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Auris Nasus Larynx. 2014 Jun;41(3):264-8. doi: 10.1016/j.anl.2013.10.009. Epub 2013 Oct 30.

Usefulness of nasal packing with silver-containing carboxy methylated cellulose in endonasal sinus surgery.

Author information

1
Department of Otolaryngology, Mitoyo General Hospital, Mitoyo-shi, Toyohama-cho, Himehama 708, Kagawa 769-1695, Japan; Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan. Electronic address: kakaka@med.kagawa-u.ac.jp.
2
Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan.
3
Department of Otolaryngology, Mitoyo General Hospital, Mitoyo-shi, Toyohama-cho, Himehama 708, Kagawa 769-1695, Japan.

Abstract

OBJECTIVE:

Silver-containing carboxymethylcellulose fiber dressing (Aquacel®-Ag) has been used to treat burns and ulcers with a large amount of exudate. The aim of this investigation was to confirm whether Aquacel®-Ag has beneficial effects when it is used as nasal packing.

METHODS:

We included 44 patients who underwent bilateral endoscopic sinus surgery due to chronic rhino-sinusitis. Beschitin-F® or Aquacel®-Ag was packed postoperatively into the bilateral middle meatus. Patient's comfort was recorded using a VAS, as well as wound healing, postoperative bleeding and local infection. Postoperative-specific organisms were also evaluated from the removed packing materials located in the middle meatus when they were removed on the 4th day after surgery.

RESULTS:

The scores for nasal obstruction and pain were not statistically different in each group. Postoperative bacteriologic studies indicated marked differences. Coagulase-negative staphylococci were predominant and potential pathogens were recovered in a few cases in the Aquacel®-Ag group. In contrast, potential pathogens, including Streptococcus pneumonia, Haemophilus influenza, and Gram-negative rods, were predominant in the Beschitin-F® group.

CONCLUSION:

The results indicate that Aquacel®-Ag might contribute to hemostasis, wound healing, and patient comfort after endonasal surgery, similar to Beschitin-F®. Additionally, it may have advantages concerning the prevention of postoperative infection.

KEYWORDS:

Aquacel(®)-Ag; Beschitin; Endoscopic sinus surgery; Nasal packing; Silver-containing carboxy methylated cellulose

PMID:
24182690
DOI:
10.1016/j.anl.2013.10.009
[Indexed for MEDLINE]
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