Advantages and disadvantages of topical packing in endoscopic sinus surgery

Rakesh K. Chandra*, Robert C Kern

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

52 Scopus citations

Abstract

Purpose of review: Practices regarding the use of nasal packing after endoscopic sinus surgery vary widely among surgeons. Recent trends have included the use of various topical, absorbable agents. The purpose of this review is to clarify the rationale for the selection of these products. Recent findings Although many of these materials have proven to be effective as hemostats, data are conflicting regarding their effect on mucosal healing. Studies in both humans and animals have raised the concern that these agents may be associated with increased scar tissue formation. Summary: The exact roles for the various available materials are yet to be established. The primary advantage is that they do not require removal, which may improve patient comfort. Currently, however, it does not appear that the use of topical absorbable packing is a substitute for routine postoperative debridement.

Original languageEnglish (US)
Pages (from-to)21-26
Number of pages6
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume12
Issue number1
DOIs
StatePublished - Feb 5 2004

Keywords

  • Absorbable hemostat
  • Endoscopic sinus surgery
  • Nasal packing

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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