Haemostasis and chemoprophylasis using a Specific Nasal Packing after Rhinosurgery


COD: 189-194 Categorie: ,

Konstantinos Bogris, Nikolaos Stavropoulos, Nikolaos Sylligardakis, Nicolas Condilis, Giorgia Kontothanassi

Ann. Ital. Chir., 2005; 76: 189-193

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AIM OF THE STUDY: This study evaluated the effect of a new type of haemostatic – chemoprophylactic nasal packing
(gel-tampon) on wound healing following the surgical removal of nasal polyps. These tampons are coated with a haemostatic
hydrocolloid gel supported by a latex of microfibres and were soaked in solution of cortisone and antimycotic
or antibiotic medicament.
MATERIAL AND METHODS: Seventy nine patients (56 M, 23 F, age 21-81, mean age 43 years) were studied following
the above procedure. The gel-tampon was soaked in a solution of cortisone plus either antibiotic or antimycotic before
postoperative application. A control group consisted of patients undergoing similar surgery and given nasal packing consisting
of gel-tampon without having soaked them in any of the above solutions.
The placement of the gel-tampon was easy and well tolerated by the patients. It was sufficient for haemostasis in all
cases. Pain reported during removal of the gel-tampon soaked in solution was similar than in the controls. Subsequent
haemorrhage in the study groups was both less frequent than in the controls, while the inflammation rate was considerable
lower in the study groups in which was used antibiotic and cortisone. Soaking the gel-tampon in antibiotic + cortisone
appeared to produce a better result than the use of antimycotic + cortisone.
CONCLUSION: In conclusion it seems that the gel-tampon soaked in cortisone and antibiotic is a good possible solution
for postoperative haemostatic and anti-inflammatory care following intranasal surgery.