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Rapid Rhino versus Merocel nasal packs in septal surgery

Published online by Cambridge University Press:  19 August 2011

A Hesham  and
A Ghali
A Hesham*
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt
A Ghali
Affiliation:
Department of Anesthesiology, Faculty of Medicine, Tanta University, affiliated to Magrabi Eye and Ear Hospital, Sultanate of Oman
*
Address for correspondence: Dr Ahmed Hesham, Magrabi Eye and Ear hospital 106, Rumaila building, A1 Nohda St., P.O. Box: 513, Postal Code 112, Muscat Oman Fax: +968 24568874 E-mail: [email protected]
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Abstract

Objective:

To compare Rapid Rhino and Merocel packs for nasal packing after septoplasty, in terms of patient tolerance (both with the pack in place and during removal) and post-operative complications.

Materials and methods:

Thirty patients (aged 18–40 years) scheduled for septoplasty were included. Following surgery, one nasal cavity was packed with Rapid Rhino and the other one with Merocel. Patients were asked to record pain levels on a visual analogue score, on both sides, with the packs in situ and during their removal the next day. After pack removal, bleeding was compared on both sides.

Results:

The mean ± standard deviation pain score for the Rapid Rhino pack in situ (4.17 ± 1.78) was less than that for the Merocel pack (4.73 ± 2.05), but not significantly so (p = 0.314). The mean pain score for Rapid Rhino pack removal (4.13 ± 1.76) was significantly less that that for Merocel (6.90 ± 1.67; p = 0.001). Bleeding after pack removal was significantly less for the Rapid Rhino sides compared with the Merocel sides (p <0.05).

Conclusion:

Rapid Rhino nasal packs are less painful and cause less bleeding, compared with Merocel packs, with no side effects. Thus, their use for nasal packing after septal surgery is recommended.

Keywords

SeptoplastyTampons, SurgicalNasal CavityPain, Post Operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 12 , December 2011 , pp. 1244 - 1246
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Weber, R, Hochapfel, F, Draf, W. Packing and stents in endonasal surgery. Rhinology 2000;38:49–62Google ScholarPubMed
2Chheda, N, Katz, AE, Gynizio, L, Singer, AJ. The pain of nasal tampon removal after nasal surgery: A randomized control trial. Otolaryngol Head Neck Surg 2009;140:215–17CrossRefGoogle ScholarPubMed
3Gudziol, V, Mewes, T, Mann, WJ. Rapid Rhino: a new pneumatic nasal tamponade for posterior epistaxis. Otolaryngol Head Neck Surg 2005;132:152–5CrossRefGoogle Scholar
4Weber, R, Keerl, R, Hochapfel, F, Draf, W, Toffel, PH. Packing in endonasal surgery. Am J Otolaryngol 2001;22:306–20CrossRefGoogle ScholarPubMed
5Corbridge, RJ, Djazaeri, B, Hellier, WPL, Hadley, J. A prospective randomised controlled trial comparing the use of Merocel nasal tampons and BIPP in the control of acute epistaxis. Clin Otolaryngol 1995;20:305–7CrossRefGoogle ScholarPubMed
6Durvasula, VS, Brewis, C, Syeda, F, Leong, P. Lignocaine as a topical analgesia for post- operative nasal pack removal: a prospective, randomized, double-blind, controlled trial. J Laryngol Otol 2005;119:348–51CrossRefGoogle ScholarPubMed
7Badran, K, Malik, TH, Belloso, A, Timms, MS. Randomized controlled trial comparing Merocel and Rapid Rhino packing in the management of anterior epistaxis. Clin Otolaryngol 2005;30:333–7CrossRefGoogle Scholar
8Moumoulidis, I, Draper, MR, Patel, H, Jani, P, Price, T. A prospective randomized controlled trial comparing Merocel and Rapid Rhino nasal tampons in the treatment of epistaxis. Eur Arch Otorhinolaryngol 2006;263:719–22CrossRefGoogle ScholarPubMed
9Arya, AK, Butt, O, Nigam, A. Double-blind randomized controlled trial comparing Merocel with Rapid Rhino nasal packs after routine nasal surgery. Rhinology 2003;41:241–3Google ScholarPubMed
10Ozcan, C, Vayisoglu, Y, Kiliç, S, Görür, K. Comparison of Rapid Rhino and Merocel nasal packs in endonasal septal surgery. J Otolaryngol Head Neck Surg 2008;37:826–31Google ScholarPubMed