Triamcinolone Impregnated Nasal Pack in Endoscopic Sinus Surgery: Our Experience

Area of Science:

• Otolaryngology
• Surgical Innovation
• Pharmacology

Background:

• Postoperative complications following Endoscopic Sinus Surgery (ESS) remain a concern.
• Effective nasal packing strategies are crucial for preventing complications and recurrence.

Purpose of the Study:

• To evaluate the efficacy of Triamcinolone-impregnated nasal packs in preventing postoperative complications after ESS.
• Assessing the impact on crusting, edema, infection, and recurrence.

Main Methods:

• An interventional randomized placebo-controlled study involving 75 patients with chronic rhinosinusitis.
• Comparison of Triamcinolone-soaked Merocel packs versus saline-soaked Merocel packs in a bilateral ESS setting.
• Evaluation of outcomes using the Endoscopic Staging System at multiple follow-up intervals.

Main Results:

• Significant reduction in mucosal edema observed in the Triamcinolone group across all follow-up stages (p<0.05).
• Lower incidence of crusting in the Triamcinolone group, except at 3 months (p<0.05).
• No significant difference in polypoidal changes or mucosal discharge between groups.

Conclusions:

• Triamcinolone-impregnated nasal packing is effective in reducing early postoperative complications after ESS.
• This method shows potential for improving recovery and reducing adverse events post-sinus surgery.