Nasal Packing – Survey of Materials


Authors: Z. Knížek 1;  J. Vodička 1,2
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku, NPK Pardubická nemocnice 1,2;  Fakulta zdravotnických studií, Univerzita Pardubice 2
Published in: Otorinolaryng. a Foniat. /Prague/, 65, 2016, No. 1, pp. 35-42.
Category: Review Article

Overview

Nasal packing is used for treating nose bleeding or bleeding during nasal surgery. Patients often complain that removal of the packing from the nose is the most unpleasant moment of the whole hospital stay. That’s why new alternatives and modern materials are being developed to stop nose bleeding as well as to increase patient’s comfort and improve nasal wound healing. The aim of the article is to demonstrate acquirable modern packing materials, to show how to use them and to introduce their advantages and disadvantages. Nasal packing materials can be divided into two groups: non-absorbable and absorbable. Most kinds of non-absorbable nasal packing definitively improve patient’s comfort especially during removing the packing, some of them improve wound healing too. Their price is not high and they can be easily introduced in the clinical practice. The advantage of non-absorbable packing materials (e.g. balloon nasal packing) is simplicity of their placement. However, the risk of pressure necrosis and adhesion formation is high. The best way to use them is to stop massive nose bleeding from dorsal part of nasal cavity and perform definitive treatment of epistaxis under general anesthesia.

Absorbable packing materials do not need to be removed, and therefore they are very comfortable for patients. Because of different mechanism of hemostasis these kinds of packing are not always the best choice to stop nose bleeding. The biggest disadvantage is the price that does not allow these materials to be used widely. In conclusion the ideal nasal packing is still to be found.

Keywords:
nasal packing, epistaxis, endonasal surgery


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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