Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture
Background The authors sought to compare the use of the nonabsorbable polyvinyl alcohol sponge (PVA, Merocel) and absorbable synthetic polyurethane foam (SPF, Nasopore Forte plus) as intranasal splints after closed reduction of fractured nasal bones during the hospitalization period. Met...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2014-07-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.4.350 |
| _version_ | 1811303544634998784 |
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| author | Chang Ryul Yi Young Joon Kim Hoon Kim Sang Hyun Nam Young Woong Choi |
| author_facet | Chang Ryul Yi Young Joon Kim Hoon Kim Sang Hyun Nam Young Woong Choi |
| author_sort | Chang Ryul Yi |
| collection | DOAJ |
| description | Background The authors sought to compare the use of the nonabsorbable polyvinyl alcohol sponge (PVA, Merocel) and absorbable synthetic polyurethane foam (SPF, Nasopore Forte plus) as intranasal splints after closed reduction of fractured nasal bones during the hospitalization period.
Methods The medical records of 111 patients who underwent closed reduction for nasal bone fracture at Sanggye Paik Hospital, Inje University College of Medicine, from 2012 to 2013 were reviewed retrospectively. PVA (group A) or SPF (group B) was packed as an internal splint after closed reduction. The efficacy of the materials was compared and statistically analyzed.
Results PVA was used in 82 patients, and SPF was used in 29 patients. The patients in group B complained significantly more of nasal pain on the first day after operation than the patients in group A. Headaches on the operation day were significantly more painful in group B than in group A. Bleeding on the fourth postoperative day was significantly reduced in group B as compared to group A. The patients in group B exhibited significantly more intensive nasal obstruction on the operation day and the following day than the patients in group A. However, on the third and fourth postoperative days, the nasal obstruction in group B was less than that in group A. The pain and bleeding related to the packing material was significantly reduced in group B as compared to group A.
Conclusions The use of SPF as an absorbable packing material is a reasonable substitute for the traditional nonabsorbable material. |
| first_indexed | 2024-04-13T07:50:04Z |
| format | Article |
| id | doaj.art-2798df00bdc54aa0a372e489e80d6736 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T07:50:04Z |
| publishDate | 2014-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-2798df00bdc54aa0a372e489e80d67362022-12-22T02:55:34ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712014-07-01410435035410.5999/aps.2014.41.4.350360Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone FractureChang Ryul Yi0Young Joon Kim1Hoon Kim2Sang Hyun Nam3Young Woong Choi4Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaBackground The authors sought to compare the use of the nonabsorbable polyvinyl alcohol sponge (PVA, Merocel) and absorbable synthetic polyurethane foam (SPF, Nasopore Forte plus) as intranasal splints after closed reduction of fractured nasal bones during the hospitalization period. Methods The medical records of 111 patients who underwent closed reduction for nasal bone fracture at Sanggye Paik Hospital, Inje University College of Medicine, from 2012 to 2013 were reviewed retrospectively. PVA (group A) or SPF (group B) was packed as an internal splint after closed reduction. The efficacy of the materials was compared and statistically analyzed. Results PVA was used in 82 patients, and SPF was used in 29 patients. The patients in group B complained significantly more of nasal pain on the first day after operation than the patients in group A. Headaches on the operation day were significantly more painful in group B than in group A. Bleeding on the fourth postoperative day was significantly reduced in group B as compared to group A. The patients in group B exhibited significantly more intensive nasal obstruction on the operation day and the following day than the patients in group A. However, on the third and fourth postoperative days, the nasal obstruction in group B was less than that in group A. The pain and bleeding related to the packing material was significantly reduced in group B as compared to group A. Conclusions The use of SPF as an absorbable packing material is a reasonable substitute for the traditional nonabsorbable material.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.4.350nasal bonesplintsfacial bones |
| spellingShingle | Chang Ryul Yi Young Joon Kim Hoon Kim Sang Hyun Nam Young Woong Choi Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture Archives of Plastic Surgery nasal bone splints facial bones |
| title | Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture |
| title_full | Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture |
| title_fullStr | Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture |
| title_full_unstemmed | Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture |
| title_short | Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture |
| title_sort | comparison study of the use of absorbable and nonabsorbable materials as internal splints after closed reduction for nasal bone fracture |
| topic | nasal bone splints facial bones |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.4.350 |
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