xRead - Nasal Obstruction (September 2024) Full Articles

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International consensus statement on rhinosinusitis

No significant difference whilepack insitu but

(Continues)

All significantly better in Sepragel R treated sided atweek2.

All significantly less with Nasopore R

Floseal R vs thrombin soaked gelatin foam Adhesions at 1 year Floseal R showed a higher

number requiring lysis Floseal R had significantly more adhesions

number of adhesions overall and a higher

Less adhesions and edema with Ca Alginate

greater pain and nasal

bleeding during removal of pack

1. No significant difference in any of these parameters

2. Packing showed slightly less on days 2 and 3

Author Year LOE Study Design Materials Outcome Measure Findings Chandra 2195 2005 2 RCT

3. No significant difference No difference in pain

No significant difference

No significant difference

Sepragel R vsnothing Synechiae, middle meatus stenosis, mucosal status

Granulation and adhesions at 6weeks

Merogel R vsMerocel R Postoperative edema at 8 weeks

Floseal R vsMerocel R Middle meatal synechiae and stenosis

edema, nasal obstruction

Visual Analogue Symptom Score

disturbance, headache, well-being Pressure Pain

Subjective assessment of which side felt better Adhesion Infection Edema

Nasopore R vsnothing Pain, breathing, sleep

Nasopore R vsMerocel R Pain, bleeding, facial

Aerosolized fibrin sealant vs Merocel R

Floseal R vs thrombin soaked gelatin foam

Calcium alginate vs Sinu-Knit (carboxymethylcellulose)

Baumann 2171 2003 4 Individual case control

Verim 2179 2014 2 Partly blinded RCT

13 patients – 36 sides

37 patients – 74 sides

47 patients – 94 sides

Park 2164 2016 2 Single blinded RCT

27 patients – 54 sides

56 patients – 112 sides Yu 2174 2014 2 Nonblinded RCT

41 patients – 82 sides

Chandra 2194 2003 2 RCT

20 patients – 40 sides

Kimmelman 2187 2002 2 RCT

10 patients – 20 sides

Miller 2191 2003 2 RCT

50 patients - 100 sides

Patient Comfort Kastl 2181 2014 2 DBRCT

TABLE XII-21 (Continued)