<p>Pharyngeal packing during elective nasal surgery is presumed to decrease postoperative sore throat (POST) and postoperative nausea and vomiting (PONV) however the evidence remains controversial. We aimed to compare the effect of various pharyngeal packing methods on POST and PONV in elective nasal surgeries using a randomized controlled three-arm double-blinded retrospectively registered trial. Using the sealed envelope method, 99 patients (15–60 years old) undergoing elective nasal surgeries were randomly allocated to one of three study arms: nasopharyngeal, oropharyngeal, and no-packing. POST was measured using a visual analog scale (VAS) at 6&#xa0;h, 24&#xa0;h, and 10 days postoperatively. PONV was measured using the Rhodes nausea and vomiting score at 6&#xa0;h and 24&#xa0;h postoperatively. At 24&#xa0;h, the VAS score was higher with oropharyngeal packing than nasopharyngeal (<i>p</i> = 0.048) while nasopharyngeal packing demonstrated a higher Rhodes score at 6&#xa0;h when compared to oropharyngeal (<i>p</i> = 0.027). Additionally, oropharyngeal packing had higher POST when compared to no-packing (<i>p</i> = 0.011) but at no specific time. Both POST and PONV dropped significantly over time and female sex was associated with a higher incidence of PONV, overall. This study failed to demonstrate any benefit to packing in elective nasal surgeries in protecting against POST or PONV.</p>

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Pharyngeal packing effects in elective nasal surgeries: a randomized controlled double-blinded trial

  • Bader M. Alim,
  • Leen S. Alhadlaq,
  • Hedayah O. Alsaadi,
  • Ibrahim A. Alarifi,
  • Saud R. Alromaih,
  • Mohammed O. Aloulah,
  • Ahmad Alroqi,
  • Badi F. Aldosari,
  • Yousef A. Alammar,
  • Mohammed Elsayed,
  • Saad Alsaleh

摘要

Pharyngeal packing during elective nasal surgery is presumed to decrease postoperative sore throat (POST) and postoperative nausea and vomiting (PONV) however the evidence remains controversial. We aimed to compare the effect of various pharyngeal packing methods on POST and PONV in elective nasal surgeries using a randomized controlled three-arm double-blinded retrospectively registered trial. Using the sealed envelope method, 99 patients (15–60 years old) undergoing elective nasal surgeries were randomly allocated to one of three study arms: nasopharyngeal, oropharyngeal, and no-packing. POST was measured using a visual analog scale (VAS) at 6 h, 24 h, and 10 days postoperatively. PONV was measured using the Rhodes nausea and vomiting score at 6 h and 24 h postoperatively. At 24 h, the VAS score was higher with oropharyngeal packing than nasopharyngeal (p = 0.048) while nasopharyngeal packing demonstrated a higher Rhodes score at 6 h when compared to oropharyngeal (p = 0.027). Additionally, oropharyngeal packing had higher POST when compared to no-packing (p = 0.011) but at no specific time. Both POST and PONV dropped significantly over time and female sex was associated with a higher incidence of PONV, overall. This study failed to demonstrate any benefit to packing in elective nasal surgeries in protecting against POST or PONV.