THE EXPERIENCE OF NOSE TAMPONS APPLICATION WITH PRESERVATION OF THE NASAL RESPIRATION FUNCTION

Abstract

Nasal tampons should provide effective hemostasis while maintaining the function of nasal breathing, and not produce a traumatic effect on the mucous membrane of the nasal cavity. Within the frames of the research work in the Republican Scientific and Practical Center of Otorhinolaryngology, together with LLC «Advantmed», nasal tampons with preservation of the nasal breathing function of several sizes (14×64×7 mm and 19×84×7 mm) have been developed and manufactured. A registration certificate for a medical device has been received. Objectives. To evaluate the effectiveness of the use of nasal tampons while maintaining the nasal breathing function. In the course of the work, the time of stopping bleeding has been measured, patients have been surveyed concerning preservation of their nasal breathing function during tamponade of the nasal cavity, comfort of the tamponade of the nasal cavity using a 10-point visual analogue scale has been assessed by the patients, the degree of edema and hyperemia of the nasal mucosa has been determined, the presence of scabs and fibrin plaque during endoscopic examination of the nasal cavity using a 3-point visual analogue scale has also been determined. Results. Nasal tampons with preservation of the nasal breathing function have good hemostatic quality: the speed of stopping bleeding was 5±1 seconds compared to 9±1 seconds in case of glove-gauze tamponade (p<0.05). When questionnairing all patients (100%) during the period of using the developed medical device, the function of nasal breathing was determined as sufficient. Conclusions. Tamponade of the nasal cavity using nasal tampons while maintaining the nasal breathing function is better tolerated by patients than the glove-gauze one (the comfort of tamponade of the nasal cavity according to the visual analogue scale varied from 4 to 6 points (with an average value of 4.9±0.6 points) in comparison with 5-8 points (on an average 6.8±0.3 points), respectively (p<0.05)). It has a less pronounced traumatic effect on the mucous membrane of the nasal cavity compared to that of the glove-gauze tamponade.