Rapid Rhino versus Merocel nasal packs in septal surgery (Reprinted from vol 125, 1244, 2011)

Objective: To compare Rapid Rhino and Merocel packs for nasal packing after septoplasty, in terms of patient tolerance (both with the pack in place and during removal) and post-operative complications. Material and methods: Thirty patients (aged 18-40 years) scheduled for septoplasty were included. Following surgery, one nasal cavity was packed with Rapid Rhino and the other one with Merocel. Patients were asked to record pain levels on a visual analogue score, on both sides, with the packs in situ and during their removal the next day. After pack removal, bleeding was compared on both sides. Results: The mean +/- standard deviation pain score for the Rapid Rhino pack in situ (4.17 +/- 1.78) was less than that for the Merocel pack (4.73 +/- 2.05), but not significantly so (p = 0.314). The mean pain score for Rapid Rhino pack removal (4.13 +/- 1.76) was significantly less that that for Merocel (6.90 +/- 1.67; p = 0.001). Bleeding after pack removal was significantly less for the Rapid Rhino sides compared with the Merocel sides (p < 0.05). Conclusion: Rapid Rhino nasal packs are less painful and cause less bleeding, compared with Merocel packs, with no side effects. Thus, their use for nasal packing after septal surgery is recommended.