title: Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery.
abstract: The benefits of nasal packing after endoscopic sinus surgery (ESS) are still debated in the literature. Our aims were to evaluate the efficacy, and the clinical effects of a totally degradable nasal dressing used after ESS. Thirty patients with chronic rhinosinusitis with nasal polyps were enrolled in a prospective, randomized, double-blind, controlled study. Every patient underwent ESS and a polyurethane nasal dressing was used in one nasal fossa and the contralateral fossa was left unpacked. The extent of mucosal edema, crust formation, bleeding tendency, presence of synechiae, amount of nasal discharge, and the patency of the ostiomeatal complex (OMC) was evaluated during nasal endoscopy on the first, fourth, and twelfth postoperative weeks. All clinical findings were statistically analyzed. Endoscopy showed a significant improvement in the patency of the OMC on the side with resorbable material at 4 weeks after surgery. Follow-up at week 12 showed that in addition to the OMC patency scores, synechia formation and nasal discharge were also significantly improved in the packed fossa. Polyurethane packing is an effective alternative for nasal packing following functional endoscopic sinus surgery.
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Center, University of Pecs, Pecs, Hungary. zpiski@gmail.com.
authors: Zalan
authors: http://orcid.org/0000-0003-2592-9652
authors: Z
authors: Piski
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Center, University of Pecs, Pecs, Hungary.
authors: Imre
authors: I
authors: Gerlinger
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Center, University of Pecs, Pecs, Hungary.
authors: Nelli
authors: N
authors: Nepp
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Center, University of Pecs, Pecs, Hungary.
authors: Peter
authors: P
authors: Revesz
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Center, University of Pecs, Pecs, Hungary.
authors: Andras
authors: A
authors: Burian
authors: Institute of Bioanalysis, Faculty of Medicine, University of Pecs, Pecs, Hungary.
authors: Kornelia
authors: K
authors: Farkas
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Center, University of Pecs, Pecs, Hungary.
authors: Laszlo
authors: L
authors: Lujber
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D000368:Aged; D001458:Bandages; D002908:Chronic Disease; D004311:Double-Blind Method; D004724:Endoscopy; D004844:Epistaxis / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000601:surgery; D010256:Paranasal Sinuses / Q000601:surgery*; D011140:Polyurethanes; D011446:Prospective Studies; D012220:Rhinitis / Q000601:surgery; D012852:Sinusitis / Q000601:surgery; D014654:Vascular Patency; D014945:Wound Healing
chemical_list: D011140:Polyurethanes
keywords: Chronic rhinosinusitis; Endoscopic sinus surgery; Middle meatal dressing; Nasal packing; Nasopore; Polyurethane