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KMID : 1190620120080010023
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Journal of the Korean Wound Care Society
2012 Volume.8 No. 1 p.23 ~ p.26
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Biodegradable Synthetic Polyurethane Foam as a Nasal Packing Material of Nasal Bone Fracture
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Moon Suk-Ho
Baek Sang-Oon
Choi Jung-Sik
Kim Young-Jin
Jun Young-Joon
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Abstract
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Nasal bone fracture is the most common traumatic disease among facial bone fractures. It is treated by closed reduction, followed by intranasal packing. Vaseline or furacin roll gauze, and open-cell foam synthetic polymer (Merocel?) are commonly used as the packing materials but the pain or epistaxis produced while removing them are fearful to the patients. To compensate these shortcomings, there has been an increased use of biodegradeable synthetic polyurethane foam (SPF) recently. We performed a retrospective review to analyze the effectiveness of SPF as a packing material after the closed reduction of nasal bone fracture. A retrospective chart review was conducted of 312 patients who underwent closed reduction for nasal bone fracture between January of 2011 and December of 2011. One group was packed with Vaseline roll gauze (group A) and other group was packed with Merocel (Group B), while the last group was packed with SPF (group C). 2 weeks after closed reduction, we conducted a simple survey about satisfaction level of patients regarding the pain and discomfort. Also, hemostatic effect and supporting ability on the fractured segment were compared among the three groups. Total 312 patients were reviewed in the study, with 84 patients packed with Vaseline roll gauze (group A), 104 patients packed with Merocel (group B), and 124 patients packed with SPF (group C) after closed reduction. Hemostatic effect and supporting ability on the fractured segment did not show significant differences among the three groups. However, satisfaction of patients with regard to pain and discomfort was significantly high in group C compared to group A and B (P＜0.05). Nasal packing after closed reduction of nasal bone fracture supports the reduced fractured bony segment, and also has the main role in hemostasis. However, removal of the packing materials is painful and fearful to the patients. SPF as the nasal packing material provides superior outcome in terms of pain, discomfort and patient’s satisfaction and at the same time, is not inferior to the conventional packing materials in association to bleeding control and stability of reduced fracture segment.
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KEYWORD
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Nasal bone, Polyurethanes, Pain
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