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논문 기본 정보

자료유형
학술저널
저자정보
김성동 (부산대학교병원) 김동원 (부산대학교병원 이비인후과) 김덕수 (부산대학교 이비인후과학교실) 김지아 (부산대학교) 이동주 (부산대학교) 조규섭 (부산대학교)
저널정보
대한비과학회 Journal of Rhinology Journal of Rhinology Vol.25 No.2
발행연도
2018.1
수록면
86 - 90 (5page)

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Background and Objectives: Although polyvinyl acetate (Merocel®) has been widely used as a packing material after septoplasty,removable nasal packing can increase patient discomfort, local pain, and pressure. Furthermore, the removal of nasalpacking has been described as the most uncomfortable and distressing feature associated with septoplasty. The purpose of thisstudy was to investigate the efficacy of polyvinyl acetate with carboxymethyl cellulose sheet (Rhinocel®) nasal packing on patientsubjective symptoms, degree of bleeding, hemostasis, and wound healing following septoplasty. Subjects and Method: Forty patients with nasal septum deviation requiring septoplasty were included. Following surgery,one nasal cavity was packed with Rhinocel® and the other one with Merocel®. Patient subjective symptoms while the packing wasin situ, hemostatic properties, pain on removal, degree of bleeding on removal, duration of hemostasis after removal, postoperativewound healing, and the cost of the pack were evaluated. Results: Although the two types of packing materials were equally effective in controlling postoperative bleeding after septoplasty,Rhinocel® was significantly more comfortable while in situ and less painful on removal than Merocel®, which was associatedwith significantly more bleeding on removal and so more time was needed to control hemorrhage. There was no significantdifference in postoperative wound healing or pack cost. Conclusion: The use of Rhinocel® after septoplasty has less discomfort, greater patient satisfaction, and less bleeding on removalwith no adverse reactions compared to Merocel® packing. Therefore, Rhinocel® may be a useful packing material afterseptoplasty.

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