Packing effects of different hemostatic materials during functional endoscopic sinus surgery: Histocompatibility comparison

BACKGROUND: At present, the most common materials for clinical hemostasis are absorbable tampons and Vaseline gauze. OBJECTIVE: To compare the packing effects of absorbable tampons and Vaseline gauze in functional endoscopic sinus surgery. METHODS: Totally 100 sinusitis patients, 57 males and 43 females, aged 16-61 years, with a history of 5 months to 23 years, were randomized into two groups: patients in the observation group were treated with absorbable tampons and patients in the control group treated with Vaseline gauze during functional endoscopic sinus surgery. Patient’s discomfort, bleeding when the filler was extracted at 48 hours, and nasal bleeding within postoperative 24 hours were compared between the two groups. RESULTS AND CONCLUSION: No adverse reaction related to absorbable tampons occurred in the observation group, indicating that the absorbable tampon has better histocompatibility. Patient’s discomfort, bleeding when the filler was extracted at 48 hours after operation, and nasal bleeding within postoperative 24 hours were significantly improved in the observation group compared with the control group (P < 0.05). These findings suggest that the absorbable tampons has a better hemostatic function, which can effectively reduce postoperative nasal bleeding and relieve postoperative discomfort in patients with sinusitis.