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Patient comfort following FESS and Nasopore® packing, a double blind, prospective, randomized trial

2014; European Rhinologic Society; Volume: 52; Issue: 1 Linguagem: Inglês

10.4193/rhin13.020

2589-0085

K.G. Kastl, Martin Reichert, M. Scheithauer, Frank Sommer, Ulrich Kisser, T. Braun, Miriam Havel, Andreas Leunig,

Olfactory and Sensory Function Studies

Background: The use of nasal packing after functional endoscopic sinus surgery (FESS) is often associated with pain and a feeling of pressure for patients.The aim of the present work was to investigate a modern wound dressing made of polyurethane (Nasop-ore®) that makes removal of the nasal packing unnecessary and is focussed on patient comfort.Methodology: Following bilateral FESS, after randomisation, one side was packed with Nasopore® while the other side was without packing as a control.The following parameters from 47 patients were determined daily in two centres from post-operative day 1 for the duration of the inpatient stay in a double-blinded setting: side-specific post-operative bleeding, nasal breathing and feeling of pressure as well as the general parameters sleep disturbance, headaches and general well-being.Which side patients considered subjectively the better was also recorded.Results: No significant differences were determined between the two sides in terms of the rates of post-operative bleeding and nasal breathing.The feeling of pressure was slightly less on the side packed with Nasopore® on post-operative days 2 and 3.No trend could be observed regarding which side patients described as being subjectively better. Conclusion:There were only slight differences in patient comfort between the Nasopore® side and the control.Because the feeling of pressure in the midface was significantly less and there were no complications, this suggests there is greater patient comfort when using Nasopore® compared to using no nasal packing.