Abstract

Nasal airway obstruction due to postoperative swelling of the nasal mucosa may frequently occur after Le Fort I osteotomy. Additionally, as in persistent hemorrhage from the nose, it should become more difficult or impossible to maintain a patient's nasal air passage.Recently, we used Merocel ® NASAL PACKINGS on 23 patients who underwent Le Fort I osteotomy. This device is an intranasal pack made of biocompatible synthetic surgical sponge called Merocel, designed to compress the nasal mucosa adequately, and able to maintain the nasal airway with the tube in the center of the pack. The nasal pack was applied to bilateral nasal cavities for three days immediately after extubation.We have found this nasal pack to be useful not only for controlling hemorrhage from the nose, but also maintaining the nasal air passage in postoperative care of the patients who undergo Le Fort I osteotomy.

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