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The pain of nasal tampon removal after nasal surgery: a randomized control trial
Neil Chheda1, Arnold E Katz, Lori Gynizio
1Department of Surgery, State University of New York at Stony Brook, Stony Brook, NY, USA.
Objective:
The purpose of this study was to compare the pain and discomfort associated with the removal of two commercially available nasal tampons after nasal surgery.
Study Design:
Prospective, paired, randomized clinical trial.
Subjects:
Consecutive, consenting, adult patients undergoing nasal surgery.
Interventions:
The nose was packed with a Rapid Rhino tampon (Applied Therapeutics, Tampa, FL) on one side and a Rhino Rocket tampon (Shippert Medical Technologies Corporation, Centennial, CO) on the other.
Outcomes:
The pain of packing removal was assessed with a validated 100-mm visual analog scale. Patient satisfaction was measured on a Likert scale from 1 to 5.
Results:
In all 13 patients, the pain of removal was greater with the Rhino Rocket Tampon (82.7 +/- 20.9 mm) than with the Rapid Rhino tampon (12.0 +/- 11.9 mm); the mean difference was 70.7 mm (95% confidence interval [CI], 47.1-78.2 mm; P < 0.0001). Patient satisfaction was significantly higher with the Rapid Rhino nasal tampon (4.6 +/- 1.1 vs 1.5 +/- 0.7; mean difference 3.1 [95% CI, 2.6-3.6]; P < 0.001).
Conclusions:
Removal of the Rapid Rhino nasal tampon was significantly less painful and was associated with higher patient satisfaction than the removal of the Rhino Rocket nasal tampon.
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