Factors influencing residual plus moist HS-W calcium alginate packing material after endoscopic sinus surgery
Kazuhiro Nomura1, Tomotaka Hemmi1, Mitsuru Sugawara1
1Department of Otolaryngology, Tohoku Kosai Hospital, 2-3-11 Kokubun-cho, Aoba-ku, Sendai-shi, Miyagi 980-0803, Japan.
Objective:
This study aims to evaluate the presence of residual Plus Moist HS-W (PM), a novel calcium alginate packing material, during the initial postoperative visit following endoscopic sinus surgery. The research aims to identify factors that influence the quantity of remaining PM.
Methods:
A retrospective review of medical records was conducted for patients who underwent middle meatus packing with PM.
Results:
A total of fifty-two patients (representing 92 sides of paranasal sinuses) were included in the analysis. The remaining PM was classified as follows: absent (0) in 41 out of 92 cases, minimal (1) in 22 out of 92 cases, moderate (2) in 15 out of 92 cases, and substantial (3) in 14 out of 92 cases. Notably, all three patients who underwent Draf III surgery exhibited a significant amount of PM during their initial visit, with two patients classified as grade 2 and one patient as grade 3. Other factors investigated were found to be unrelated to the persistence of PM. Removal of all PM was achieved effortlessly using suction under flexible endoscopy.
Conclusion:
This study highlights the efficacy of PM in post-endoscopic sinus surgery care. It is important to limit an amount of PM, particularly in Draf III procedures.
Insights
Residual Plus Moist HS-W (PM) packing material is effective after endoscopic sinus surgery. However, limiting PM amount is crucial, especially for Draf III procedures, to minimize postoperative presence.
Area of Science:
- Otolaryngology
- Surgical Materials Science
Background:
- Endoscopic sinus surgery (ESS) often requires nasal packing for hemostasis and support.
- Novel packing materials are continuously evaluated for improved postoperative outcomes.
Purpose of the Study:
- To assess the residual amount of Plus Moist HS-W (PM), a calcium alginate packing material, after ESS.
- To identify factors influencing the quantity of residual PM in the postoperative period.
Main Methods:
- Retrospective chart review of patients undergoing middle meatus packing with PM.
- Classification of residual PM based on quantity (absent, minimal, moderate, substantial).
Main Results:
- Fifty-two patients (92 sinuses) were analyzed.
- PM was absent in 41.3%, minimal in 23.9%, moderate in 16.3%, and substantial in 15.2% of cases.
- All three patients undergoing Draf III surgery had significant residual PM (grades 2 or 3).
Conclusions:
- Plus Moist HS-W (PM) demonstrates efficacy in post-ESS care.
- Limiting PM quantity is advisable, particularly for Draf III procedures, to reduce residual material.
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