The effect of duration of merocel in glove finger with tetracaine solution on septoplasty morbidity

• Published in: The Journal of craniofacial surgery Vol. 24; no. 6; p. 1931
• Main Authors: Çelik, Öner, Boyaci, Zerrin, Ateşpare, Altay, Develioğlu, Omer, Karaca, Çigdem Tepe, Çaglar, Erdem, Vural, Çetin
• Format: Journal Article
• Language: English
• Published: United States 01.11.2013
• Subjects: Adolescent; Adult; Anesthetics, Local - administration & dosage; Epistaxis - etiology; Female; Follow-Up Studies; Formaldehyde - therapeutic use; Gloves, Surgical; Headache - etiology; Hemostatics - therapeutic use; Humans; Male; Middle Aged; Nasal Cavity - pathology; Nasal Septum - surgery; Nose - physiology; Pain, Postoperative - etiology; Polyvinyl Alcohol - therapeutic use; Postoperative Complications; Postoperative Hemorrhage - etiology; Prospective Studies; Respiration; Rhinoplasty - methods; Tampons, Surgical; Tetracaine - administration & dosage; Tissue Adhesions - etiology; Young Adult
• ISSN: 1536-3732
• DOI: 10.1097/01.SCS.0000435809.68641.6c

We aimed to decrease the postseptoplasty morbidities depending on nasal packing by using Merocel within glove finger moistened with tetracaine 0.25% solution. The study was designed as a randomized prospective study. A university hospital in Turkey. Our study consisted of 80 patients who underwent septoplasty. The Merocel nasal tampon within glove finger was inserted after surgery in the study group and removed after 24 or 48 hours. Merocel was moistened with tetracaine 0.25% solution after insertion into the nasal cavity and just before removal. The morbidities and normal breathing time were recorded and compared with those of the control group. The postseptoplasty morbidities were significantly decreased in the study group compared with those in the control group. The morbidities were also improved after removal of tampons after 24 hours compared with 48 hours. However, the normal breathing time was prolonged when the nasal tampons were removed after 24 hours. The glove finger provides comfortable removal of nasal packing. The Merocel tampons might be safely removed just after 24 hours postoperatively without any complication.