Packing in endonasal surgery.
Nasal packing is used to control bleeding in epistaxis and after endonasal surgery, for internal stabilization, and to prevent synechiae or restenosis, particularly after surgery. Generally accepted standards regarding the materials that should be used for packing, how long the packing should be left in place, or the indications for nasal packing are lacking. In view of the present lack of standardization and the many different packing materials used, we review the currently available materials and outline their respective properties, indications, and risks.
Weber
R
R
Department of ENT-Head and Neck Surgery, Marienhospital, Stuttgart, Germany.
Keerl
R
R
Hochapfel
F
F
Draf
W
W
Toffel
P H
PH
D001458:Bandages / Q000009:adverse effects* / Q000145:classification*; D004427:Ear Diseases / Q000209:etiology / Q000503:physiopathology; D004844:Epistaxis / Q000517:prevention & control*; D005064:Eustachian Tube / Q000503:physiopathology; D005547:Foreign Bodies / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology; D009297:Nasal Mucosa / Q000293:injuries; D009300:Nasal Septum / Q000293:injuries; D009668:Nose Diseases / Q000209:etiology; D010149:Postoperative Pain / Q000517:prevention & control; D010256:Paranasal Sinuses / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D012137:Respiratory System / Q000503:physiopathology; D012307:Risk Factors; D020665:Septum of Brain; D012772:Shock, Septic / Q000209:etiology; D020181:Sleep Apnea, Obstructive / Q000209:etiology; D013514:Surgical Procedures, Operative / Q000379:methods; D014945:Wound Healing