ASSESSMENT OF INFLUENCE OF PACKING USED IN POSTOPERATIVE PERIOD FOR CHILDREN THAT UNDERWENT PEDIATRIC ENDOSCOPIC SINUS SURGERY

Summary Introduction. One of the most common complication after pediatric functional endoscopic sinus surgery are nasal cavity ad- hesions. Apart from treatment methods applied, the medical packing used after surgery may have an influence on the above mentioned adhesions. The basic medical packing used for years in otolaryngology is gauze seton. This packing has applications in both otosurgery and rhinosurgery. In recent years alternative methods of nasal cavities tamponing have appeared, including gel packings with carboxymethylcellulose. Aim. The aim of this study is to compare the effects of using seton with carboxymethylcellulose for patients that underwent pediatric endoscopic sinus surgery. Patients and methods. The prevalence of adhesion and infections during the postoperative period after PESS were analyzed in 170 children that underwent surgery in ENT Clinic at Medical University of Warsaw between 2007 and 2011. The inclusion criteria for the analyzed group were diagnosed chronic nasosinusitis and sinusitis, as well as undergoing Pediatric Endoscopic Sinus Surgery. Children who had the Balloon Sinuplasty method operation previously were excluded from the trial examination group. The patients were divided into two groups - those to whom seton was administrated and those for whom gel packing was used. Conclusions. The differences in the process of healing while using gel and seton packing were presented.