title: The Effect of Pharyngeal Packing during Nasal Surgery on the Incidence of Post Operative Nausea, Vomiting, and Sore Throat.
abstract: BACKGROUND
  Nausea and vomiting after ear, nose and throat (ENT) surgery is one of the most common and notable problems facing anesthesiologists in this area. This study was conducted to determine the effect of a pharyngeal pack on the severity of nausea, vomiting, and sore throat among patients after ear, pharynx, and throat surgeries.
  
  
  METHODS
  This randomized clinical study was performed in 140 patients (61 men and 79 women; age range, 20-40 years) who had undergone nasal surgery in 2010. Patients were divided into two groups: the first group were treated using a pharyngeal pack (case group) and the second group were managed without a pharyngeal pack (control group). Statistical analysis was performed using the Chi-square test and the Mann-Whitney U test. SPSS software was used for data analysis.
  
  
  RESULTS
  The mean severity of nausea and vomiting in the two groups was 2.057, 1.371 and 1.100, respectively, with no significant differences between groups. However, the mean severity of sore throat was 1.714 in the group with the pharyngeal pack and 1.385 in the group without pharyngeal pack (P=0.010).
  
  
  CONCLUSIONS
  Not only does a pharyngeal pack in ENT surgery not reduce the extent and severity of nausea and vomiting, but it also increases the severity of sore throat in patients when leaving the recovery room and discharging hospital.
authors.affiliation: Department of Anesthesiology, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Karbasforushan
authors.affiliation: Department of Anesthesiology, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Behzad
authors.initials: B
authors.lastname: Hemmatpoor
authors.affiliation: Departments of Surgery, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Behnam Reza
authors.initials: BR
authors.lastname: Makhsosi
authors.affiliation: M.Sc Degree in nursing (Medical-Surgical), Taleghani Hospital Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Tayebeh
authors.initials: T
authors.lastname: Mahvar
authors.affiliation: Department of Anesthesiology, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Parisa
authors.initials: P
authors.lastname: Golfam
authors.affiliation: Member of Iranian Epidemiologist Association .
authors.forename: Behrooz
authors.initials: B
authors.lastname: Khiabani
keywords: Nasal surgery; Nausea and vomiting; Throat pain