xRead - Nasal Obstruction (September 2024) Full Articles

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611

Orlandi et al.

47 patients - 94 sides Oxidized cellulose powder vs Merocel R Postoperative bleeding Oxidized cellulose use had significantly less bleeding than Merocel R Kastl 2181 2014 2 DBRCT

(Continues)

Cutanplast R had less

56 patients – 112 sides Nasopore R vsMerocel R Postoperative hemostasis Significantly better for Nasopore R Jung 2165 2017 2 RCT

bleeding at removal

Post-operative Hemostasis Less bleeding on packed side first 24 hours

35 patients – 70 sides Aerosolized fibrin sealant vs nasopore R Bleeding No difference with respect to bleeding post-operatively Kameswaran 2202 2014 2 DBRCT Nasopore more

Aerosolized fibrin sealant vs Merocel R Bleeding Increased in incidence in bleeding on removal of packing compared to

fibrin sealant but not on followup

bleeding and pain on

removal and less time to control bleeding

following pack removal

comfortable and less adhesions

Post-operative bleeding Improved bleeding in the packing group but not

statistically significant

Author Year LOE Study Design Materials Outcome Measure Findings

Bleeding at removal Better outcomes for

47 patients – 94 sides Nasopore R vs no packing Post op bleeding No significant difference Verim 2179 2014 2 Partly blinded RCT

100 patients – 200 sides Cutanplast R vsMerocel R Bleeding and pain on pack removal

Nasopore vs Merocel Pain and healing (adhesions)

Yan 2198 2014 1 Meta-analysis 19 studies 11 comparing absorbable with

non-absorbable dressing

PVA sponge for 24 hours vs no packing

Coey 2182 2019 1 Meta-analysis 4 studies comparing fibrin tissue adhesive and nasal packing MehanR 2167 2017 2 RCT Al –Shaikh 2177 2014 2 RCT

50 patients – 100 sides

30 patients - 60 sides

Yu 2174 2014 2 Nonblinded RCT

41 patients – 82 sides

Cho 2176 2013 2 RCT

TABLE XII-21 (Continued)

Postoperative Hemostasis