Presentation
CONCLUSION: PVA-coated nasal packing presents comparable characteristics with traditional nasal packing. [ncbi.nlm.nih.gov]
Entire Body System
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Mucosal Edema
The extent of mucosal edema, crust formation, bleeding tendency, presence of synechiae, amount of nasal discharge, and the patency of the ostiomeatal complex (OMC) was evaluated during nasal endoscopy on the first, fourth, and twelfth postoperative weeks [ncbi.nlm.nih.gov]
Because it is a nonabsorbable solid, disadvantages may include pain and bleeding upon removal, nasal obstruction, and mucosal edema. [journals.plos.org]
Respiratoric
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Nasal Pain
Nasal pain levels were significantly higher in Group 1 than in Group 2 at both 4 (p 0.034) and 6 (p 0.001) hours postoperatively. [ncbi.nlm.nih.gov]
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Hyposmia
Ages Eligible for Study: 18 Years to 99 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Inclusion Criteria: hyposmia and nasal obstruction for 12 weeks bilateral nasal polyposis candidate for surgery Exclusion Criteria [clinicaltrials.gov]
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Tachypnea
[…] conductive airways (upper airway obstruction, UAO) due to any cause may result in negative-pressure pulmonary edema (NPPE). 3 NPPE, also addressed as post-obstructive pulmonary edema (POPE), presents with rapid onset acute respiratory failure with dyspnea, tachypnea [apicareonline.com]
Gastrointestinal
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Dysphagia
We found that the patients who underwent packing experienced significantly more postoperative pain, headache, epiphora, dysphagia, and sleep disturbance on the night of surgery. [ncbi.nlm.nih.gov]
Skin
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Delayed Wound Healing
However, nasal packing is associated with higher cost (owing to the cost of packing materials), patient discomfort, delayed wound healing, and concern about toxic shock syndrome. [ncbi.nlm.nih.gov]
Eyes
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Periorbital Edema
BACKGROUND: Periorbital edema and ecchymosis following rhinoplasty is disturbing for both the patients and their surgeons. [ncbi.nlm.nih.gov]
In addition, administration of perioperative steroids [ 9, 16 ] and remifentanil with controlled hypotension may further contribute to lessen periorbital edema and ecchymosis [ 17 ]. [journalotohns.biomedcentral.com]
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Lacrimation
Petroleum jelly gauze nasal packing may enhance surgical results by reducing scarring between the lacrimal sac fistula and the nasal structures. [ncbi.nlm.nih.gov]
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Foreign Body Sensation
While patients in both groups experienced postoperative crusting, patients in the transseptal suture group also complained about foreign body sensation. [ncbi.nlm.nih.gov]
Face, Head & Neck
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Facial Edema
Postoperative morbidities (pain, bleeding, facial edema, nasal blockage) related to dressings were assessed on postoperative day 6. [ncbi.nlm.nih.gov]
This can be partially attributed to nasal obstruction, facial edema, periorbital swelling and ecchymosis. [journalotohns.biomedcentral.com]
Workup
When less aggressive treatments have failed, refer the patient to an otolaryngologist for more aggressive treatment and further workup. [clinicaladvisor.com]
Microbiology
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Streptococcus Pneumoniae
In contrast, potential pathogens, including Streptococcus pneumonia, Haemophilus influenza, and Gram-negative rods, were predominant in the Beschitin-F group. [ncbi.nlm.nih.gov]
Treatment
Our main clinical outcome measures were: 1) Hemostasis directly following treatment and at 48 h post-treatment, and 2) self-reported patient comfort at 48 h post-treatment. [ncbi.nlm.nih.gov]
Prognosis
Infective endocarditis (IE) is a severe form of heart valve disease and is associated with a poor prognosis and high risk of mortality. [ncbi.nlm.nih.gov]
Prognosis Mortality is rare. It is usually associated with hypovolaemia secondary to severe bleeding or in patients with comorbidities. Most episodes of epistaxis resolve spontaneously, normally without treatment. [patient.info]
They often require similar treatment principles of tamponade, but different equipment/materials, prognosis and dispositions. The history and physical exam of the patient may help distinguish between an anterior and posterior nosebleed. [emlyceum.com]
Etiology
Probable etiology was considered hypertension crisis (33.3%), use of nasal steroids (8.3%), nasal surgery (8.3%), however in half (50%) of the cases the cause was unidentified. [ncbi.nlm.nih.gov]
Anterior nasal bleeds have a more benign etiology than posterior bleeding. Anterior bleeds tend to a consequence of trauma, dry nasal mucosa, and irritants. [journals.lww.com]
[…] epistaxis episodes in the US occur during the winter months, a finding thought secondary to a decrease in ambient humidity and increase in concomitant upper respiratory infections. 8 In tropical climates, epistaxis occurs frequently during dry seasons. 8 Etiologies [emdocs.net]
Etiology Most causes of nasal bleeding can be identified readily through a directed history and physical examination. [aafp.org]
Epidemiology
Epidemiology of epistaxis in US emergency departments, 1992 to 2001. Ann Emerg Med. 2005;46:77-81. PMID: 15988431 Derkay CS et al. Posterior nasal packing. Are Intravenous antibiotics really necessary? Arch Otolaryngol 1989; 115: 439-41. [rebelem.com]
Epidemiology Epistaxis is extremely common. The majority of people will have had at least one nosebleed, usually as a result of trauma, in the course of their lifetime. [patient.info]
The Epidemiology of Epistaxis Epistaxis is one of the most commonly encountered ear, nose, and throat (ENT) emergencies in the US. 1-4 It is estimated that up to 60% of the population will experience an episode of epistaxis throughout their lifetime; [emdocs.net]
Pathophysiology
[…] diving) Nasal bone fracture Septal fracture/perforation Surgery ( e.g. septoplasty and functional endoscopic sinus surgery ) Vascular Malformation: Hereditary hemorrhagic telangiectasia (Osler–Weber–Rendu disease) Angioma Aneurysm of carotid artery Pathophysiology [en.wikipedia.org]
Prevention
We performed a systematic literature review to determine the role of prophylactic systemic antibiotics with nasal packing in the prevention of toxic shock syndrome and local nasal infections. [ncbi.nlm.nih.gov]