Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (1): 11-15.doi: 10.6040/j.issn.1673-3770.0.2020.075

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Application of air sac urinary catheter in nasal packing after endoscopic nasal surgery with a resection of sinonasal tumor

GAO Tianxi, LI Na, LI Julin, ZHANG Aling, ZHU Kang, CHEN Jingguo, SUN Bin   

  1. Department of Otolaryngology & Head and Neck Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China
  • Published:2021-02-01

Abstract: Objective The aim of this study was to assess the utility of an air sac urinary catheter after endoscopic nasal surgery with a resection of a sinonasal tumor. Methods The clinical data of 60 patients treated with endoscopic nasal surgery with resection of sinonasal tumors in the Department of Otorhinolaryngology-Head and Neck Surgery in our hospital from March 2016 to January 2019 were retrospectively analyzed and summarized. The clinical outcomes of 32 cases of nasal packing with an air sac urinary catheter and gelatin sponge in the observation group and 28 cases with conventional gelatin sponge in the control group were compared. Results The visual analogue scale(VAS)score was significantly lower in the observation group than in the control group for postoperative pain and nasal resistance degree after surgery(P<0.05). The incidence of nasal-cardiac reflex at the pack removal time was higher in the control group(P<0.05). There was no significant difference in blood loss between the two groups(P>0.05). Conclusion Our results indicate significant advantages in combination air sac urinary catheter with gelatin sponge in nasal packing after endoscopic nasal surgery with a resection of sinonasal tumor.

Key words: Sinonasal tumor, Nasal packing, Air sac urinary catheter, Gelatin sponge

CLC Number: 

