xRead - Nasal Obstruction (September 2024) Full Articles

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610

International consensus statement on rhinosinusitis

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Floseal R with patties vs patties alone Time to Hemostasis Statistically significant difference with Floseal R added to

patties (16.4 minutes vs. 30.8 minutes)

Quixil significantly better in #1 and #2.

No significant difference in#3.

TABLE XII-21 Evidence for use of packing in sinus surgery Author Year LOE Study Design Materials Outcome Measure Findings Intraoperative Hemostasis Kameswaran 2202 2014 2 DBRCT 30 patients - 60 sides Nasopore vs Merocel Post op bleeding Less bleeding in the first 24hours Beyea 2169 2011 2 RCT 18 patients - 36 sides Floseal R vs HemoStase R Total blood loss No significant difference Valentine 2159 2010 2 DBRCT CD gel (Chitogel R )vs nopacking Time to hemostasis CD gel: 2 minutes

Floseal R vsMerocel R Hemostasis No significant difference (mean 3 minutes)

Unable to stop bleeding 18 sites

Frenkiel 2160 2002 2 RCT Sepragel R vs no packing Intra-op hemostasis No significant difference in total blood loss Baumann 2171 2003 3 Individual case control 20 patients – 40 sides

Gelatin-thrombin matrix (Surgiflo R ) with thrombin Intraoperative hemostasis 29/30 sites had complete hemostasis within 10 minutes Gall 2168 2002 4 Cohort Study

No packing: 10 minutes

Floseal R Time to hemostasis Average time 2 minutes

Bleeding after removal Late bleeding > 30hours

All types of bleeding

Merocel R vs

Quixil R

undergoing ESS

50 patients - 100 sides Woodworth 2173 2009 4 Noncontrolled case series

40 patients – 80 sides Jameson 2170 2006 2 Double Blind RCT

45 patients - 90 sides

Vaiman 2172 2005 2 RCT

91 patients

48 sides Merocel 43 sides Quixil

18 patients - 30 sites

30 patients - 30 sites