J Korean Ophthalmol Soc > Volume 59(3); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(3):197-202.
DOI: https://doi.org/10.3341/jkos.2018.59.3.197    Published online March 15, 2018.
Comparison of Calcium Alginate and Polyurethane Foam Used as Nasal Packings after Endonasal Dacryocystorhinostomy.
Seonghee Choi, Yuri Seo, Jae Sang Ko, Young Jin Song, Jin Sook Yoon
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. yoonjs@yuhs.ac
코경유눈물주머니코안연결술 시 calcium alginate와 polyurethane foam의 효과 비교
최성희⋅서유리⋅고재상⋅송영진⋅윤진
연세대학교 의과대학 안과학교실 시기능개발연구소
Correspondence:  Jin Sook Yoon,
Email: yoonjs@yuhs.ac
Received: 16 November 2017   • Revised: 25 December 2017   • Accepted: 20 February 2018
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.
Key Words: Calcium alginate;Endoscopic dacryocystorhinostomy;Nasal packing


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