Weber, Rainer K. and Sommer, Fabian and Heppt, Werner and Hosemann, Werner and Kuehnel, Thomas and Beule, Achim Georg and Laudien, Martin and Hoffmann, Thomas K. and Hoffmann, Anna Sophie and Baumann, Ingo and Deitmer, Thomas and Loehler, Jan and Hildenbrand, Tanja (2024) Fundamentals and practice of the application of nasal packing in sinonasal surgery. HNO, 72. pp. 3-15. ISSN 0017-6192, 1433-0458
Full text not available from this repository. (Request a copy)Abstract
Background and objectives: This paper presents an overview on nasal packing materials which are available in Germany. The current literature is analyzed whether there are robust criteria regarding use nasal packing after sinonasal surgery, whether there are fundamental and proven advantages or disadvantages of products, and what this means in clinical practice.Materials and methods: Selective literature analysis using the PubMed database (key words "nasal packing", "nasal tamponade", "nasal surgery", "sinonasal surgery", or "sinus surgery"), corresponding text books and resulting secondary literature.Results and conclusions: Because of systematic methodological shortcomings, the literature does not help in the decision-making about which nasal packing should be used after which kind of sinonasal surgery. In fact, individual approaches for the many different clinical scenarios are recommended. In principle, nasal packing aims in hemostasis, should promote wound healing, and should not result in secondary morbidity. Nasal packing materials should be smooth (non-absorbable materials), inert (absorbable materials), and should not exert excessive pressure. Using non-absorbable packing entails the risk of potentially lethal aspiration and ingestion. For safety reasons inpatient control is recommended as long as this packing is in situ. With other, uncritical packing materials and in patients with special conditions, outpatient control could be justified.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ENDOSCOPIC SINUS SURGERY; PROPHYLACTIC SYSTEMIC ANTIBIOTICS; RANDOMIZED CONTROLLED-TRIAL; MIDDLE MEATAL SPACERS; CHITOSAN GEL; SHEEP MODEL; HYALURONIC-ACID; DOUBLE-BLIND; SEPTOPLASTY; METAANALYSIS; Nasal tamponade; Sinonasal surgery; Outpatient surgery; Risk of aspiration |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 May 2024 08:13 |
| Last Modified: | 11 Mar 2025 10:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60702 |
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