Chapters authored
Nasal Packing after Functional Endoscopic Sinus Surgery
This chapter was to have a systematic review and meta‐analysis on the available literature in order to compare the efficacy and postoperative outcomes of nasal packing (absorbable vs. nonabsorbable) after treatment of chronic rhinosinusitis with functional endoscopic sinus surgery (FESS). The systematic review included five studies with 241 nasal cavities in each treatment group. The prevalence of synechia in the absorbable groups ranged from 4.6 to 8.0% while nonabsorbable groups ranged from 8.0 to 35.7%. The absorbable group had a lower postoperative bleeding; however, there were no clear findings on postoperative pain. Postoperative edema was in general similar among groups, and no consistent findings were found on bleeding and pain while removing packing. The meta‐analysis included two studies using the same type of packing material. The combined OR (0.33, 95% CI = 0.04–2.78) for postoperative synechia did not significantly favor (P = 0.016308) absorbable packing over nonabsorbable packing. The available literature showed that there is some evidence that absorbable nasal packing may provide superior outcomes to nonabsorbable packing after FESS. However, lack of homogeneity between these studies makes it impossible to have a definitive conclusion.
Part of the book: Paranasal Sinuses