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功能性內視鏡鼻竇手術後以Meropack及Merocel做中鼻道填塞成效比較

Comparison of the Effects of Meropack and Merocel in the Middle Meatus after Functional Endoscopic Sinus Surgery

摘要


OBJECTIVES: The aim of the study was to evaluate the effects and morbidities of Meropack in the middle meatus after endoscopic sinus surgery. MATERIALS AND METHODS: Sixty patients with bilateral chronic rhinosinusitis were enrolled in the study. Meropack was randomly inserted into one side of the middle meatus and Merocel into the other side after sinus surgery. Patients were investigated at 2, 4, 8, and 12 weeks. The effects and morbidities of nasal dressings in the middle meatus were evaluated with respect to five distinct parameters: synechia, granulation tissue, infection, patency of maxillary ostium and nasal pain during removal of nasal dressings. RESULTS: The mean retention time of the Merocel and Meropack dressings in the middle meatus were 3 days and 14 days respectively. Twelve patients with 13 sides had postoperative synechia at second follow-up visit, 4 sides (6.7%) with Meropack, and 9 sides (15%) with Merocel. Significant difference (P<0.05) was observed in synechia score between Meropack and Merocel, in which the mean synechia score for Meropack was 0.15±0.37 and that for Merocel was 0.45±0.60 at 4 weeks after surgery. No statistically significant difference (p>0.05) was noted in the parameter score (granulation tissue, infection, and patency of ostium of maxillary sinus) between Maropack and Merocel. The pain score for Maropack and Merocel obtained from a visual analog scale, during the removal of nasal packing in sinus were 6.7±1.16 and 0, respectively, thus revealed a significant difference (p<0.001). CONCLUSION: Our study demonstrated that Meropack decreased pain score during packing removal as nasal dressing after endoscopic sinus surgery. Because of its prevention of synechia formation, Meropack dose not offer distinct advantages over Merocel.

關鍵字

鼻敷料 Meropack Merocel 鼻竇手術

並列摘要


OBJECTIVES: The aim of the study was to evaluate the effects and morbidities of Meropack in the middle meatus after endoscopic sinus surgery. MATERIALS AND METHODS: Sixty patients with bilateral chronic rhinosinusitis were enrolled in the study. Meropack was randomly inserted into one side of the middle meatus and Merocel into the other side after sinus surgery. Patients were investigated at 2, 4, 8, and 12 weeks. The effects and morbidities of nasal dressings in the middle meatus were evaluated with respect to five distinct parameters: synechia, granulation tissue, infection, patency of maxillary ostium and nasal pain during removal of nasal dressings. RESULTS: The mean retention time of the Merocel and Meropack dressings in the middle meatus were 3 days and 14 days respectively. Twelve patients with 13 sides had postoperative synechia at second follow-up visit, 4 sides (6.7%) with Meropack, and 9 sides (15%) with Merocel. Significant difference (P<0.05) was observed in synechia score between Meropack and Merocel, in which the mean synechia score for Meropack was 0.15±0.37 and that for Merocel was 0.45±0.60 at 4 weeks after surgery. No statistically significant difference (p>0.05) was noted in the parameter score (granulation tissue, infection, and patency of ostium of maxillary sinus) between Maropack and Merocel. The pain score for Maropack and Merocel obtained from a visual analog scale, during the removal of nasal packing in sinus were 6.7±1.16 and 0, respectively, thus revealed a significant difference (p<0.001). CONCLUSION: Our study demonstrated that Meropack decreased pain score during packing removal as nasal dressing after endoscopic sinus surgery. Because of its prevention of synechia formation, Meropack dose not offer distinct advantages over Merocel.

並列關鍵字

nasal dressing Meropack Merocel sinus surgery

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