xRead - Nasal Obstruction (September 2024) Full Articles

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Orlandi et al.

1. Significantly decreased pain with Nasopore R

discomfort on removal than Merocel R and ointment gauze.

100 patients – 200 sides Cutanplast R vsMerocel R Pain on pack removal Cutanaplast R had

66 patients -88 sides Merogel R vsMerocel R Pain on packing removal Significantly decreased in Merogel R group Shoman 2180 2009 2 RCT Nasopore R vsMerocel R Postoperative pain Bugten 2183 2006 2 RCT

Jameson 2170 2006 2 DBRCT Floseal R with patties vs patties alone Pain in first week Significantly less in Floseal R group Kimmelman 2187 2002 2 RCT

Patient comfort Surgicel R had less

Significantly less pain at 1, 4, 8, and 16 hours in

lidocaine soaked group.

Same at 20 and 24 hours.

significantly less pain on removal.

Gloved Merocel R vsMerocel R Discomfort on removal Ungloved pack had more discomfort on removal than gloved pack.

No significant difference in any parameter scores between the groups,

Significantly less in packed group

Author Year LOE Study Design Materials Outcome Measure Findings Cho 2176 2013 2 RCT Mo 1887 2013 2 DBRCT

No significant difference

2. No significant difference

Pain at 1, 4, 8, 16, 20, and 24 hours

Pain, obstruction, and nasal discharge

Merocel R for 5 days vs no packing Pain, congestion, headache, sleep quality for 10-14 weeks after surgery

Sepragel R vsnothing Post-operative subjective pain and congestion Surgicel R vsMerocel R or

Pain on packing removal

Nasopore R soaked in lidocaine vs Nasopore R

Microporous polysaccharide hemospheres vs no packing

petroleum ointment gauze

31 packed with Merocel

Antisdel 2161 2009 2 single blinded RCT Berlucchi 2190 2009 2 RCT

63 patients – 123 sides

37 patients - 74 sides

40 patients – 80 sides

30 patients – 60 sides 59 patients

28 unpacked

45 patients - 90 sides

10 patients – 20 sides

Shinkwin 2175 1996 2 RCT

60 patients -120 sides

Akbari 2204 2012 2 DBRCT

TABLE XII-21 (Continued)