Survey on the use of nasal tamponades in sinunasal surgery

Weber, Rainer K. and Deitmer, Thomas and Lohler, Jan and Aletsee, Christoph and Baumann, Ingo and Betz, Christian and Beule, Achim and Boscke, Robert and Dietz, Andreas and Harnischmacher, Vanessa and Haubner, Frank and Heppt, Werner and Hoffmann, Anna Sophie and Hoffmann, Thomas K. and Hosemann, Werner and Kuehnel, Thomas S. and Laudien, Martin and Olzowy, Bernhard and Seibert, Kim-Victoria and Sommer, Fabian and Verse, Thomas and Wiegand, Susanne and Hildenbrand, Tanja (2024) Survey on the use of nasal tamponades in sinunasal surgery. LARYNGO-RHINO-OTOLOGIE, 103 (11). pp. 779-787. ISSN 0935-8943, 1438-8685

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Abstract

Objective Currently, there is an intensive discussion about enhancing and expanding outpatient rhinosurgical procedures. Many questions about how to stratify into out- and inpatient procedures are still not sufficiently clarified. Particularly, the use of nasal packing materials is not adequately discussed. Material and Methods We performed a Germany-wide survey among otorhinolaryngologists regarding the use of nasal packing materials in sinonasal surgery. Additionally, we asked for any complication in relation to nasal packing. Results In 85,6% nasal packing was used for septal and turbinate surgery at least occasionally, in 44,2% always. In sinus surgery these numbers are 94,1% and 49%, respectively. Non-resorbable nasal packing materials were predominantly used. Most frequent complications were bleeding with nasal packing in situ (> 50% of respondents) and posterior dislocation (24% of respondents), requiring emergency treatment. Death was listed in 5 patients. One patient suffered from permanent brain damage due to hypoxia. Conclusions Application of non-resorbable nasal packing materials with occlusion of the nasal cavity carry a substantial risk of complications, which necessitate emergency treatment, thus requiring inpatient care.

Item Type: Article
Uncontrolled Keywords: ENDOSCOPIC SINUS SURGERY; PACKING; PATIENT; ETHMOIDECTOMY; OBSTRUCTION; ADMISSIONS; COMFORT; FESS; Sinunasal surgery; FESS; nasal packing; complications; postoperative bleeding; aspiration; Sinunasal surgery; FESS; nasal packing; complications; postoperative bleeding; aspiration
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Aug 2025 09:19
Last Modified: 20 Aug 2025 09:19
URI: https://pred.uni-regensburg.de/id/eprint/65538

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