title: A randomised controlled trial comparing Rapid Rhino Mannheim and Netcell series 5000 packs following routine nasal surgery.
abstract: OBJECTIVE
  To determine whether there is a difference in discomfort between Netcell Series 5000 and Rapid Rhino Mannheim 8.0 cm (Cat. No. 800) packs used after routine nasal surgery, whilst in situ and during removal. This was tested in a single blind, randomised controlled trial at the ENT Department, Royal Devon & Exeter Hospital.
  
  
  METHODS
  Adults aged 16-65 undergoing nasal septal surgery and trimming of inferior turbinates. Patients were excluded if they were undergoing revision surgery, taking anticoagulants, or had a history of sino-nasal disease or trauma. Thirty nine entered and 32 completed the study. The intervention was a different nasal pack in each side of the nose, removed the morning after surgery.
  
  
  METHODS
  Pain experienced by patients while packs are in situ and on removal as recorded on a standard unmarked 100 mm visual analogue scale.
  
  
  RESULTS
  There was no difference in the pain scores whilst in situ. Rapid Rhino Mannheim was more painful on removal (difference = 10.6 mm, p < 0.001, Wilcoxon signed ranks test).
  
  
  CONCLUSIONS
  Rapid Rhino Mannheim packs do not confer a benefit over Netcell Series 5000 packs after routine nasal surgery.
authors.affiliation: Torbay Hospital, ENT Department, Torquay, United Kingdom. stephenmcdonald@nhs.net
authors.forename: S E
authors.initials: SE
authors.lastname: McDonald
authors.forename: J
authors.initials: J
authors.lastname: Slater
authors.forename: R
authors.initials: R
authors.lastname: Powell
authors.forename: H S
authors.initials: HS
authors.lastname: Khalil
authors.forename: R J N
authors.initials: RJ
authors.lastname: Garth
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D020878:Device Removal / Q000009:adverse effects; D004867:Equipment Design; D006801:Humans; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D010149:Postoperative Pain / Q000209:etiology* / Q000517:prevention & control*; D016037:Single-Blind Method; D015503:Surgical Sponges; D013630:Tampons, Surgical; D014420:Turbinates / Q000601:surgery*; D055815:Young Adult