Advances in Absorbable Biomaterials and Nasal Packing

Otolaryngol Clin North Am. 2017 Jun;50(3):545-563. doi: 10.1016/j.otc.2017.01.006. Epub 2017 Mar 9.

Abstract

Nasal biomaterials have been developed to improve postoperative outcomes after functional endoscopic sinus surgery (FESS). These products have been designed to overcome certain common complications in FESS, and to maximize patient comfort. This article evaluates the performance of nonabsorbable and absorbable packing with respect to these outcomes. The collected trials suggest superior performance of bioabsorbable packs compared with absorbable packs with respect to patient comfort. For hemostasis and wound healing, variation in performance metrics makes interstudy comparison difficult. Before further trials are conducted, consensus must be reached among rhinologists as to the proper method of evaluating these products.

Keywords: Absorbable; Chronic rhinosinusitis; Nasal biomaterials; Packing; Removable; Sinus surgery.

Publication types

  • Review

MeSH terms

  • Biocompatible Materials
  • Endoscopy / adverse effects*
  • Epistaxis / etiology
  • Epistaxis / therapy*
  • Hemostatic Techniques*
  • Humans
  • Patient Comfort
  • Postoperative Complications / prevention & control
  • Postoperative Complications / therapy*
  • Randomized Controlled Trials as Topic
  • Rhinitis / surgery
  • Sinusitis / surgery
  • Tampons, Surgical*
  • Wound Healing

Substances

  • Biocompatible Materials