J Korean Ophthalmol Soc.  2018 Mar;59(3):197-202. 10.3341/jkos.2018.59.3.197.

Comparison of Calcium Alginate and Polyurethane Foam Used as Nasal Packings after Endonasal Dacryocystorhinostomy

• Choi S
• Seo Y
• Ko JS
• Song YJ
• Yoon JS

• KMID: 2406952
• DOI: http://doi.org/10.3341/jkos.2018.59.3.197

Abstract

PURPOSE
To compare the effectiveness of calcium alginate (Algi-pack®)and polyurethane foam (Nasopore®), two types of absorbable packing used for nasal packing after endonasal dacryocystorhinostomy.
METHODS
We performed a retrospective chart review of 128 eyes of patients who underwent endonasal dacryocystorhinostomy from January 2008 to July 2016. Algi-pack® was used to pack 42 eyes and Nasopore® in 86 eyes. We compared the two groups in terms of pain on postoperative day 2; the re-bleeding frequency within 1 week; anatomical and functional success rates 3 months after surgery; and the frequencies of postoperative complications including synechiae, granulomas, and membrane formation at 3 months postoperatively.
RESULTS
There was no significant difference between the Algi-pack® and Nasopore® groups in terms of postoperative pain or re-bleeding rate (pain: 73.8% vs. 83.7%, p = 0.38; re-bleeding: 4.8% vs. 5.8%, p = 0.058). There was no significant between-group difference in terms of the formation of synechiae, granulomas, or membranes to 3 months postoperatively (granulomas: 33.3% vs. 29.1%, p = 0.62; synechiae: 1.2% vs. 4.8%, p = 0.21; membranes: 19.0% vs. 12.8%, p = 0.35). The functional and anatomical success rates evaluated 3 months after surgery also did not differ significntly between the two groups (anatomical success: 100% vs. 97.7%, p = 0.32; functional success: 100% vs. 95.3%, p = 0.16).
CONCLUSIONS
Algi-pack® and Nasopore® equivalently suppressed bleeding after endonasal dacryocystorhinostomy and did not differentially affect the surgical success rate or the frequency of postoperative complications.

Keyword

Calcium alginate; Endoscopic dacryocystorhinostomy; Nasal packing

MeSH Terms

Calcium*
Dacryocystorhinostomy*
Granuloma
Hemorrhage
Humans
Membranes
Pain, Postoperative
Polyurethanes*
Postoperative Complications
Retrospective Studies
Calcium
Polyurethanes

Figure

• 

  Figure 1. Calcium alginate (Algi-pack®). (A) Photograph of Algi-pack before insertion into the nasal cavity. (B) Clinical photographs demonstrating changes in Algi-pack® during postoperative follow-up. POD = postoperative day.

• 

  Figure 2. Comparison of re-bleeding that required re-packing within postoperative day 7. (A) There was no significant difference in re-bleeding within postoperative day 7 between Algi-pack® and Nasopore® groups. (B) There was no significant difference in re-bleeding between the group on antiplatelets and the group not on antiplatelets.

• 

  Figure 3. Comparison of visual analogue scale (VAS) results for postoperative pain on postoperative day 2. There was no significant difference in pain on postoperative day 2 between Algi-pack® and Nasopore® groups.

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