Fingerstall nasal packing in endoscopic sinus surgery

Abstract

Background. Postoperative nasal packing is universally used following routine endoscopic sinus surgery to achieve hemostasis and prevent wound adhesion. In the recent years, the variety of materials used for packing the nose has greatly increased. This study aimed to compare the pain during the removal of nasal packing and the cost of these three packing materials: fingerstall nasal packing, Vaseline gauze, and Merocel. Methods: A prospective study was performed to collect 30 chronic sinusitis patients who underwent endoscopic sinus surgery in our department from October 1996 through December 1997. The diagnosis and staging were according to sinus computer topography scan findings and the Kennedy staging system. Three postoperative nasal packing materials, fingerstall, Vaseline gauze and Merocel, were used. The level of pain as rated on a scale during the removal of nasal packing and the cost of these three materials were evaluated. Results: The pain level was the lowest with Merocel, and the highest with Vaseline gauze. The cost was highest for Merocel, and was much lower for Vaseline gauze and fingerstall packing. Conclusions: Vaseline gauze has the advantages of being inexpensive and highly viable, but it is uncomfortable during its removal. Merocel is comfortable, with the disadvantage of its high expense. Fingerstall is an ideal nasal packing in endoscopic sinus surgery; it is comfortable, inexpensive, and practical.