Muhammad Ahmed Khan, Arfat Jawaid, Shahid Bin Faiz.
Comparison of bipp gauze packing versus maxillary antrum packing with foley's catheter after caldwell-luc surgery in terms of re-bleeding and discomfort.
J Postgrad Med Inst Jan ;29(3):128-30.

Objective: To compare efficacy and discomfort caused by maxillary antrum packing with Foley’s catheter versus BIPP gauze packing after Caldwell-Luc surgery. Methodology: This Quasi experimental study was carried out at two centres CMH Kharian and PAF Hospital Faisal, