scholarly journals Comparative study on the effect of various anterior nasal packing on ear compliance and ear canal volume

2020 ◽  
Vol 6 (3) ◽  
pp. 558
Author(s):  
Jayeeta Pandit ◽  
Vignesh Kumar ◽  
Amlanjyoti Nath ◽  
Abhinandan Bhattacharjee
Keyword(s):  
Comparative Study ◽  
Eustachian Tube ◽  
Nasal Packing ◽  
Nasal Surgery ◽  
Ear Canal ◽  
Nasal Pack ◽  
Compliance Level ◽  
Number Of Patients ◽  
Better Than

<p class="abstract"><strong>Background:</strong> Anterior nasal packing (ANP) is a commonly used procedure by otorhinolaryngologist for the control of post-operative bleeding post septoplasty and nasal surgery. However there remains an ambiguity regarding the effect of various nasal packings on the Eustachian tube dysfunctions. The present study intends to compare and evaluate the effects of ribbon gauge nasal packing (RNP), merocel nasal packing (MNP) and merocel with airway packing (MAP) on the eustachian dysfunction such as changes in the compliance and ear canal volume.</p><p class="abstract"><strong>Methods:</strong> Ninety patients were selected for the study, and randomly divided into 3 groups of 30 patients each where the patients were treated with RNP, MNP and MAP. The pack was kept insitu for 48 hrs and the compliance and ear canal volume was measured at before pack is applied (pre pack), with ANP insitu at 48 hrs (with pack), and after removal of the nasal pack at 5th day (post pack).  </p><p class="abstract"><strong>Results:</strong> The percentage of patients with abnormal compliance level as well as ear canal volume was found to be the highest among the patients in RNP group followed by patients from the MNP group. The least number of patients with abnormal compliance and ear canal volume was observed among the patients in the MAP groups.</p><p class="abstract"><strong>Conclusions:</strong> MAPs are better than ribbon gauge and MNPs in terms of maintaining the compliance level and ear canal volume.</p><p align="center"> </p>

Effect of Nasal Packing on Middle Ear Pressure

2016 ◽  
Vol 1 (2) ◽  
pp. 52-56
Author(s):  
Abhinav Srivastava ◽  
Puneet Shukla
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Hearing Threshold ◽  
Cross Sectional Study ◽  
Nasal Packing ◽  
Cross Sectional ◽  
Nasal Pack ◽  
Middle Ear Pressure ◽  
Tube Function

ABSTRACT Introduction Eustachian tube connects nasopharynx with the tympanic cavity. The normal middle ear has an inherent tendency to lose gas to maintain the middle ear pressure by diffusion into the surrounding tissues and circulation. Materials and methods This cross-sectional study was conducted in 2012 to 2014. A total of 100 ears of 50 consecutive cases undergoing nasal surgery followed by bilateral nasal packing were included in the study and the middle ear pressure and hearing threshold were determined in all the subjects in presurgery, and then after 48 hours of surgery with nasal packing in situ and then at 7 and 30 days of nasal pack removal. Conclusion There is an increase in middle ear pressure transiently for few days while the nasal pack is in situ, which returns to normal in a month after pack removal; but, in chronic nasal obstruction cases, such as nasal polyps, there is persistent negative middle ear pressure, probably due to irreversible changes in the Eustachian tube function. How to cite this article Mohan C, Srivastava A, Shukla P. Effect of Nasal Packing on Middle Ear Pressure. Int J Adv Integ Med Sci 2016;1(2):52-56.

scholarly journals Anterior nasal packing: does it affect middle ear pressure?

2020 ◽  
Vol 6 (7) ◽  
pp. 1316
Author(s):  
K. Pragadeeswaran ◽  
Raj Prakash Yadavkrishnan ◽  
Roopak Visakan Raja
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Tertiary Care ◽  
Nasal Packing ◽  
Care Hospital ◽  
Eustachian Tube Function ◽  
Nasal Surgery ◽  
Middle Ear Pressure ◽  
Septal Surgery ◽  
Tube Function

<p class="abstract"><strong>Background:</strong> Eustachian tube maintains middle ear pressure equal to that of atmosphere. Its function may be deranged due to variety of factors like adenoids, cleft palate, nasogastric tubes, allergy, nasopharyngeal intubations and also by nasal packing following septal surgery. Our aim was to evaluate the effect of anterior nasal packing protocol, on eustachian tube function, followed in our ENT Department for nasal surgeries.</p><p class="abstract"><strong>Methods:</strong> A descriptive study was done on 60 patients undergoing nasal surgery from March to November 2018 was done in the ENT Department of a tertiary care hospital.<strong> </strong>All patients underwent pre-operative otoscopic examination followed by tympanometry. Tympanometry was repeated following nasal surgery with nasal pack in situ and again 24 hours after removal of pack. The results of all these 3 impedance audiometries were tabulated and analysed.  </p><p class="abstract"><strong>Results:</strong> Pre-operatively both ears in all the patients showed type a tympanometry, which implied normal eustachian tube function. Out of 60 patients who underwent nasal surgeries, 40 had abnormal impedance tympanograms immediately after surgery. 26 patients had abnormal impedance tympanogram after pack removal. These patients were treated with nasal decongestants and antibiotics which were routinely prescribed as a post-operative prophylaxis. These patients 1 week after pack removal recorded a normal tympanogram.</p><p class="abstract"><strong>Conclusions:</strong> Changes in middle ear pressure following nasal packing associated with most nasal surgeries were transient but not severe. Hence, we conclude that anterior nasal packing for 24 hours is considered safe, if no other co-morbid factors for altering middle ear pressures are present.</p>

Comparative Study Between Clean Intermittent Self-Catheterization (Cisc) and Continuous Indwelling Catheterization (Cidc) in Relieving Acute Refractory Retention of Urine Due to Benign Enlargement of Prostate (Bep)

2020 ◽  
Vol 21 (2) ◽  
pp. 105-110
Author(s):  
Md Shawkat Alam ◽  
Sudip Das Gupta ◽  
Hadi Zia Uddin Ahmed ◽  
Md Saruar Alam ◽  
Sharif Muhammod Wasimuddin
Keyword(s):  
Comparative Study ◽  
Acute Urinary Retention ◽  
Bladder Capacity ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
High Incidence ◽  
Group A ◽  
Group B ◽  
Better Than

Objective: To compare the clean intermittent self-catheterization (CISC) with continuous indwelling catheterization (CIDC) in relieving acute urinary retention (AUR) due to benign enlargement of prostate (BEP). Materials and Methods :A total 60 patients attending in urology department of Dhaka Medical college hospital were included according to inclusion criteria ,Patients were randomized by lottery into two groups namely group –A and group –B for CISC and IDC drainage respectively . Thus total 60 patients 30 in each group completed study. Results : Most men can safely be managed as out-patients after AUR due to BPH. The degree of mucosal congestion and inflammation within the bladder was found to be lower in those using CISC and the bladder capacity in these patients was also found higher.Patients with an IDC had a high incidence of UTIs then that of patients with CISC. During the period of catheterization the incidence of UTI was 43.3% in group B in comparison to 40% in group A; before TURP 36% in group B in comparison to 10% incidence in group A.According to patient’s opinion CISC is better than IDC in the management of AUR. Experiencing bladder spasm, reporting blood in urine, management difficulties, incidence and severity of pain were less in CISC group, and the method of CISC was well accepted by patients as well as their family members. Conclusion: From the current study it may be suggested that CISC is better technique for management of AUR patient due to BPH than IDC. It can also be very helpful when surgery must be delayed or avoided due to any reasons in this group of patients. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.105-110

scholarly journals Is Biofeedback through an Intra-Aural Device an Effective Method to Treat Bruxism? Case Series and Initial Experience

2020 ◽  
Vol 18 (1) ◽  
pp. 51
Author(s):  
Kira Pfeiffer ◽  
Thaqif El Khassawna ◽  
Deeksha Malhan ◽  
Christine Langer ◽  
Barbara Sommer ◽  
...  
Keyword(s):  
Clinical Evidence ◽  
Positive Impact ◽  
Case Series ◽  
Physiological Status ◽  
Initial Experience ◽  
Ear Canal ◽  
Number Of Patients ◽  
Patient Reported ◽  
Unpleasant Feeling ◽  
Ear Canals

Biofeedback was reported as an effective concept for bruxism treatment, through increasing patient’s awareness of the habit. During bruxing both ear canals become tighter, therefore, an in-ear device can provide biofeedback. The in-ear device is fitted to the ear canal in physiological status, during bruxing the ear-canal tightens resulting in stress on the canal walls and unpleasant feeling. Subsequently, patients stop their bruxing habit. The aim of this study is to provide first clinical evidence that in-ear devices have a positive impact on relieving bruxism in patients. Despite the low number of patients, this early study was designed as a controlled prospective study. The trial included seven female patients with a median age of 47.3 years (23–64 years). Only two patients implemented their devices for eight and seven months, respectively. One patient reported a relief in her symptoms, like headaches and pain intensity during the night, by 50% after three month and 80% after six months. Despite the limited number of participants, the study reflects a potential of Intra-aural devices as effective biofeedback devices in treating bruxism.

