| Comparison of Calcium Alginate and Polyurethane Foam Used as Nasal Packings after Endonasal Dacryocystorhinostomy. |
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Seonghee Choi, Yuri Seo, Jae Sang Ko, Young Jin Song, Jin Sook Yoon |
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The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. yoonjs@yuhs.ac |
| 코경유눈물주머니코안연결술 시 calcium alginate와 polyurethane foam의 효과 비교 |
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최성희⋅서유리⋅고재상⋅송영진⋅윤진 |
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연세대학교 의과대학 안과학교실 시기능개발연구소 |
Correspondence:
Jin Sook Yoon,
Email: yoonjs@yuhs.ac
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Received: 16 November 2017 • Revised: 25 December 2017 • Accepted: 20 February 2018 |
| Abstract |
PURPOSE
To compare the effectiveness of calcium alginate (Algi-pack®)and polyurethane foam (Nasopore®), two types of absorbable packing used for nasal packing after endonasal dacryocystorhinostomy. METHODS: We performed a retrospective chart review of 128 eyes of patients who underwent endonasal dacryocystorhinostomy from January 2008 to July 2016. Algi-pack® was used to pack 42 eyes and Nasopore® in 86 eyes. We compared the two groups in terms of pain on postoperative day 2; the re-bleeding frequency within 1 week; anatomical and functional success rates 3 months after surgery; and the frequencies of postoperative complications including synechiae, granulomas, and membrane formation at 3 months postoperatively. RESULTS: There was no significant difference between the Algi-pack® and Nasopore® groups in terms of postoperative pain or re-bleeding rate (pain: 73.8% vs. 83.7%, p = 0.38; re-bleeding: 4.8% vs. 5.8%, p = 0.058). There was no significant between-group difference in terms of the formation of synechiae, granulomas, or membranes to 3 months postoperatively (granulomas: 33.3% vs. 29.1%, p = 0.62; synechiae: 1.2% vs. 4.8%, p = 0.21; membranes: 19.0% vs. 12.8%, p = 0.35). The functional and anatomical success rates evaluated 3 months after surgery also did not differ significntly between the two groups (anatomical success: 100% vs. 97.7%, p = 0.32; functional success: 100% vs. 95.3%, p = 0.16). CONCLUSIONS: Algi-pack® and Nasopore® equivalently suppressed bleeding after endonasal dacryocystorhinostomy and did not differentially affect the surgical success rate or the frequency of postoperative complications. |
| Key Words:
Calcium alginate;Endoscopic dacryocystorhinostomy;Nasal packing |
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