A survey of postoperative nasal packing among UK ENT surgeons

Eur Arch Otorhinolaryngol. 2009 Oct;266(10):1575-7. doi: 10.1007/s00405-009-0978-8. Epub 2009 Apr 17.

Abstract

Packing of the nasal cavity following routine nasal surgery is a common but controversial practice. We aimed to evaluate nasal packing practices among UK ENT consultants for common nasal operations. A questionnaire was sent to 648 consultant ENT surgeons regarding their packing practice in patients undergoing nasal surgery. Data were collected regarding rhinology subspecialty interest, number of nasal operations performed per year, likelihood of packing for six common nasal procedures, and types of pack used. In all, 282 (43.5%) replies were received. Fifty-four (78.3%) rhinologists claimed to perform >100 nasal operations per year versus 64 (31.8%) non-rhinologists (P < 0.005). For specific operations, there was a universal trend towards less routine packing (>70% frequency) in the rhinologist group (P < 0.005). Surgeons who specified a subspecialty interest in rhinology packed significantly less often than the non-rhinologists for common nasal operations. There was great variation in the type of pack favoured by different surgeons.

Publication types

  • Comparative Study

MeSH terms

  • Alginates / administration & dosage
  • Bandages
  • Bismuth / administration & dosage
  • Data Collection
  • Drug Combinations
  • Formaldehyde / administration & dosage
  • Glucuronic Acid / administration & dosage
  • Hematoma / prevention & control
  • Hemostatics / administration & dosage
  • Hexuronic Acids / administration & dosage
  • Humans
  • Hydrocarbons, Iodinated / administration & dosage
  • Nasal Septum / surgery
  • Petrolatum / administration & dosage
  • Polyvinyl Alcohol / administration & dosage
  • Postoperative Care / statistics & numerical data*
  • Postoperative Complications / prevention & control*
  • Postoperative Hemorrhage / prevention & control
  • Rhinoplasty / statistics & numerical data*
  • Surveys and Questionnaires
  • Tampons, Surgical / statistics & numerical data*
  • Tissue Adhesions / prevention & control
  • United Kingdom
  • Utilization Review / statistics & numerical data

Substances

  • Alginates
  • Drug Combinations
  • Hemostatics
  • Hexuronic Acids
  • Hydrocarbons, Iodinated
  • bismuth iodoform paraffin paste
  • jelonet
  • Formaldehyde
  • polyvinyl alcohol formaldehyde foam
  • Petrolatum
  • Glucuronic Acid
  • Polyvinyl Alcohol
  • Bismuth