In Nasal Surgery, whether it is Rhinoplasty Surgery, Septoplasty or Endoscopic Sinus Surgery, it has been and still is customary for many Ear Nose Throat (ENT) doctors, Otolaryngologists and trained Plastic Surgeons to pack the nasal cavities with cotton or gauze following surgery. Packing is routinely used to achieve hemostatis, (i.e. to prevent and control bleeding and dripping).
Back in 1970s and 1980s, nasal packings were often left in the patient’s nose for 10 and up to 14 days. As technology and surgical techniques advanced in the late 1980s and early 1990s, less compressive and lighter packings were used due to the reduction in bleeding after Rhinoplasty, Septoplasty and Endoscopic Sinus Surgery. However, and even today, many surgeons still use nasal packing. There are many varieties of nasal packings. The simplest kind is Telfa, which is a very thin gauze and a smooth outer lining. This is attached to a string so that it may be easily removed 24 hours following surgery. There are other nasal packing materials, known as hemostatic packings, such as SURGICEL, which is a fibrin sealant. This type of packing promotes blood clotting when placed in an area that is bleeding. These hemostatic packings are comprised of coagulation materials.
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