Abstract:
Introduction: Epistaxis affects more than half of the population. It impacts both genders and all age groups and is triggered by a variety of etiological variables. Merocel has been a compressed, dehydrated sponge made of hydroxylated polyvinyl acetate that needs to be rehydrated using normal saline to reach its ideal size in the nasal cavity and compress bleeding vessels. It also promotes hemostasis by acting as a platform for platelet aggregation. Surgicel is a regenerated oxidized cellulose that's employed in clinical settings for more than fifty years. It absorbs water and expands to give tamponade at hemorrhage areas.
Aim of the work: The purpose of this research is to compare merocel with merocel surgicel wrap nasal packs for epistaxis management.
Patient and methods: This research has been conducted on 60 epistaxis patients.
They were allocated into 2 groups. The first group (A) consisted of 30 patients managed by a merocel nasal pack.
The second group (B) included 30 patients who were treated with the merocel surgicel wrap technique.
Result: The differences between the groups studied are statistically significant (group A & group B) as regard bleeding control. There were 24 patients (80%) with bleeding control in group A while there were 29 patients (96.7%) with bleeding control in group B.
Conclusion: Anterior nasal packing with merocel wrapped surgical is both effective and safe in the management and control of bleeding, as well as more preventive of recurrent attacks than merocel alone in epistaxis patients.
Key words: Epistaxis; Merocel; surgicel.