The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

نویسندگان

  • Hyo Young Kim
  • Sin Rak Kim
  • Jin Hyung Park
  • Yea Sik Han
  • Yong-Ha Kim
چکیده

BACKGROUND Packing after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively identify whether this method not only enables nasal respiration but also sufficiently supports the reduced nasal bone. METHODS Nasal ventilation was measured via spirometry 1 day before surgery and compared to 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2 plastic surgeons assessed the displacementon X-rays taken after the surgery and after removing the packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, and swallowing difficulty were compared with visual analog scales (VAS) on a pre-discharge survey. RESULTS In the experimental group, the nasal respiration volume 1 day after surgery remained at 71.3%±6.84% on average compared to 1 day prior to surgery. Support of the reduced bone in the experimental group (2.80±0.4) was not significantly different from the control group (2.88±0.33). The VAS scores for all survey items were lower in the experimental group than in the control group, where a lower score indicated a lower level of inconvenience. CONCLUSIONS The nasal cavity packing described here maintained objective measures of nasal respiration and supported the reduced bone similar to conventional methods. Maintaining nasal respiration reduced the inconvenience to patients, which demonstrates that this packing method is useful.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison Study of the Use of Absorbable Materials as Internal Splints with Airway Silicone Splint and Absorbable Materials as Internal Splints Alone

BACKGROUND Packing after closed reduction of nasal fracture causes uncomfortable nasal obstruction in patients. We packed the superior meatus with synthetic polyurethane foam (SPF) to support the nasal bone, and packed the middle nasal meatus with a nasal airway splint (NAS) and SPF. The aim of this article is prospectively to compare the subjective patient discomfort of SPF (Nasopore Forte plu...

متن کامل

Efficacy of closed reduction surgery on treatment of nasal bone fracture in admitted patients to Shahid Bahonar Hospital, Kerman, Iran

BACKGROUND AND AIM: Nasal fracture is one of the most common facial fractures and the main goal of this study was evaluation of closed reduction surgery of nasal bone fractures.METHODS: Thirty six patients including 24 male and 12 female patients suffered from nasal bone fractures were treated by closed reduction method. Preoperative and postoperative computed tomographic scans were analyzed by...

متن کامل

Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture

BACKGROUND The authors sought to compare the use of the nonabsorbable polyvinyl alcohol sponge (PVA, Merocel) and absorbable synthetic polyurethane foam (SPF, Nasopore Forte plus) as intranasal splints after closed reduction of fractured nasal bones during the hospitalization period. METHODS The medical records of 111 patients who underwent closed reduction for nasal bone fracture at Sanggye ...

متن کامل

The Effect of Intranasal Pressure on Intraocular Pressure

Purpose: The aim of this study was to evaluate intraocular pressure (IOP) after the application of the nasal packing for sinonasal surgery. Methods: A total of 40 patients who underwent sinonasal surgery were enrolled in this prospective study. Patients were randomly assigned into two groups: gauze packing (group 1) and silicone nasal septal splint (group 2). All participants completed a compre...

متن کامل

Do silicone nasal septal splints with integral airway reduce postoperative eustachian tube dysfunction?

OBJECTIVE This study aims to compare the effects of Merocel nasal packs and silicone nasal septal splints with integral airway on the ventilation and pressure of the middle ear when applied intranasally after septoplasty for isolated septal deviation. STUDY DESIGN A prospective, randomized trial. SETTING A tertiary referral center. SUBJECTS AND METHODS Fifty-one patients who underwent sep...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 39  شماره 

صفحات  -

تاریخ انتشار 2012