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Wedge-shape Merocel Pack After Functional Endoscopic Sinus Surgery: Our Experience With 697 Patients
Haitham Odat1, Mohannad Al-Qudah1, Wisam Al-Gargaz1
1Division of Otolaryngology, Department of Special Surgery. Jordan University of Science and Technology, King Abdullah University Hospital. Irbid, Jordan.
Medical Archives (Sarajevo, Bosnia and Herzegovina)
|September 6, 2021
Summary
Wedge-shaped Merocel packing after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS) is effective. This method is economical, reduces bleeding, and prevents complications like adhesions and turbinate lateralization.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Rhinology
Background:
- Chronic rhinosinusitis (CRS) affects 7-27% of the population, characterized by persistent sinus inflammation.
- It is a common condition frequently managed in clinical practice.
- Medical treatment often fails, necessitating surgical intervention.
Purpose of the Study:
- To assess the long-term efficacy of wedge-shaped Merocel packing in the middle meatus post-FESS for CRS.
- Evaluate the safety and complication profile of this packing method.
Main Methods:
- Retrospective review of adult CRS patients undergoing FESS with Merocel packing.
- Analysis of demographic data, comorbidities (nasal polyps, asthma), and surgical outcomes.
- Key outcomes included postoperative bleeding, middle meatal adhesions, and turbinate lateralization.
Main Results:
- 697 patients (1394 sides) were analyzed; 32% had CRS with polyps, 27% had asthma.
- Postoperative pain was tolerable; no pre-scheduled pack removals were needed.
- A low rate of middle meatal adhesions (4.9%) and no infectious complications were observed. Minor bleeding was easily managed.
Conclusions:
- Wedge-shaped Merocel packing is an effective, economical, and readily available option for middle meatal packing after FESS.
- It helps minimize early postoperative bleeding and supports the middle turbinate, reducing lateralization and adhesion formation.
