Hemostatic Materials and Devices.
Numerous absorbable substances have been introduced to aid hemostasis in sinus and skull base surgery. Within the confines of the sinus and nasal cavities, ideal hemostatic agents must have several qualities. They must provide hemostasis, conform to an irregular wound bed, and enable healing of the traumatized mucosa without additional detriment to the epithelium. Traditional nasal packing has been substituted largely by absorbable materials designed to improve patient comfort and outcomes. Although many promising agents exist, none have become standard therapy.
Department of Otolaryngology Head and Neck Surgery, LSUHSC SOM, Louisiana State University, 533 Bolivar Street, Suite 566, New Orleans, LA 70112, USA; Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia. Electronic address: hpbarham@hotmail.com.
Henry P
HP
Barham
Department of Otolaryngology, Australian School of Advanced Medicine, Macquarie University, Sydney, Australia; Department of Otolaryngology, University of Sydney, Sydney, Australia.
Raymond
R
Sacks
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia; Department of Otolaryngology, Australian School of Advanced Medicine, Macquarie University, Sydney, Australia; Department of Otolaryngology, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.
Richard J
RJ
Harvey
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004724:Endoscopy / Q000009:adverse effects* / Q000379:methods; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006490:Hemostatics / Q000494:pharmacology*; D006801:Humans; D010256:Paranasal Sinuses / Q000601:surgery*; D019291:Skull Base / Q000601:surgery*; D065506:Vascular Closure Devices; D014662:Vasoconstrictor Agents / Q000494:pharmacology*
D006490:Hemostatics; D014662:Vasoconstrictor Agents
Agents; Hemostatic; Materials; Sinus; Skull base; Topical; Vasoconstrictors