The effect of concurrent nasal surgery on the eustachian tube function and myringoplasty outcomes

2021 ◽  
Vol 42 (3) ◽  
pp. 102926
Author(s):  
ZhiGuo OuYang ◽  
Zihan Lou ◽  
Zhengcai Lou ◽  
Kangfen Jin ◽  
Junzhi Sun ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Eustachian Tube Function ◽  
Nasal Surgery ◽  
Tube Function

scholarly journals Elimination of nasal obstruction improves pulmonary functions and oxygenation

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Eman Sobh ◽  
Fatma Elhussieny ◽  
Taghreed Ismail
Keyword(s):  
Nasal Obstruction ◽  
Blood Gases ◽  
Medical Problem ◽  
Forced Expiratory Volume ◽  
Nasal Packing ◽  
Nasal Pack ◽  
Arterial Blood ◽  
Study Population ◽  
The Mean ◽  
The Impact

Abstract Background Nasal obstruction is a significant medical problem. This study aimed to examine the effect of nasal obstruction and nasal packing on arterial blood gases and pulmonary function indices, and the impact of the elimination of nasal obstruction on preoperative values. Results The mean age of the study population was 26.6 ± 10.1 years, males represented 50.8%. Spirometric indices showed statistically significant improvement (preoperative forced expiratory volume in 1st second 66.9 ± 13.9 vs 79.6 ± 14.9 postoperative and preoperative forced vital capacity 65.5 ± 12.7 vs 80.4 ± 13.8 postoperative). Oxygen saturation was significantly lower during nasal packing (95.6 ± 1.6 preoperative vs 94.7 ± 2.8 with nasal pack), and significant improvement (97.2 ± 1.4) was observed after removal of the nasal pack. Nasal obstruction scores significantly improved. Conclusion The results of this study indicate that either simple nasal obstruction or nasal packing may cause hypoxemia and abnormalities in lung function tests. Hypoxemia was more evident with nasal packing.

Seasonal variation of patulous Eustachian tube diagnoses using climatic and national health insurance data

2021 ◽  
pp. 1-7
Author(s):  
S Lee ◽  
S-W Choi ◽  
J Kim ◽  
H M Lee ◽  
S-J Oh ◽  
...  
Keyword(s):  
Relative Risk ◽  
Eustachian Tube ◽  
Climatic Factors ◽  
Data Sets ◽  
National Data ◽  
Health Insurance Data ◽  
Number Of Patients ◽  
Autumn And Winter ◽  
Insurance Data ◽  
Patulous Eustachian Tube

Abstract Objectives This study aimed to analyse if there were any associations between patulous Eustachian tube occurrence and climatic factors and seasonality. Methods The correlation between the monthly average number of patients diagnosed with patulous Eustachian tube and climatic factors in Seoul, Korea, from January 2010 to December 2016, was statistically analysed using national data sets. Results The relative risk for patulous Eustachian tube occurrence according to season was significantly higher in summer and autumn, and lower in winter than in spring (relative risk (95 per cent confidence interval): 1.334 (1.267–1.404), 1.219 (1.157–1.285) and 0.889 (0.840–0.941) for summer, autumn and winter, respectively). Temperature, atmospheric pressure and relative humidity had a moderate positive (r = 0.648), negative (r = –0.601) and positive (r = 0.492) correlation with the number of patulous Eustachian tube cases, respectively. Conclusion The number of patulous Eustachian tube cases was highest in summer and increased in proportion to changes in temperature and humidity, which could be due to physiological changes caused by climatic factors or diet trends.

scholarly journals Effect of 2% Lignocaine Solution in Pain During Removal of Nasal Pack

2019 ◽  
Vol 15 (2) ◽  
pp. 80-83
Author(s):  
Ashish Dhakal ◽  
Bikash Lal Shrestha ◽  
Monika Pokharel
Keyword(s):  
Normal Saline ◽  
Saline Group ◽  
Nasal Packing ◽  
Distilled Water ◽  
Left Nostril ◽  
Normal Saline Group ◽  
Nasal Pack ◽  
Control Side ◽  
Group 5

Background: Nasal packing is commonly done after septal surgeries. Nonabsorbable nasal pack is used to minimize bleeding from surgery site, support the mucoperichondrial flaps, and minimize the risk of formation of septal hematomas and adhesions. However, these materials cause pain and discomfort in-situ as well as during removal. This study was done to evaluate the effect of 2% lignocaine rehydration of nasal pack on pain during pack removal. Methods: This prospective study was conducted on 60 patients who had undergone septoplasty. The patients were divided into 2 groups: Lignocaine and Normal saline group, with 30 patients each. In the Lignocaine group, 2.5 ml of 2% of lignocaine was diluted with 2.5 ml of distilled water and was injected into the nasal pack; and in Normal saline group, 5 ml of normal saline was injected into the nasal pack. Nothing was injected to the left nostril, which acted as a control, in both groups. All patients were asked severity of pain during removal of nasal packing by VAS. Results: In lignocaine group, mean pain score was 3.73 ± 1.63 on lignocaine side and 6.23 ± 1.69 on control side (U=109.5, p<0.001). In Normal saline group, it was 6.5 ± 1.7 on normal saline side and 6.23 ± 1.96 on control side (U=425.5, p=0.711). On comparing VAS between lignocaine and normal saline group, pain was significantly lower in the lignocaine group (U=112.5, p<0.001) Conclusion: Rehydrating nasal pack with 2% topical lignocaine is a useful method to reduce pain during nasal pack removal.

Bioabsorbable dressing impregnated with betamethasone and ciprofloxacin after endoscopic sinus surgery: A randomized, double-blind, placebo-controlled study

2021 ◽  
pp. 014556132110624
Author(s):  
Małgorzata Wierzchowska ◽  
Paulina Kalińczak-Górna ◽  
Błażej Grześkowiak ◽  
Kamil Radajewski ◽  
Jakub Burduk ◽  
...  
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Healing Process ◽  
Nasal Packing ◽  
Sinus Surgery ◽  
Controlled Study ◽  
Nasal Surgery ◽  
Double Blind ◽  
Nasal Blockage ◽  
Positive Effects ◽  
Mucosal Edema

Background In addition to its hemostatic and stabilization role, biodegradable nasal packing can be used as a carrier for drugs after functional endoscopic sinus surgery (FESS). The aim of this study was to compare the influence of biodegradable synthetic polyurethane foam (NasoPore) soaked with ciprofloxacin, or betamethasone, or both to the same foam soaked with saline after FESS. Methods 120 adults with chronic rhinosinusitis, with and without polyps, directed for bilateral full-house FESS were enrolled for the study. The patients were randomized and blinded into 3 groups, depending on the type of postoperative procedure applied. Thus, NasoPore soaked with antibiotic was provided to the first group; in the second group, the steroid was used; and the combination of both, in the third group. In each case, the aforementioned procedure was administered on one side of the nose, while NasoPore was soaked in saline on the other, at the end of the surgery, respectively. The patients were requested to complete a questionnaire during their postoperative visits at 2, 10, 30, 90, and 180 days, scoring the level of complaints on the VAS scale, separately for each side. The evaluation of the healing process was performed at each visit using rigid endoscopy and subsequently rated on numerical scales. Results Decreased mucosal edema and secretion; reduced Lund-Kennedy score; and favorable influences on facial pressure, nasal blockage, and smell were most evidently seen in the group receiving the antibioticsteroid combination. Conclusions The application of biodegradable nasal packing with betamethasone and ciprofloxacin in sino-nasal surgery has positive effects not only on the healing process but also impacts patient’s comfort. To optimize it, however, further research is needed.

IDIOPATHIC PULMONARY HEMOSIDEROSIS

PEDIATRICS ◽  
1957 ◽  
Vol 19 (6) ◽  
pp. 1101-1108
Author(s):  
Konrad H. Soergel
Keyword(s):  
Young Patients ◽  
Review Of The Literature ◽  
Mild Form ◽  
Pathogenetic Mechanism ◽  
Diagnostic Measures ◽  
Pulmonary Hemosiderosis ◽  
Number Of Patients ◽  
Antihistaminic Drugs ◽  
Idiopathic Pulmonary Hemosiderosis ◽  
Better Than

Two fatal cases of idiopathic pulmonary hemosiderosis are reported. A review of the literature shows the prognosis of this disease to be, at least in young patients, somewhat better than generally thought. A positive diagnosis in the living patient is possible with the help of certain diagnostic measures which are discussed. Increasing familiarity with the rather typical manifestations of this disorder may lead to the discovery of a larger number of patients who have a mild form of the disease. The value of splenectomy and therapy with adrenocorticotropin and cortisone is still questionable, but further trials are necessary, possibly together with the use of antihistaminic drugs. Intermittent increases in pressure in the pulmonary circulation, due to a defective vasomotor control, appears to be the most likely pathogenetic mechanism but more investigations are needed to arrive at any positive conclusion.

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