SymbolSelection and biocompatibility of different hemostatic packing materials in nasal endoscopic surgery

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Abstract

BACKGROUND:

Nasal packing is the major management to treat epistaxis and to prevent the hemorrhage, adhesion or restenosis in nasal cavity and paranasal sinuses after surgery. The applied nasal packing materials at home and abroad are various; there is no accepted standard concerning which material is more suitable for the nasal packing or how long the indwelling packing material should be retained in the nasal cavity.

OBJECTIVE:

To comprehensively analysis the present situation and research progression of the applications of different hemostatic materials after nasal endoscopic surgery; to reveal the characteristics and application prospects of each material.

METHODS:

A computer-based online search of CNKI and PubMed databases (1998-01/2008-12) was performed for the articles related to medical bio-bressing with the key words of “nasal cavity”, “hemostatic dressing”, “gelatin sponge”, “gauze” and “calcium alginate dressing” in the titles and abstracts. Articles related to wound healing were selected; as to the identical field, articles published recently or in the authoritative magazines were selected. A total of 124 articles were collected in the initial search, 82 of them were in Chinese while 42 of them were in English. A total of 22 articles were retained according to the inclusion criteria.

RESULTS AND CONCLUSION:

Different packing materials have their own advantages and limitations. The packing materials for mixed packing and key packing after surgery should be selected based on the operative method, range, size and hemorrhagic property of different nasal cavity surgeries as well as the patient's specific situation and the biological characteristics of different hemostatic materials. The difficult problems that need to solve urgently in the hemostasis and material filing of the minimally invasive nasal cavity surgeries are how to fixe quickly and stop bleeding effectively as well as reduce or prevent the adverse effects to the nasal cavity after hemostasis; and how to accelerate wound healing and ease the pain.

RESULTS AND CONCLUSION:

Li WJ, Peng BG, Wang X, Miao XT. Selection and biocompatibility of different hemostatic packing materials in nasal endoscopic surgery. Zhongguo Zuzhi Gongcheng Yanjiu. 2012;16(8): 1487-1490. [http://www.crter.cnhttp://en.zglckf.com]

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