10.3205/CTO000054
Weber, Rainer K.
Rainer K.
Weber
Nasal packing and stenting
German Medical Science GMS Publishing House
2009
JournalArticle
nasal packing
stenting
wound healing
FESS
occlusive wound care
septoplasty
turbinate surgery
nasal tamponade
610 Medical sciences; Medicine
2011-03-10
2009
en
urn:nbn:de:0183-cto0000548
cto000054
text/html
GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 8:Doc02; ISSN 1865-1011
Nasal packs are indispensable in ENT practice. This study reviews current indications, effectiveness and risks of nasal packs and stents. In endoscopic surgery, nasal packs should always have smooth surfaces to minimize mucosal damage, improve wound healing and increase patient comfort. Functional endoscopic endonasal sinus surgery allows the use of modern nasal packs, since pressure is no longer required. So called hemostatic/resorbable materials are a first step in this direction. However, they may lead to adhesions and foreign body reactions in mucosal membranes. Simple occlusion is an effective method for creating a moist milieu for improved wound healing and avoiding dryness. Stenting of the frontal sinus is recommended if surgery fails to produce a wide, physiologically shaped drainage path that is sufficiently covered by intact tissue.
GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 8:Doc02; ISSN 1865-1011