Efficacy of Postendoscopic Surgical Nasal Sinus Packing with Calcium Alginate Fiber (Algoderm)

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  • 内視鏡下鼻副鼻腔手術でのｗｅｔ　ｄｒｅｓｓｉｎｇの有用性
  • 臨床 内視鏡下鼻副鼻腔手術でのwet dressingの有用性
  • リンショウ ナイシキョウ カ ビ フクビクウ シュジュツ デ ノ wet dressing ノ ユウヨウセイ

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Endoscopic sinus surgery (ESS) is a globally disseminated, well-documented procedure. To determine whether post-ESS wound healing would benefit from wet dressing using calcium alginate fiber (Algoderm®) nasal packing, we monitored 173 subjects—106 men and 67 women— with nasoparanasal disease treated using ESS between April 2005 and March 2008. We evaluated postoperative pain on a numerical rating scale (0–5), and the postoperative complications of nasal bleeding and infection of the 173, 116 patients (67%), scored pain as ≥2 on the day after surgery, but dropped to <20%, on the day after surgery on postoperative day (POD) 7, 16% patients felt strong pain when Algoderm® was removed.<br> Postoperative complications involved 9 subjects (5.2%) with postoperative bleeding and 78 (45.1%) with high fever (≥37.5°C). Almost all fever lasted until POD2. When Algoderm® was removed, infection-free wound healing was confirmed in almost all patients. Algoderm® had no foul smell in any case.<br> Nasal packing with Algoderm® thus appears beneficial postoperatively in ESS-treated subjects.<br>

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