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The Effect of Duration of Merocel in Glove Finger With Tetracaine Solution on Septoplasty Morbidity

Çelik, Öner MD*; Boyaci, Zerrin MD*; Ateşpare, Altay MD*; Develioğlu, Ömer MD; Karaca, Çiğdem Tepe MD; Çağlar, Erdem MD; Vural, Çetin MD

doi: 10.1097/01.SCS.0000435809.68641.6c
Original Articles

Objective: We aimed to decrease the postseptoplasty morbidities depending on nasal packing by using Merocel within glove finger moistened with tetracaine 0.25% solution.

Study Design: The study was designed as a randomized prospective study.

Setting: A university hospital in Turkey.

Subjects and Methods: 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.

Results: 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.

Conclusions: The glove finger provides comfortable removal of nasal packing. The Merocel tampons might be safely removed just after 24 hours postoperatively without any complication.

From the *Otolaryngology-Head and Neck Surgery Department, Maltepe University Medicine Faculty; †Otolaryngology-Head and Neck Surgery Department, Taksim Education and Research Hospital; and ‡Otolaryngology-Head and Neck Surgery Department, Haydarpasa Education and Research Hospital, Istanbul, Turkey.

Received February 20, 2013.

Accepted for publication August 12, 2013.

Address correspondence and reprint requests to Öner Çelik, Department of Otolaryngology-Head and Neck Surgery, Medicine Faculty, Maltepe University, Istanbul, Turkey; E-mail: onercelikmd@gmail.com

The authors report no conflicts of interest.

Çelik and Vural had full access to all data in the study and take responsibility for the integrity of the data as well as the accuracy of the data analysis; Çelik, Ateşpare, and Develioğlu: study concept and design; Çelik, Boyaci, and Tepe: acquisition of data; Çelik: analysis and drafting of data; Çelik and Çağlar: administrative, technical, and material support; Vural: study supervision.

© 2013 by Mutaz B. Habal, MD.