caa a22 4500 606184163 CHVBK 20210128100825.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00405-014-3264-3 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3264-3 Comparative analysis of Cutanplast and Spongostan nasal packing after endoscopic sinus surgery: a prospective, randomized, multicenter study [Elektronische Daten] [Kyu-Sup Cho, Chan-Hwi Park, Sung-Lyong Hong, Min-Jung Kim, Joo-Yeon Kim, Yong-Wan Kim, Soo-Kweon Koo, Hwan-Jung Roh] Commercial gelatin-based packing materials are available under different names and compositions to be used after endoscopic sinus surgery (ESS). The purpose of this study was to investigate the efficacy of Spongostan and Cutanplast nasal packing on patients' subjective symptoms, hemostasis, and wound healing following ESS. One hundred adult patients with chronic sinusitis requiring the same extent of ESS were included. Following surgery, one nasal cavity was packed with Cutanplast and the other one with Spongostan. Patients' subjective symptoms while the packing was in situ, hemostatic properties, degree of remaining amount of packing materials, postoperative wound healing, and the cost of the pack were evaluated. Cutanplast and Spongostan are equally effective in the control of postoperative bleeding following ESS. However, Cutanplast packing was significantly more comfortable than Spongostan for nasal obstruction, postnasal drip, rhinorrhea, and headache. Furthermore, the Cutanplast packing was significantly less painful at all time points. The remaining amount of the pack was significantly lower in the Cutanplast than Spongostan packing. Spongostan packing appears to impair wound healing within the sinus cavities up to 3months postoperatively. Cutanplast was less expensive than Spongostan as used in this study. Cutanplast may be more useful gelatin-based packing material than Spongostan in terms of efficacy and cost-benefit after ESS. Springer-Verlag Berlin Heidelberg, 2014 Gelatin sponge, absorbable nationallicence Biocompatible materials nationallicence Nose nationallicence Endoscopic sinus surgery nationallicence Postoperative care nationallicence Cho Kyu-Sup Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Yangsan, South Korea aut Park Chan-Hwi Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Yangsan, South Korea aut Hong Sung-Lyong Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Yangsan, South Korea aut Kim Min-Jung Department of Otorhinolaryngology, Wallace Memorial Baptist Hospital, Busan, South Korea aut Kim Joo-Yeon Department of Otolaryngology, Kosin University College of Medicine, Busan, South Korea aut Kim Yong-Wan Department of Otolaryngology, Inje University Haeundae Paik Hospital, Gimhae, South Korea aut Koo Soo-Kweon Department of Otorhinolaryngology, Busan St. Mary's Medical Center, Busan, Republic of Korea aut Roh Hwan-Jung Department of Otorhinolaryngology and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Beom-eo li, Mul-geum eup, 626-770, Yangsan, Gyeongsangnam, Republic of Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1699-1705 0937-4477 272:7<1699 2015 272 405 https://doi.org/10.1007/s00405-014-3264-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3264-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cho Kyu-Sup Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Yangsan, South Korea aut NATIONALLICENCE 700 1- Park Chan-Hwi Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Yangsan, South Korea aut NATIONALLICENCE 700 1- Hong Sung-Lyong Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Yangsan, South Korea aut NATIONALLICENCE 700 1- Kim Min-Jung Department of Otorhinolaryngology, Wallace Memorial Baptist Hospital, Busan, South Korea aut NATIONALLICENCE 700 1- Kim Joo-Yeon Department of Otolaryngology, Kosin University College of Medicine, Busan, South Korea aut NATIONALLICENCE 700 1- Kim Yong-Wan Department of Otolaryngology, Inje University Haeundae Paik Hospital, Gimhae, South Korea aut NATIONALLICENCE 700 1- Koo Soo-Kweon Department of Otorhinolaryngology, Busan St. Mary's Medical Center, Busan, Republic of Korea aut NATIONALLICENCE 700 1- Roh Hwan-Jung Department of Otorhinolaryngology and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Beom-eo li, Mul-geum eup, 626-770, Yangsan, Gyeongsangnam, Republic of Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1699-1705 0937-4477 272:7<1699 2015 272 405