Effects of a plant based Biodegradable Middle Meatal Dressing after Endoscopic Sinus Surgery: A Prospective Comparative Study

Michael Schlewet* and Peter Catalano#

Background: The benefi t from biodegradable middle meatal dressings is well established, and includes improved wound healing, stabilization of the middle turbinate, reduced granulation tissue, and improved patient comfort. This study compares the outcomes of a 100% plant-based nasal dressing to a popular fully synthetic dressing in patients undergoing endoscopic sinus surgery.

Design and Methods: A prospective study compared the clinical outcomes of two groups of patients undergoing endoscopic sinus surgery (ESS); the study group had a plant-based nasal dressing placed into the middle meatus, and the control group received a fully synthetic product. Outcome metrics included the degree of middle meatal crusting, amount of retained material during follow-up, need for debridement, wound healing, incidence of epistaxis, rate of post-operative infection, and patient comfort. Data was collected at 2 and 12 weeks after surgery. All patients underwent ESS for CRS and were matched for demographics and extent of disease.

Results: 25 patients were enrolled in the study group (50 dressings); the control group included 20 patients (40 dressings). The study group showed a statistically signifi cant reduction (p<.05) in nasal crusting, amount of retained implant, patient comfort, and the need for debridement compared to the control group. However, the rate of infection was slightly higher in the study group at 2 weeks. 

Conclusion: Plant based middle meatal dressings appear superior to fully synthetic dressings with regards to wound healing, crusting, rate of fragmentation, and patient comfort. A slightly elevated incidence of infection was noted.

Keywords:

Published on: Nov 14, 2017 Pages: 121-125

Full Text PDF Full Text HTML DOI: 10.17352/2455-1759.000062
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