Using Surgicel-wrapped Merocel to reduce pain during the removal of nasal packing

Abstract

Background

Merocel is a commonly used material for nasal packing; nevertheless, the majority of patients experience pain when the nasal packing is removed.

Aims/Objectives: 

This study aims to introduce a novel technique for nasal packing using Surgicel-wrapped Merocel.

Material and Methods

Patients who underwent septoplasty received either Merocel or Surgicel-wrapped Merocel as nasal packing. Clinical complications related to bleeding and subjective symptoms associated with the packing materials were assessed.

Results

Between 2018 and 2021, a total of thirty-three patients with a deviated nasal septum underwent septoplasty. Among them, eight patients received Merocel nasal packing, while twenty-five patients were treated with the new nasal packing technique involving Surgicel-wrapped Merocel. We observed a significant reduction in pain during removal in the Surgicel-wrapped Merocel group compared to the Merocel group (p = .008). However, no significant differences were noted in other discomforts related to packing or bleeding after removal between these two groups.

Conclusions and Significance:

Using Surgicel-wrapped Merocel as nasal packing following septoplasty is an effective method to alleviate pain during removal.

Chinese Abstract

背景

高膨胀止血棉是一种常用的鼻腔填塞材料； 然而, 大多数患者在去除鼻腔填塞物时会感到疼痛。

目的

本研究旨在介绍一种使用止血纱布包裹的高膨胀止血棉的鼻腔填塞新技术。

材料和方法

鼻中隔成形术患者接受高膨胀止血棉 或 止血纱布包裹的高膨胀止血棉用作鼻腔填塞。 评估与出血相关的临床并发症和与包装材料相关的主观症状。

结果

2018年至2021年间, 共有33名鼻中隔偏曲患者接受了鼻中隔成形术。其中, 8 名患者接受了高膨胀止血棉鼻填塞, 25 名患者接受了用止血纱布包裹的高膨胀止血棉的鼻腔填塞新技术治疗。我们观察到, 与高膨胀止血棉组相比, 止血纱布包裹的高膨胀止血棉组在除去过程中的疼痛显著减轻(p=.008)。 然而, 两组之间去除之后与填塞或出血相关的其它不适并没有显著差异。

结论和意义

使用止血纱布包裹的高膨胀止血棉作为鼻中隔成形术后的鼻填塞是一种减轻去除鼻腔填塞物过程中的疼痛并防止去除后更多出血的有效方法。

Keywords:

• Nasal surgical procedures
• nasal septum
• surgicel
• pain

Disclosure statement

No potential conflict of interest was reported by the author(s). The authors have no financial relationships or conflicts of interest related to this work.

Data availability statement

The data supporting the findings of this study are available within the article. Additional clinical data are available from the corresponding author upon reasonable request.

Additional information

Funding

This work was supported in part by the National Science and Technology Council (NSTC 112-2314-B-075-010) and Taipei Veterans General Hospital (V112C-148).