J Korean Ophthalmol Soc > Volume 56(5); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(5):656-663.
DOI: https://doi.org/10.3341/jkos.2015.56.5.656    Published online May 15, 2015.
The Clinical Efficacy of Cutanplast(R) Nasal Packing after Endonasal Dacryocystorhinostomy.
Young Jin Kim, Jae Wook Yang
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. eyeyang@inje.ac.kr
2Therapeutics Center for Ocular Neovascular Disease, Busan, Korea.
코경유 눈물주머니코안연결술 시 큐탄플라스트 사용의 임상적 효과
인제대학교 의과대학 부산백병원 안과학교실1, 안신생혈관질환 치료기술개발센터2
The purpose of this study was to investigate the clinical efficacy of Cutanplast(R) nasal packing after endonasal dacryocystorhinostomy. METHODS: The present study included a total of 76 adult patients (98 eyes) with primary acquired nasolacrimal duct obstruction who underwent endonasal dacryocystorhinostomy. Fifty-four eyes were packed with Cutanplast(R) and 44 eyes were packed with Merocel(R). Patient discomfort while the packing was in situ, degree of bleeding during the day after operation, functional and anatomical success rate, and postoperative complications such as synechiae, granulation, wound healing (osteal mucosal epithelium epithelization), and revision rate were compared between the packing materials. RESULTS: The Cutanplast(R) was significantly more comfortable and effective at preventing hemorrhage after endonasal dacryocystorhinostomy during the day following the operation. There was no significant difference between the two groups in postoperative anatomical and functional surgical success rate at 1 week, 1 month and 3 months. In comparison with postoperative complications, the Cutanplast(R) group showed a lower incidence of delayed wound healing (delayed epithelialization of the osteal mucosal epithelium) than the Merocel(R) group, whereas there was no difference in granulation, synechiae, or revision rate. CONCLUSIONS: The Cutanplast(R) nasal pack resulted in significantly less discomfort and less bleeding compared to the Merocel(R) nasal pack. Moreover, the Cutanplast(R) showed a lower proportion of delayed wound healing after endonasal dacryocystorhinostomy and had the advantage of low cost compared to other hemostatic nasal packing materials. Therefore, Cutanplast(R) nasal packing after endonasal dacryocystorhinostomy can be considered a comfortable, cost-effective and clinically-effective method.
Key Words: Absorbable nasal packing;Cutanplast(R);Endonasal dacryocystorhinostomy;Wound healing

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