Hemostatic Materials and Devices

Henry P Barham; Raymond Sacks; Richard J Harvey

doi:10.1016/j.otc.2016.02.002

Hemostatic Materials and Devices

Otolaryngol Clin North Am. 2016 Jun;49(3):577-84. doi: 10.1016/j.otc.2016.02.002. Epub 2016 Apr 20.

Authors

Henry P Barham¹, Raymond Sacks², Richard J Harvey³

Affiliations

¹ Department of Otolaryngology Head and Neck Surgery, LSUHSC SOM, Louisiana State University, 533 Bolivar Street, Suite 566, New Orleans, LA 70112, USA; Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia. Electronic address: hpbarham@hotmail.com.
² Department of Otolaryngology, Australian School of Advanced Medicine, Macquarie University, Sydney, Australia; Department of Otolaryngology, University of Sydney, Sydney, Australia.
³ Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia; Department of Otolaryngology, Australian School of Advanced Medicine, Macquarie University, Sydney, Australia; Department of Otolaryngology, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.

PMID: 27105946
DOI: 10.1016/j.otc.2016.02.002

Abstract

Numerous absorbable substances have been introduced to aid hemostasis in sinus and skull base surgery. Within the confines of the sinus and nasal cavities, ideal hemostatic agents must have several qualities. They must provide hemostasis, conform to an irregular wound bed, and enable healing of the traumatized mucosa without additional detriment to the epithelium. Traditional nasal packing has been substituted largely by absorbable materials designed to improve patient comfort and outcomes. Although many promising agents exist, none have become standard therapy.

Keywords: Agents; Hemostatic; Materials; Sinus; Skull base; Topical; Vasoconstrictors.

Publication types

Review

MeSH terms

Blood Loss, Surgical / prevention & control*
Endoscopy / adverse effects*
Endoscopy / methods
Hemostasis, Surgical / instrumentation
Hemostasis, Surgical / methods
Hemostatics / pharmacology*
Humans
Paranasal Sinuses / surgery*
Skull Base / surgery*
Vascular Closure Devices*
Vasoconstrictor Agents / pharmacology*

Substances

Hemostatics
Vasoconstrictor Agents