비중격성형술 후 Carboxymethyl Cellulose 시트로 둘러싼 Polyvinyl Acetate의 비 패킹 재료로서 유용성 (Effectiveness of Polyvinyl Acetate Sheeted with Carboxymethyl Cellulose as a Packing Material after Septoplasty)

Background and Objectives: Although polyvinyl acetate (Merocel®) has been widely used as a packing material after septoplasty,removable nasal packing can increase patient discomfort, local pain, and pressure. Furthermore, the removal of nasalpacking has been described as the most uncomfortable and distressing feature associated with septoplasty. The purpose of thisstudy was to investigate the efficacy of polyvinyl acetate with carboxymethyl cellulose sheet (Rhinocel®) nasal packing on patientsubjective symptoms, degree of bleeding, hemostasis, and wound healing following septoplasty.
Subjects and Method: Forty patients with nasal septum deviation requiring septoplasty were included. Following surgery,one nasal cavity was packed with Rhinocel® and the other one with Merocel®. Patient subjective symptoms while the packing wasin situ, hemostatic properties, pain on removal, degree of bleeding on removal, duration of hemostasis after removal, postoperativewound healing, and the cost of the pack were evaluated.
Results: Although the two types of packing materials were equally effective in controlling postoperative bleeding after septoplasty,Rhinocel® was significantly more comfortable while in situ and less painful on removal than Merocel®, which was associatedwith significantly more bleeding on removal and so more time was needed to control hemorrhage. There was no significantdifference in postoperative wound healing or pack cost.
Conclusion: The use of Rhinocel® after septoplasty has less discomfort, greater patient satisfaction, and less bleeding on removalwith no adverse reactions compared to Merocel® packing. Therefore, Rhinocel® may be a useful packing material afterseptoplasty.

Background and Objectives: Although polyvinyl acetate (Merocel®) has been widely used as a packing material after septoplasty,removable nasal packing can increase patient discomfort, local pain, and pressure. Furthermore, the removal of nasalpacking has been described as the most uncomfortable and distressing feature associated with septoplasty. The purpose of thisstudy was to investigate the efficacy of polyvinyl acetate with carboxymethyl cellulose sheet (Rhinocel®) nasal packing on patientsubjective symptoms, degree of bleeding, hemostasis, and wound healing following septoplasty.
Subjects and Method: Forty patients with nasal septum deviation requiring septoplasty were included. Following surgery,one nasal cavity was packed with Rhinocel® and the other one with Merocel®. Patient subjective symptoms while the packing wasin situ, hemostatic properties, pain on removal, degree of bleeding on removal, duration of hemostasis after removal, postoperativewound healing, and the cost of the pack were evaluated.
Results: Although the two types of packing materials were equally effective in controlling postoperative bleeding after septoplasty,Rhinocel® was significantly more comfortable while in situ and less painful on removal than Merocel®, which was associatedwith significantly more bleeding on removal and so more time was needed to control hemorrhage. There was no significantdifference in postoperative wound healing or pack cost.
Conclusion: The use of Rhinocel® after septoplasty has less discomfort, greater patient satisfaction, and less bleeding on removalwith no adverse reactions compared to Merocel® packing. Therefore, Rhinocel® may be a useful packing material afterseptoplasty.