Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

A Comparative Double Blind Study of Nasal Dressing Sponge® versus Merocel® as Nasal Pack after Nasal Surgery

Document Type : Original

Authors
Francesco Lorusso
Francesco Dispenza
Federico Sireci
Domenico Michele Modica
Salvatore Gallina
Otolaryngology Unit, Department of Biomedicine and Advanced Diagnostic-University of Palermo, Palermo, Italy.
10.22038/ijorl.2021.49606.2649
Abstract
Introduction:
Nasal packing is a common procedure used to ensure haemostasis after nasal surgery.
 
Materials and Methods:
A prospective, randomized, controlled and double-blinded study was conducted on 80 consecutive subjects to investigate whether using Nasal Dressing Sponge® (NDS) instead of simple Merocel® might improve patients’ postoperative experience of nasal packing.
 
Results:
During the stay of the tampons no differences were noticed between the two groups as regards the postoperative pain. When it comes to pain during the packing removal, patients complained of worse symptoms in the side packed with Merocel. There was no bleeding after the removal of Merocel, whereas 5,6% patients were subject to some  bleeding when NDS was removed.
 
Conclusion:
Merocel and NDS gave similar results regarding haemostatic activity. Nasal Dressing Sponge could decrease pain during the removal of the nasal pack, while it could be associated to a bigger incidence of mild bleeding after removing the pack.
 
Keywords
Merocel
Nasal pack
Epistaxis
Pain
Septoplasty
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Iranian Journal of Otorhinolaryngology
Volume 33, Issue 6
November and December 2021
Pages 369-373