Healthcare Professionals
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Healthcare Professionals
Medtronic's high-performance bioresorbable and biofragmentable nasal packing eliminates the need for painful packing removal following FESS. We offer nasal packing products to assist with stenting, bleeding control, wound healing, and antibacterial effectiveness.*
Bioresorbable and biofragmentable nasal packing for FESS can help:
NovaShield™ nasal packing is made from chitosan, a polymer chemical produced from chitin, a component of the hard external shell of shellfish (e.g., crab, lobster, and shrimp). Chitosan's hemostatic properties have been extensively studied.1-10
MeroGel® and MeroPack® nasal packing use esterified hyaluronic acid (HYAFF®), a naturally occurring constituent of the extracellular matrix that helps keep wounds moist, reduce adhesions, and decrease healing time.11
Only our NovaShield™ nasal packing product has antibacterial properties. In vitro efficacy is not correlated to the clinical effectiveness.
Shikani AH, Chahine KA, Alqudah MA. Endoscopically guided chitosan nasal packing for intractable epistaxis. Am J Rhinol Allergy. 2011;25(1):61-63.
Kourelis K, Shikani AH. Effectiveness of chitosan-based packing in 35 patients with recalcitrant epistaxis in the context of coagulopathy. Clin Otolaryngol. 2012;37(4):309-313.
Rao SB, Sharma CP. Use of chitosan as a biomaterial: studies on its safety and hemostatic potential. J Biomed Mater Res. 1997; 34:21–28.
Malette WG, Quigley H, Gaines RD, Johnson ND, Rainer G. Chitosan: a new hemostatic. Ann Thorac Surg.1983; 36:55–58.
Chou TC, Fu E, Wu CJ, Yeh JH. Chitosan enhances platelet adhesion and aggregation. Biochem Biophys Res Commun. 2003; 302:480–483.
Dutkiewicz JK. Superabsorbent materials from shellfish waste–a review. J Biomed Mater Res. 2002; 63:373–381.
Brandenberg G, Leibrock LG, Shuman R, Malette WG, Quigley H. Chitosan: a new topical hemostatic agent for diffuse capillary bleeding in brain tissue. Neurosurgery. 1984; 15:9–13.
Hirano S, Zhang M, Nakagawa M, Miyata T. Wet spun chitosan-collagen fibers, their chemical N-modifications, and blood compatibility. Biomaterials. 2000; 21:997–1003.
Belman A, Daya M, Steve M, Worley J. From the battlefield to the street—experience of a suburban fire/EMS agency with chitosan dressing. 2006; Touch Briefings: Emergency Medicine & Critical Care Review.
Wedmore I, McManus JG, Pusateri AE, Holcomb JB. A special report on the chitosan-based hemostatic dressing: experience in current combat operations. J Trauma. 2006; 60:655-658.
Berlucchi M, Castelnuovo P, Vincenzi A, Morra B, Pasquini E. Endoscopic outcomes of resorbable nasal packing after functional endoscopic sinus surgery: a multicenter prospective randomized controlled study. Eur Arch Otorhinolaryngol. 2009; 266(6):839-845.
HYAFF® is a registered trademark of Anika Therapeutics SRL.
More than 500,000 FESS procedures are performed annually in the US.1,2
Patients often complain about non-absorbable nasal packing and its associated pain, especially when it's removed.9,10 Bioresorbable/biofragmentable nasal packing:
Only our NovaShield™ nasal packing product has antibacterial properties. In vitro efficacy is not correlated to the clinical effectiveness.
Smith TL, Litvack JR, Hwang PH, et al. Determinants of outcomes of sinus surgery: A multi-institutional prospective cohort study. Otolaryngology–HNS. 2010; 142:55-63.
Thomson Reuters Outpatient Procedure Database.
Musy PY, Kountakis SE. Anatomic findings in patients undergoing revision endoscopic sinus surgery. Am J Otolaryngol. 2004; 25(6):418-422.
Gross RD, Sheridan MF, and Burgess LP. Endoscopic sinus surgery complications in residency. Laryngoscope. 1997; 107:1080–1085.
Ramadan HH. Surgical causes of failure in endoscopic sinus surgery. Laryngoscope. 1999; 109:27-29.
Kuhn FA, Citardi MJ. Advances in postoperative care following endoscopic sinus surgery. Otolaryngol Clin North Am. 1997; 30(3):479-490.
Bugten V, Nordgard S, Skogvoll E, Steinsvag S. Effects of nonabsorbable packing in middle meatus after sinus surgery. Laryngoscope. 2006;116(1):83-88.
Valentine R, Wormald PJ, Sindwani R. Advances in absorbable biomaterials and nasal packing. Otolaryngol Clin North Am. 2009;42(5):813-828, ix.
von Schoenberg M, Robinson P, Ryan R. Nasal packing after routine nasal surgery—is it justified? J Laryngol Otol. 1993;107:902-905.
Sama I, Stevens HE, Maloney A. The efficacy of nasal septal surgery. J Otolaryngol. 1992;21:88-91.
Only our NovaShield™ nasal packing product has antibacterial properties. In vitro efficacy is not correlated to the clinical effectiveness.