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1 Engineering of Biomaterials

1 2023

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Comparative assessment of intranasal dressings made of various types of biomaterials, applied after functional endoscopic sinus surgery

Maou Azad, Likus Wirginia, Długosz-Karbowska Anna, Pilch Jan, Markowski Jarosław

Engineering of Biomaterials

2023

vol. 26, no. 171

18--22

The aim of the study was to make a comparative evaluation of four different types of intranasal dressings made from various types of biomaterials (three original dressings manufactured by various commercial suppliers, and the fourth one, in the form of nasal tamponage by means of a seton in a latex glove finger cot), concerning their efficacy as regards haemostatic action, assessment of postoperative pain, as well as proneness to the occurrence of postoperative adhesions. All patients who were qualified for the study were operated on in the ENT Department, Medical University of Silesia in Katowice, Poland, due to chronic bilateral inflammation of the para-nasal sinuses, confirmed by computer tomography of the sinuses. A total of 180 patients were qualified for the study. After surgery, 4 different kinds of intranasal haemostatic dressings were applied. The results were analyzed in three categories: effectiveness in the field of haemostatic activity, postoperative pain assessment (Visual Analog Scale, VAS), and assessment of the tendency to develop postoperative adhesions. Statistical analysis revealed no statistically significant differences between the 4 types of dressings in both haemostatic efficacy (p = 0.97) and the occurrence of postoperative adhesions (p = 0.84). Analysis of the intensity of pain according to the VAS scale indicated that it did not differ between the analyzed groups, both during the application of dressing (mild pain) and on the second day after the operation (medium intensity pain) – p = 0.30 and p = 0.39, respectively. No advantage has been demonstrated for any of the 4 analysed types of intranasal haemostatic dressings over any other. Their properties turn out to be comparable.