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Comparison Study of the Use of Absorbable Materials as Internal Splints with Airway Silicone Splint and Absorbable Materials as Internal Splints Alone

  • Ji, So Young (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Kim, Seung Soo (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Park, Ki Sung (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Baik, Bong Soo (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital)
  • 투고 : 2016.09.02
  • 심사 : 2016.12.14
  • 발행 : 2016.12.20

초록

Background: Packing after closed reduction of nasal fracture causes uncomfortable nasal obstruction in patients. We packed the superior meatus with synthetic polyurethane foam (SPF) to support the nasal bone, and packed the middle nasal meatus with a nasal airway splint (NAS) and SPF. The aim of this article is prospectively to compare the subjective patient discomfort of SPF (Nasopore Forte plus) packing alone and SPF with NAS. Methods: We compared the prospectively subjective patient discomfort of SPF packing alone (group A) and SPF with NAS (group B) via visual analog scale (VAS; 0, no symptom; 100, most severe symptom). Results: At first postoperative day group B showed significant lower scores in dry mouth, sleep disturbance, conversation difficulty. However at third postoperative day, VAS scores of each group had no statistically significant differences. Moreover at fifth postoperative day group A had statistically significant lower scores for nasal pain, dry mouth than the group B. Conclusion: Combination method of using NAS and SPF have some advantage on the patient comfort from first postoperative day to third postoperative day.

키워드

참고문헌

  1. Moon SH, Baek SO, Jung SN, Seo BF, Lee DC, Kwon H. Efficacy of biodegradable synthetic polyurethane foam for packing nasal bone fractures. J Craniofac Surg 2012;23:1848-50. https://doi.org/10.1097/SCS.0b013e31826b8247
  2. Yi CR, Kim YJ, Kim H, Nam SH, Choi YW. Comparison study of the use of absorbable and nonabsorbable materials as internal splints after closed reduction for nasal bone fracture. Arch Plast Surg 2014;41:350-4. https://doi.org/10.5999/aps.2014.41.4.350
  3. Kim HY, Kim SR, Park JH, Han YS. The usefulness of nasal packing with vaseline gauze and airway silicone splint after closed reduction of nasal bone fracture. Arch Plast Surg 2012;39:612-7. https://doi.org/10.5999/aps.2012.39.6.612
  4. Choi DS, Lee JW, Yang JD, Chung HY, Cho BC, Choi KY. Minimal packing duration in close reduction for nasal bone fracture treatment. J Plast Surg Hand Surg 2015;49:275-9. https://doi.org/10.3109/2000656X.2015.1034726

피인용 문헌

  1. Improving Postoperative Nasal Airway Patency in Le Fort-Based, Maxillofacial Trauma Patients Via a Modified Nasal Packing Technique vol.29, pp.5, 2016, https://doi.org/10.1097/scs.0000000000004491