The benefits of hypopharyngeal packing in nasal surgery: a pilot study.
Summary of "The benefits of hypopharyngeal packing in nasal surgery: a pilot study."
BACKGROUND:
Hypopharyngeal packs are used in nasal surgery to reduce the risk of aspiration and postoperative nausea and vomiting. Side effects associated with their use range from throat pain to retained packs postoperatively.
AIM:
To evaluate, as a pilot study, postoperative nausea/vomiting and throat pain scores for patients undergoing nasal surgery in whom a wet or dry hypopharyngeal pack was placed compared with patients who received no packing.
METHODS:
A randomized, double-blind prospective trial in a general ENT unit.
RESULTS:
The study failed to show a statistically significant difference between the three groups in terms of their postoperative nausea/vomiting and throat pain scores at 2 and 6 h postoperatively. This is the first study in which dry packs have been compared with wet and absent packs.
CONCLUSION:
Based on our findings, the authors recommend against placing hypopharyngeal packs for the purpose of preventing postoperative nausea and vomiting.
Affiliation
C/O Department of ENT, South Infirmary and Victoria Hospital, Old Blackrock Road, Cork, Ireland, bfennessy@rcsi.ie.
Journal Details
This article was published in the following journal.
Name: Irish journal of medical science
ISSN: 1863-4362
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21110138
- DOI: http://dx.doi.org/10.1007/s11845-010-0601-4
Medical and Biotech [MESH] Definitions
Pilot Projects
Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.
Otorhinolaryngologic Surgical Procedures
Surgery performed on the ear and its parts, the nose and nasal cavity, or the throat, including surgery of the adenoids, tonsils, pharynx, and trachea.
Nasal Lavage Fluid
Fluid obtained by irrigation or washout of the nasal cavity and NASAL MUCOSA. The resulting fluid is used in cytologic and immunologic assays of the nasal mucosa such as with the NASAL PROVOCATION TEST in the diagnosis of nasal hypersensitivity.
Nasal Cavity
The proximal portion of the respiratory passages on either side of the NASAL SEPTUM. Nasal cavities, extending from the nares to the NASOPHARYNX, are lined with ciliated NASAL MUCOSA.
Nasal Provocation Tests
Application of allergens to the nasal mucosa. Interpretation includes observation of nasal symptoms, rhinoscopy, and rhinomanometry. Nasal provocation tests are used in the diagnosis of nasal hypersensitivity, including RHINITIS, ALLERGIC, SEASONAL.
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