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A prospective, randomized, single-blinded controlled trial on biodegradable synthetic polyurethane foam as a packing material after septoplasty.

Authors
 Kim, Yoo Suk  ;  Kim, Young Hoon  ;  Kim, Na Hyun  ;  Kim, Si Hong  ;  Kim, Kyung Rok  ;  Kim, Kyung-Su 
Citation
 AMERICAN JOURNAL OF RHINOLOGY & ALLERGY, Vol.25(2) : 77-79, 2011 
Journal Title
AMERICAN JOURNAL OF RHINOLOGY & ALLERGY
ISSN
 1945-8924 
Issue Date
2011
MeSH
Absorbable Implants/adverse effects ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Nasal Septum/physiology ; Nasal Septum/surgery* ; Pain Measurement ; Patient Satisfaction ; Polyurethanes/administration & dosage* ; Polyurethanes/adverse effects ; Polyurethanes/chemistry ; Postoperative Hemorrhage* ; Prospective Studies ; Reconstructive Surgical Procedures* ; Surveys and Questionnaires
Abstract
BACKGROUND: We evaluated synthetic polyurethane foam (SPF; Polyganics BV, Groningen, The Netherlands) as a packing material used after septoplasty compared with Merocel (Medtronic Xomed Surgical Products, Jacksonville, FL) in the aspects of clinical efficacy and the subjective severity of symptoms.

METHODS: A prospective, randomized, single-blinded controlled study was performed in 64 patients who had undergone septoplasty. The patients were randomized to receive Merocel or SPF after septoplasty. Assessments of clinical efficacy on bleeding and pain were done and subjective symptoms related to packing materials were evaluated using questionnaires quantified by the visual analog scale.

RESULTS: There was no difference in repacking or additional packing due to postoperative bleeding, bleeding and/or septal hematoma on the removal of packing, and the mucosal condition after packing removal during postoperative period between the Merocel and SPF groups. Bleeding and pain during packing removal was significantly lower in patients with SPF packing. Also, in the SPF group, patient's general satisfaction and willingness to reuse the material were higher compared with the Merocel group.

CONCLUSION: SPF is as suitable as Merocel to be used after septoplasty with beneficial effects on bleeding and pain at packing removal.
Full Text
http://www.ingentaconnect.com/content/ocean/ajra/2011/00000025/00000002/art00008
DOI
10.2500/ajra.2011.25.3600
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Su(김경수) ORCID logo https://orcid.org/0000-0003-1460-0640
Kim, Na Hyun(김나현)
Kim, Young Hoon(김영훈)
Kim, Yoo Suk(김유석)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93174
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