xRead - Nasal Obstruction (September 2024) Full Articles

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Orlandi et al.

Floseal R with patties vs patties alone Wound healing Only significant difference was that Floseal R

(Continues)

Synechiae at 8 weeks CMC packing had significantly less

synechiae (6.5% vs 35.7%)

superiority in most

outcomes and at some time points.

More bilateral adhesions in unpacked patients. No difference in

unilateral adhesions.

showed less crusting at 1 week postoperatively

weeks for any parameter

No significant difference in any outcomes.

Valentine 2159 2010 2 DBRCT CD gel vs no packing Adhesion formation Lower at all time points in first 3 months postoperatively for CD-treated group Berlucchi 2190 2009 2 RCT Merogel R vsMerocel R Adhesions 40 patients – 80 sides

Kastl 2185 2009 2 RCT CMC mesh vs CMC gel vs nothing Wound healing No significant difference among the groups Shoman 2180 2009 2 RCT 30 patients – 60 sides Nasopore R vsMerocel R Postoperative edema No significant difference Franklin 2192 2007 2 RCT Bugten 2183 2006 2 RCT 26 patients – 52 sides

Author Year LOE Study Design Materials Outcome Measure Findings Antisdel 2184 2011 2 RCT Synechiae Edema Infection

Merogel showed

No significant difference

Merocel R for 5 days vs no packing Middle meatal adhesion rate at 10-14 weeks

Merogel R vsMerocel R Lund-Kennedy endoscopic score

% re-epithelization Granulation Edema Crusting

Merogel R vsnothing Adhesion, edema, infection No difference at 2,4,6-8

CMC packing bilaterally vs latex gloved cotton gauze bilaterally

Microporous polysaccharide hemospheres vs no packing

31 packed with Merocel

40 patients – 80 sides

Szczygielski 2197 2010 2 RCT

60 patients – 120 sides

66 patients -88 sides

35 patients – 70 sides 59 patients

28 unpacked

45 patients - 90 sides

Wormald 2186 2006 2 Blinded RCT

42 patients – 84 sides

Jameson 2170 2006 2 DBRCT

TABLE XII-21 (Continued)