Hot saline irrigation in comparison to nasal packing after sinus surgery

Autor:	Maria Kumlin, Michael Ryott, Helena Kullenberg, Marie Svedberg, Mattias Jangard, Axel Nordström
Rok vydání:	2021
Předmět:	medicine.medical_specialty RD1-811 Chronic rhinosinusitis Endoscopic sinus surgery Oto-rino-laryngologi Postoperative complications Allergy Rhinology and Immunology postoperative complications otorhinolaryngologic diseases medicine Original Research Saline irrigation business.industry chronic rhinosinusitis hot saline General Medicine respiratory system Sinus surgery Surgery Nasal packing nonabsorbable packing RF1-547 Otorhinolaryngology Hot saline Nonabsorbable packing business endoscopic sinus surgery
Zdroj:	Laryngoscope Investigative Otolaryngology, Vol 6, Iss 6, Pp 1267-1274 (2021) Laryngoscope Investigative Otolaryngology
ISSN:	2378-8038
DOI:	10.1002/lio2.696
Popis:	Objectives Previous studies have shown that hot saline solution (HSS) nasal irrigation is effective against nasal bleeding and is used to treat nasal hemorrhage. In a pilot study, we evaluated hot saline nasal irrigation in comparison to a routinely used nasal packing in terms of self‐reported complications and mucosal healing after functional endoscopic sinus surgery. Methods Patients undergoing surgery for bilateral chronic rhinosinusitis received polyvinyl acetate (PVA) nasal packing in the left nostril, and the right nostril was rinsed with 47°C sterile saline immediately after surgery. Patients' experiences of pain, bleeding, and other types of uncomfortable experiences were measured using a visual analog scale for each nostril before, during, and immediately after nasal packing removal. Two weeks post‐surgery, the assessments were repeated including an endoscopic evaluation of the mucosa by the surgeon. Results Twenty‐seven patients completed the study. Prior to removal of the packing, the patients experienced significantly more pain and other uncomfortable experiences in the nostril treated with nasal packing, as compared to the nostril solely rinsed with hot saline. After removal, patients reported significantly more uncomfortable experiences from the packing treated nostril. Two weeks post‐surgery, no difference in mucosal healing was observed between the two nostrils. Conclusions The results from this study indicate that irrigation with HSS could be an alternative postoperative treatment to conventional PVA nasal packing. Hot saline irrigation may contribute to patients experiencing improved control of postoperative bleeding, pain, and less suffering of other causes as well as health‐economic benefits, without affecting the mucosal healing up to 2 weeks post‐surgery. Level of Evidence 1b
Databáze:	OpenAIRE
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