RESUMO
Objective: To compare early postoperative complications of nasal packing with finger gloves versus bismuth iodoform paraffin paste (BIPP) in patients after septal surgery. Material and methods: This prospective, longitudinal, randomized study was done in patients who underwent primary septoplasty from Aug. 2009 to July 2013 in the Dept. of ENT-Head and Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Patients after septoplasty were randomly selected by lottery for nasal packing with BIPP or finger gloves prepared from latex surgical gloves. Patients and surgeon were blind folded. Pack was removed after 48 hours in both cases. Pain and bleeding during pack removal was assessed by 4 Score Numerical Rating Scale by one of the residents. Signs of infection and synechia noted in the first follow-up (2 weeks after discharge) by a faculty who was blind-folded about the material of nasal packing. Results: Total 79 patients were included in the study, 35 in finger packing and 44 in BIPP packing group. Age of the patients ranged from 15 to 51 years in finger glove packing and 13 to 65 years in BIPP packing with median age of 27 and 24.37 years, respectively. Mean pain score and bleeding was significantly more in BIPP packing group. Synechia was found in equal number of patients while infection was also more in BIPP packing group but it was statistically not significant. Conclusion: Finger gloves nasal packing is less painful and causes less bleeding at removal than BIPP packing, and also causes less infection, while there is no difference in synechia formation.
RESUMO
A case of Oncocytoma of maxillary sinus in a 73 years old female is reported along with a brief review of literature. To the best of our knowledge this extremely rare tumor is the first of its kind reported in Nepal. Literature review has revealed only four such cases originating from maxillary sinus.