Comparing Efficacy of Surgicel ® Application with Nasal Packing in Epistaxis

Aim: To evaluate the efficacy and tolerability of Surgicel ® application with transseptal suturing in epistaxis. Methods: Thirty-four patients who underwent therapy for epistaxis from Kiesselbach’s area, between January 2015 and August 2016, were retrospectively analyzed. As a treatment modality, anterior nasal packing (Merocel® tampon with airway) was inserted to 18 patients, and transseptal suturing combined with the Surgicel ® application was performed in 16 patients. The pain experienced during the procedure and compliance of the patients was evaluated using the NRS-11 morbidity scale that was administered during the control visits. Results: No significant difference was identified between the two groups regarding the efficacy of bleeding control. Transseptal suturing combined with the Surgicel ® application was tolerated better and had lower morbidity compared to nasal packing. Conclusion: This study showed that transseptal suturing with the Surgicel ® application is an effective and well-tolerated procedure in the treatment of anterior epistaxis.

Surgicel ® kullanımının epistaksis kontrolünde nazal tampon ile karşılaştırılması

Amaç: Transseptal sütürasyon ile Surgicel ® tatbikinin burun kanamasındaki etkinliğinin ve tolere edilebilirliğinin belirlenmesi. Metod: Ocak 2015 ile Ağustos 2016 tarihleri arasında Kiesselbach bölgesinden kanaması tespit edilen ve tedavi edilen hastalar retrospektif olarak tarandı. Tedavide anterior nazal tampon (Merocel®) uygulanmış 18 hasta, transseptal sütürasyon ile Surgicel ® tatbiki yapılmış olan 16 hasta çalışmaya dahil edildi. Hastaların kontrol vizitlerinde NRS-11 morbidite skalası kullanılarak elde edilmiş olan veriler, kişinin tecrübe ettiği ağrı ve yapılan işleme gösterdiği uyumu kıyaslamada kullanıldı. Bulgular: İki grup arasında kanama rekürrensi açısından istatiksel olarak anlamlı fark bulunmadı. Transseptal sütürasyon ile Surgicel ® tatbikinin nazal tampona kıyasla daha iyi tolere edildiği ve düşük morbiditeye sahip olduğu görüldü. Sonuç: Anterior epistaksiste transseptal sütürasyon ile Surgicel ® tatbikinin etkili ve iyi tolere edilebilir alternatif bir prosedür olduğu görüldü.

Kaynakça

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