Comparison of the effect of aerosolized fibrin sealant and biodegradable synthetic polyurethane foam on hemostasis and wound healing after endoscopic sinus surgery: a prospective randomized study

2017 ◽  
Vol 7 (11) ◽  
pp. 1089-1094 ◽  
Author(s):  
Moon Sik Jung ◽  
Chang Hwan Choi ◽  
Myeong Sang Yu
2003 ◽  
Vol 128 (6) ◽  
pp. 862-869 ◽  
Author(s):  
Robert Sean Miller ◽  
David L Steward ◽  
Thomas A Tami ◽  
Michael J Sillars ◽  
Allen M Seiden ◽  
...  

2019 ◽  
Vol 33 (5) ◽  
pp. 531-539
Author(s):  
Brett T. Comer ◽  
Kristan P. Alfonso ◽  
Edward J. Doyle ◽  
James A. Gallogly ◽  
Matthew C. Simpson ◽  
...  

Background There currently are no randomized studies examining if absorbable hemostatic packing (AHP) results in better objective and subjective outcomes than physiologic healing in sinus surgery with or without septoplasty. Objective The objective of this study is to examine outcomes after functional endoscopic sinus surgery (FESS) with or without septoplasty with the use of AHP versus physiologic hemostasis and healing. Methods A prospective randomized control trial was performed at 2 tertiary academic institutions. Fifty-nine patients undergoing bilateral FESS with or without septoplasty were enrolled and randomized to receive AHP in 1 middle meatus and no packing contralaterally. Subjective outcomes (pain, bleeding, obstruction, discharge) on self-reported visual analog scale questionnaires were tabulated on postoperative days 0, 1, 7, and 14 by the patient. Endoscopic outcomes (synechiae formation, edema, infection, granulation, debridement, crusting) were measured at 1 week, 2 weeks, and 6 weeks postoperatively by their surgeon. Results No significant differences were identified in subjective or endoscopic outcomes with AHP use. Concurrent septoplasty patients with AHP experienced no sustainable difference in subjective or endoscopic outcomes compared to septoplasty control. No sustainable differences were found among the types of AHP or the 2 surgeons. Conclusion This first reported prospective randomized study of patients with nonstrict selection criteria found AHP made no significant difference on subjective and objective postoperative outcomes as compared to physiologic hemostasis. Previous AHP-specific studies have shown differences in carefully selected patient groups. Generalizing study-proved benefits of specific AHP to all AHP is shown to be not appropriate.


2012 ◽  
Vol 76 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Sonia Gulati ◽  
Ashia Qureshi ◽  
Anurag Srivastava ◽  
Kamal Kataria ◽  
Pratik Kumar ◽  
...  

2010 ◽  
Vol 24 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Rowan Valentine ◽  
Theo Athanasiadis ◽  
Stephen Moratti ◽  
Lyall Hanton ◽  
Simon Robinson ◽  
...  

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