Abstract
Tampons are employed in maxillary sinus operations to prevent postoperative bleeding. In this paper, we report the effectiveness of the use of a maxillary sinus balloon (balloon) made by condoms during surgery of the maxillary sinus. We confirmed that the balloon had good tissue contact by postoperative computed tomographic scan. During the 17 years from April 1978 through March 1995, 204 patients underwent sinus operations for postoperative maxillary cyst, chronic odontogenic maxillary sinusitis, and radicular cyst or follicular cyst in the maxillary sinus at the department of dentistry and oral surgery, Asahi General Hospital. The clinical features of cases using balloon, gauze tampon, or Spongel®were reviewed and analyzed. The average duration of balloon insertion (4.4 days)was shorter than that of gauze tampon (6.0 days)(P<0.01). Postoperative spontaneous pain occurred at a rate of 33.3% with gauze tampon, 30.0% with Spongel®, and 17.3% with balloon. Among 70 cases using Spongel®, postoperative bleeding requiring hemostasis and infection occurred in 2 cases each. The balloon was easy and painless to remove. We considered balloon made by condoms to be useful as a tampon in operations of the maxillary sinus.
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