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 23:3 preceding table of contents, 1–298PubMed
7.
Zurück zum Zitat Corbridge RJ, Djazaeri B, Hellier WPL, Hadley J (1995) A prospective randomised controlled trial comparing the use of Merocel nasal tampons and BIPP in the control of acute epistaxis. Clin Otolaryngol 20:305–307CrossRefPubMed Corbridge RJ, Djazaeri B, Hellier WPL, Hadley J (1995) A prospective randomised controlled trial comparing the use of Merocel nasal tampons and BIPP in the control of acute epistaxis. Clin Otolaryngol 20:305–307CrossRefPubMed
8.
Zurück zum Zitat Badran K, Malik TH, Belloso A, Timms MS (2005) Randomized controlled trial comparing Merocel and Rapid Rhino packing in the management of anterior epistaxis. Clin Otolaryngol 30:333–337CrossRefPubMed Badran K, Malik TH, Belloso A, Timms MS (2005) Randomized controlled trial comparing Merocel and Rapid Rhino packing in the management of anterior epistaxis. Clin Otolaryngol 30:333–337CrossRefPubMed
9.
Zurück zum Zitat Singer AJ, Blanda M, Cronin K, LoGiudice-Khwaja M, Gulla J, Bradshaw J, Katz A (2005) Comparison of nasal tampons for the treatment of epistaxis in the emergency department: a randomized controlled trial. Ann Emerg Med 45:134–139CrossRefPubMed Singer AJ, Blanda M, Cronin K, LoGiudice-Khwaja M, Gulla J, Bradshaw J, Katz A (2005) Comparison of nasal tampons for the treatment of epistaxis in the emergency department: a randomized controlled trial. Ann Emerg Med 45:134–139CrossRefPubMed
10.
Zurück zum Zitat Cruise AD, Amonoo-Kuofi K, Srouji I, Kanagalingam J, Georgalas C, Patel NN, Baida L, Lund VJ (2006) A randomized trial of Rapid Rhino Riemann and telfa nasal packs following endoscopic sinus surgery. Clin Otolaryngol 31:25–32CrossRefPubMed Cruise AD, Amonoo-Kuofi K, Srouji I, Kanagalingam J, Georgalas C, Patel NN, Baida L, Lund VJ (2006) A randomized trial of Rapid Rhino Riemann and telfa nasal packs following endoscopic sinus surgery. Clin Otolaryngol 31:25–32CrossRefPubMed
11.
Zurück zum Zitat Moumoulidis I, Draper MR, Patel H, Jani P, Price T (2006) A prospective randomized controlled trial comparing Merocel and Rapid Rhino nasal tampons in the treatment of epistaxis. Eur ArchOtorhinolaryngol 263:719–722CrossRef Moumoulidis I, Draper MR, Patel H, Jani P, Price T (2006) A prospective randomized controlled trial comparing Merocel and Rapid Rhino nasal tampons in the treatment of epistaxis. Eur ArchOtorhinolaryngol 263:719–722CrossRef
12.
Zurück zum Zitat Arya AK, Butt O, Nigam A (2003) Double-blind randomized controlled trial comparing Merocel with Rapid Rhino nasal packs after routine nasal surgery. Rhinology 41:241–243PubMed Arya AK, Butt O, Nigam A (2003) Double-blind randomized controlled trial comparing Merocel with Rapid Rhino nasal packs after routine nasal surgery. Rhinology 41:241–243PubMed
13.
Zurück zum Zitat Ozcan C, Vayisoglu Y, Kiliç S, Görür K (2008) Comparison of Rapid Rhino and Merocel nasal packs in endonasal septal surgery. J Otolaryngol Head Neck Surg 37:826–831PubMed Ozcan C, Vayisoglu Y, Kiliç S, Görür K (2008) Comparison of Rapid Rhino and Merocel nasal packs in endonasal septal surgery. J Otolaryngol Head Neck Surg 37:826–831PubMed
14.
Zurück zum Zitat Hesham A, Ghali A (2011) Rapid Rhino versusMerocel nasal packs in septal surgery. J Laryngol Otol 125:1244–1246CrossRefPubMed Hesham A, Ghali A (2011) Rapid Rhino versusMerocel nasal packs in septal surgery. J Laryngol Otol 125:1244–1246CrossRefPubMed
15.
Zurück zum Zitat Nikolaou G, Holzmann D, Soyka MB (2013) Discomfort and costs in epistaxis treatment. Eur Arch Otorhinolaryngol 270:2239–2244CrossRefPubMed Nikolaou G, Holzmann D, Soyka MB (2013) Discomfort and costs in epistaxis treatment. Eur Arch Otorhinolaryngol 270:2239–2244CrossRefPubMed
16.
Zurück zum Zitat Goddard JC, Reiter ER (2005) Inpatient management of epistaxis: outcomes and cost. Otolaryngol Head Neck Surg 132:707–712CrossRefPubMed Goddard JC, Reiter ER (2005) Inpatient management of epistaxis: outcomes and cost. Otolaryngol Head Neck Surg 132:707–712CrossRefPubMed
Metadaten
Titel
Efficacy of Balloon Tamponade Versus Merocel Nasal Packs in Endoscopic Sinonasal Surgery: A Randomized Controlled Study
verfasst von
Pradeep Pradhan
Chappity Preetam
Pradipta Kumar Parida
Publikationsdatum
30.09.2020
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 2/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-020-02178-0

Weitere Artikel der Sonderheft 2/2022

Indian Journal of Otolaryngology and Head & Neck Surgery 2/2022 Zur Ausgabe

Eingreifen von Umstehenden rettet vor Erstickungstod!

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Nur selten Nachblutungen nach Abszesstonsillektomie

03.05.2024 Tonsillektomie Nachrichten

In einer Metaanalyse von 18 Studien war die Rate von Nachblutungen nach einer Abszesstonsillektomie mit weniger als 7% recht niedrig. Nur rund 2% der Behandelten mussten nachoperiert werden. Die Therapie scheint damit recht sicher zu sein.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.