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47426

Intranasal Oxidized Cellulose (Surgicel®) Sheet Application after Partial Inferior Turbinectomy, Can It Make A Difference?

Article

Last updated: 30 Jan 2023

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Abstract

Background: hemostasis, throughout and after endonasal surgery, still raise loads of debates as regarding the foremost optimal technique as regard the efficacy, patient comfort, risks and costs. Objective: assessment of the worth of applying the intranasal surgicel® sheet after partial inferior turbinectomy (PIT) surgery Patients and Methods: a prospective, randomized comparative study was conducted from July 2015 to July 2018 at Al-Azhar University hospitals. A total of hundred and twenty patients underwent bilateral PIT. They were randomly divided into a pair of groups; group A enclosed sixty patients had PIT with intranasal surgicel® sheet application and group B enclosed sixty patients had PIT without surgicel® sheet. A comparison was made between the two groups at three time points; forty eight hours, one week, and four weeks postoperatively. Results: at forty eight hours after surgery, number of patients reported milder pain before and after pack removal in group A were significantly higher than patients within the group B. Patients in Group A bled less with shorter hemostasis time than those in group B. At one week postoperatively; visual analogue score (VAS) for pain was significantly less in group A with a better healing. At four weeks postoperatively; healing was significantly better in group A. Conclusion: the utilization of intranasal surgicel® sheet after PIT can decrease pain and bleeding and lessen hemostasis duration during pack removal and decreased postoperative pain with decreasing rates of intranasal adhesions.

DOI

10.21608/ejhm.2019.47426

Keywords

Partial inferior turbinectomy, Intranasal pack, Nasal obstruction, Surgicel®

Authors

First Name

Ahmed

Last Name

Abdelfattah

MiddleName

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Affiliation

Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

ahmedfatah10@hotmail.com

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Orcid

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Volume

77

Article Issue

1

Related Issue

7138

Issue Date

2019-10-01

Receive Date

2019-09-08

Publish Date

2019-10-01

Page Start

4,866

Page End

4,873

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_47426.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=47426

Order

29

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023