Prevention and management of synechia in pediatric endoscopic sinus surgery using dental wax plates.
Synechia formation is a very common complication of endoscopic sinus surgery (ESS). Inspite of meticulous post-operative care, synechia do form in quite a large number of patients. Moreover, frequent post-operative cleaning may not be possible without general anesthesia in non-compliant patients, especially children. This study compares the incidence of synechia following pediatric ESS with or without spacer/tamponade in the operated cavity. The authors have found dental wax plates to be equally effective and more economical spacers compared to Merocel tamponade, in prevention and management of synechia in the pediatric age group.
Nayak
D R
DR
Department of ENT - Head and Neck Surgery, Kasturba Medical College and Hospital, Manipal, Karnataka, India. info@mahe.ernet.in
Balakrishnan
R
R
Hazarika
P
P
D016022:Case-Control Studies; D002648:Child; D003764:Dental Materials; D004724:Endoscopy / Q000379:methods*; D005557:Formaldehyde; D006490:Hemostatics; D006801:Humans; D009668:Nose Diseases / Q000517:prevention & control*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010256:Paranasal Sinuses / Q000601:surgery*; D011142:Polyvinyl Alcohol; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D013630:Tampons, Surgical; D000267:Tissue Adhesions / Q000517:prevention & control*; D014885:Waxes
D003764:Dental Materials; D006490:Hemostatics; D014885:Waxes; D005557:Formaldehyde; C027490:polyvinyl alcohol formaldehyde foam; D011142:Polyvinyl Alcohol