[The application, observation and discussion of indications about no packing after ESS].
OBJECTIVE
To study the safety and feasibility after functional Endoscopic surgery(FESS), without no nasal packing in 74 patients,compare these patients with 20 packing patients, and discuss the possibility and indication of avoiding packing.


METHODS
No nasal packing after FESS in 74 patients, the measures had been taken to reduce postoperative bleeding including appropriate case-chosen, medical administration before and after operation, alleviation of trauma in operation, and meticulous sinus clearance to prevent synechia.


RESULTS
The postoperative blood loss were less than 50 ml. No bleeding complication happened out of the 74 no-packing patients, the blood exudation ceased timely after FESS.


CONCLUSIONS
The nasal packing could be avoided in the majority of FESS through proper management. This choice will reduce the discomfort and the cost of the patients who have to receive FESS procedure, and increase their compliance.
Fan
Yunping
Y
Department of Otolaryngology, Hospital of Otolaryngology, the First Hospital of Sun Yat-sen University, China. zhcdc2003@sohu.com
Chen
Shulin
S
Wan
Jingqing
J
Shi
Jianbo
J
Xu
Geng
G
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D011184:Postoperative Period; D012852:Sinusitis / Q000601:surgery*; D013630:Tampons, Surgical; D016896:Treatment Outcome; D055815:Young Adult