  • R765.9
[1] Weber RK. Comprehensive review on endonasal endoscopic sinus surgery[J]. Laryngo Rhino Otologie, 2015, 94(Suppl 1):S64-S142. doi:10.1055/s-0035-1545353.
[2] Coey JG, Whittaker PJ, Williams G, et al. Fibrin tissue adhesive versus nasal packing in endoscopic nasal surgery: a systematic review and meta-analysis[J]. Rhinology, 2019, 57(1):21-31. doi:10.4193/rhin18.112.
[3] 中华耳鼻咽喉头颈外科杂志编辑委员会. 鼻腔鼻窦恶性肿瘤内镜手术治疗专家讨论[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(3):180-185. doi:10.3760/cma.j.issn.1673-0860.2013.03.002.
[4] 汪银凤, 孙敬武, 吕秋萍, 等. 影像导航系统在复杂鼻颅底内镜手术中的应用[J]. 山东大学耳鼻喉眼学报, 2009, 23(6):10-12. WANG Yinfeng, SUN Jingwu, LÜ Qiuping, et al. Application of an image guidance system in complex endoscopic endo-nasal skull base surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2009, 23(6):10-12.
[5] 赵丽娟, 姜彦, 于龙刚, 等. 鼻咽癌内镜手术治疗临床分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(2):51-56. doi:10.6040/j.issn.1673-3770.0.2019.073. ZHAO Lijuan, JIANG Yan, YU Longgang, et al. Clinical analysis of endoscopic surgery for nasopharyngeal carcinoma[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2):51-56. doi:10.6040/j.issn.1673-3770.0.2019.073.
[6] 王建强, 白东风, 田春艳, 等. 三种填塞材料在鼻内镜术后填塞中的临床效果分析[J]. 中国耳鼻咽喉头颈外科, 2019, 26(11):624-625. doi:10.16066/j.1672-7002.2019.11.013.
[7] 徐希德, 施炜, 倪兰春, 等. 神经内镜下经鼻蝶垂体瘤手术脑脊液漏修补失败原因及治疗的探讨[J]. 临床神经外科杂志, 2016, 13(2):86-88, 92. doi:10.3969/j.issn.1672-7770.2016.02.003. XU Xide, SHI Wei, NI Lanchun, et al. Investigation of reasons and treatment of cerebrospinal fluid leakagethe after reconstruction of basilar pituitary Fossa in pituitary adenoma surgery by neural endoscopy[J]. Journal of Clinical Neurosurgery, 2016, 13(2):86-88, 92. doi:10.3969/j.issn.1672-7770.2016.02.003.
[8] Wang YP, Wang MC, Chen YC, et al. The effects of Vaseline gauze strip, Merocel, and Nasopore on the formation of synechiae and excessive granulation tissue in the middle meatus and the incidence of major postoperative bleeding after endoscopic sinus surgery[J]. Journal of the Chinese Medical Association: JCMA, 2011, 74(1):16-21. doi:10.1016/j.jcma.2010.09.001.
[9] Wang JZ, Cai CP, Wang SL. Merocel versus Nasopore for nasal packing: a meta-analysis of randomized controlled trials[J]. PLoS One, 2014, 9(4):e93959. doi:10.1371/journal.pone.0093959.
[10] 罗宝珍, 陈波蓓, 项海杰, 等. 鼻用激素-明胶海绵治疗鼻内镜术后鼻腔粘连[J]. 中国耳鼻咽喉头颈外科, 2017, 24(2):95-98. doi:10.16066/j.1672-7002.2017.02.012. LUO Baozhen, CHEN Bobei, XIANG Haijie, et al. Efficacy of intranasal corticosteroids-gelatin sponge in the treatment of nasal adhesion after nasal endoscopic sinus surgery[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2017, 24(2):95-98. doi:10.16066/j.1672-7002.2017.02.012.
[11] 苗莉, 侯瑾, 王霞. 不同填塞止血材料在鼻内镜术后的应用[J]. 临床医学研究与实践, 2018, 3(12):87-88. doi:10.19347/j.cnki.2096-1413.201812041. MIAO Li, HOU Jin, WANG Xia. Application of different stuffing hemostatic materials after endoscopic sinus surgery[J]. Clinical Research and Practice, 2018, 3(12):87-88. doi:10.19347/j.cnki.2096-1413.201812041.
[12] 许海波, 洪燕丽, 李兆生, 等. 鼻内镜术后不同填塞材料对术后黏膜转归的影响[J]. 山东大学耳鼻喉眼学报, 2016, 30(5):85-87, 91. doi:10.6040/j.issn.1673-3770.0.2016.182. XU Haibo, HONG Yanli, LI Zhaosheng, et al. Packing material on outcomes of sinus mucosa with chronic rhinosinusitis after endoscopic sinus surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2016, 30(5):85-87, 91. doi:10.6040/j.issn.1673-3770.0.2016.182.
[13] 陈志兰, 赵学朋, 赵丽, 等. 改良鼻腔支撑系统在FESS术后鼻腔填塞中的应用研究[J]. 新疆医科大学学报, 2019, 42(10):1319-1323. doi:10.3969/j.issn.1009-5551.2019.10.016. CHEN Zhilan, ZHAO Xuepeng, ZHAO Li, et al. Application of modified nasal support system in nasal packing after functional endoscopic sinus surgery[J]. Journal of Xinjiang Medical University, 2019, 42(10):1319-1323. doi:10.3969/j.issn.1009-5551.2019.10.016.
[14] 张永杰, 王彤, 臧洪瑞. 鼻腔硅胶扩张引流管临床应用观察[J]. 中国耳鼻咽喉头颈外科, 2010, 17(7):385-386. doi:10.16066/j.1672-7002.2010.07.003.
[15] Tulaci KG, Arslan E, Tulaci RG, et al. Effect of prilocaine and its combination with tramadol on anxiety and pain during nasal packing removal[J]. Eur Arch Oto-Rhino-Laryngol, 2020, 277(5):1385-1390. doi:10.1007/s00405-020-05863-6.
[16] 胡伟琦, 单雅敏, 郝立娜, 等. 功能性鼻内镜鼻窦手术后纳吸棉鼻腔填塞效果评估[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(18):1438-1443. doi:10.13201/j.issn.1001-1781.2016.18.004. HU Weiqi, SHAN Yamin, HAO Lina, et al. Evaluation of the effect of Nasopore on nasal packing in functional endoscopic sinus surgery[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2016, 30(18):1438-1443. doi:10.13201/j.issn.1001-1781.2016.18.004.
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