Comparative analysis of Cutanplast and Spongostan nasal packing after endoscopic sinus surgery: a prospective, randomized, multicenter study

被引:18
|
作者
Cho, Kyu-Sup [1 ,2 ]
Park, Chan-Hwi [1 ,2 ]
Hong, Sung-Lyong [1 ,2 ]
Kim, Min-Jung [3 ]
Kim, Joo-Yeon [4 ]
Kim, Yong-Wan [5 ]
Koo, Soo-Kweon [6 ]
Roh, Hwan-Jung [7 ,8 ]
机构
[1] Pusan Natl Univ, Dept Otorhinolaryngol, Sch Med, Pusan Natl Univ Hosp, Yangsan 626770, Gyeongsangnam, South Korea
[2] Pusan Natl Univ, Biomed Res Inst, Sch Med, Pusan Natl Univ Hosp, Yangsan 626770, Gyeongsangnam, South Korea
[3] Wallace Mem Baptist Hosp, Dept Otorhinolaryngol, Busan, South Korea
[4] Kosin Univ, Coll Med, Dept Otolaryngol, Busan, South Korea
[5] Inje Univ, Dept Otolaryngol, Haeundae Paik Hosp, Gimhae, South Korea
[6] Busan St Marys Med Ctr, Dept Otorhinolaryngol, Busan, South Korea
[7] Pusan Natl Univ, Dept Otorhinolaryngol, Yangsan Hosp, Yangsan 626770, Gyeongsangnam, South Korea
[8] Pusan Natl Univ, Res Inst Convergence Biomed Sci & Technol, Yangsan Hosp, Yangsan 626770, Gyeongsangnam, South Korea
关键词
Gelatin sponge; absorbable; Biocompatible materials; Nose; Endoscopic sinus surgery; Postoperative care; GELATIN SPONGE; SCORING SYSTEM; RHINOSINUSITIS; POLYPOSIS; OUTCOMES;
D O I
10.1007/s00405-014-3264-3
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Commercial gelatin-based packing materials are available under different names and compositions to be used after endoscopic sinus surgery (ESS). The purpose of this study was to investigate the efficacy of Spongostan and Cutanplast nasal packing on patients' subjective symptoms, hemostasis, and wound healing following ESS. One hundred adult patients with chronic sinusitis requiring the same extent of ESS were included. Following surgery, one nasal cavity was packed with Cutanplast and the other one with Spongostan. Patients' subjective symptoms while the packing was in situ, hemostatic properties, degree of remaining amount of packing materials, postoperative wound healing, and the cost of the pack were evaluated. Cutanplast and Spongostan are equally effective in the control of postoperative bleeding following ESS. However, Cutanplast packing was significantly more comfortable than Spongostan for nasal obstruction, postnasal drip, rhinorrhea, and headache. Furthermore, the Cutanplast packing was significantly less painful at all time points. The remaining amount of the pack was significantly lower in the Cutanplast than Spongostan packing. Spongostan packing appears to impair wound healing within the sinus cavities up to 3 months postoperatively. Cutanplast was less expensive than Spongostan as used in this study. Cutanplast may be more useful gelatin-based packing material than Spongostan in terms of efficacy and cost-benefit after ESS.
引用
收藏
页码:1699 / 1705
页数:7
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