비골골절치료에서 기도 튜브 머로셀®의 유용성 = The Usefulness of Airway Tube Merocel® on Treatment of Nasal Bone Fracture

다국어 초록 (Multilingual Abstract)

Purpose: Nasal packing materials are almost inserted
at the end stage of closed reduction of nasal bone for
postoperative bleeding control and stabilization of nasal
bone. Conventionally, vaseline gauze was used for
packing of nasal cavity. These days, Surgeons have tried
to apply Merocel® into the nasal cavity more easily. It is
difficult for patients to continue keeping the nasal packs
for more than a week due to breathing difficulty. Moreover,
nasal packing itself can also cause headache, dry
mouth, stuffiness, etc.
Methods: We performed a prospective study from March
1, 2008 to July 31, 2008. One hundred patients were divided
into "Merocel® packing group" and "Merocel® and Airway
Tube Merocel® packing group". Using two kinds of materials
to each group after closed reduction, we observed and
compared the amount of bleeding between two groups. We
recorded patient‘s uncomfortable symptoms which were
divided into four groups each 6, 24, 48 hours after nasal
packing.
Results: The result of the bleeding amount of Air Tube
Merocel® group after 6 hours of nasal packing is that 3
people belong to mild group, 38 people moderate group, and
9 people severe group. After 6 hours of nasal packing, 11
patients have no complains. 16 patients were mild, 21
patients were moderate, 2 patients were severe. After 24
hours of nasal packing, no complain(18 patients), mild(24
patients), moderate(6 patients), severe(0 patient). After 48
hours of nasal packing, no complain(25 patients), mild(20
patients), moderate(5 patients), severe(0 patient).
Conclusion: Regarding the amount of bleeding, there are
no difference between two groups. In case of Air Tube
Merocel® group, patient's discomfort is gradually improved
after 24 hours of nasal packing, After 48 hours of
nasal packing, most of the patients do not experience
headache, dry mouth, stuffiness, etc. Therefore, Air Tube
Merocel® can be useful for bleeding control. Moreover, it
helps patients to breathe through nose more easily and
reduce discomfort.

참고문헌 (Reference)

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