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[Calcium alginate as a nasal pack].

C A Milford1, N R Bleach, R M Sudderick

  • 1Charing Cross Hospital, E.N.T. Department, London, United Kingdom.

Revue De Laryngologie - Otologie - Rhinologie
|January 1, 1991
PubMed
Summary

Calcium alginate and Telfa are both effective postoperative nasal packs for controlling bleeding. This study found no significant difference in complications between the two materials, indicating calcium alginate is a safe alternative.

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Area of Science:

  • Biomaterials Science
  • Surgical Innovation
  • Otolaryngology

Background:

  • Alginates are known for their absorbent and gel-forming properties.
  • Alginates possess inherent haemostatic capabilities, useful in surgical applications.
  • Nasal packing is crucial for managing postoperative bleeding and healing.

Purpose of the Study:

  • To compare the efficacy and safety of calcium alginate versus Telfa as a postoperative nasal pack.
  • To evaluate postoperative bleeding control and complication rates for both nasal packing materials.
  • To determine if calcium alginate offers a viable alternative to conventional Telfa packing.

Main Methods:

  • A prospective randomized clinical trial was conducted.
  • Eighty-two patients (55 males, 27 females; age range 13-74 years) were enrolled.

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  • Immediate postoperative bleeding was assessed, and complication incidence was compared between groups.

    • Main Results:

    • Immediate postoperative bleeding was successfully controlled in all patients, regardless of the packing material used.
    • No statistically significant difference was observed in the incidence of postoperative complications between the calcium alginate and Telfa groups.
    • Both calcium alginate and Telfa demonstrated comparable safety and efficacy profiles.

    Conclusions:

    • Calcium alginate serves as a safe and effective alternative for postoperative nasal packing.
    • The study supports the use of calcium alginate in nasal surgeries where haemostasis and patient comfort are paramount.
    • Further research could explore long-term outcomes and patient-reported satisfaction with calcium alginate nasal packs.