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Is Nasal Packing Necessary Following Endoscopic Sinus Surgery?
Author(s) -
Orlandi Richard R.,
Lanza Donald C.
Publication year - 2004
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200409000-00007
Subject(s) - medicine , hemostatic agent , nose , surgery , nasal packing , nasal cavity , sinus (botany) , blood loss , endoscopic sinus surgery , hemostasis , hemostatics , incidence (geometry) , retrospective cohort study , medical record , anesthesia , botany , genus , biology , physics , optics
Objectives/Hypothesis: To determine the necessity of nasal packing or hemostatic agents or both following endoscopic sinus surgery. Study Design: Retrospective review of cases in a tertiary care sinus practice at an academic medical center. Methods: Records of 165 patients undergoing 169 endoscopic sinus surgeries were reviewed to determine the presence of adjunctive nasal procedures, the use of nasal packing or hemostatic agents or both, blood loss during surgery, and the incidence of bleeding complications following surgery. Results: The median estimated blood loss during surgery was 50.0 mL (range, 5–1000 mL). In four surgeries (2.4%) hemostatic agents were placed in the nose at the conclusion of surgery, 19 (11.2%) had packing, and 147 (87.0%) had no material left in the nose. No patients had bleeding complications postoperatively. There was a significant decrease in the use of packing or hemostatic agents or both over time. Conclusion: Placement of nasal packing or other hemostatic agents or both within the nasal cavity is not necessary in the majority of endoscopic sinus surgeries. The risks, costs, and discomforts associated with these interventions can often be avoided.