Advantages and disadvantages of topical packing in endoscopic sinus surgery.
OBJECTIVE
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.


RESULTS
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.


CONCLUSIONS
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.
Chandra
Rakesh K
RK
Department of Otolaryngology-Head & Neck Surgery, University of Tennessee, Memphis, USA. RChandraMD@aol.com
Kern
Robert C
RC
D000287:Administration, Topical; D004724:Endoscopy; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D010256:Paranasal Sinuses / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D016896:Treatment Outcome
D006490:Hemostatics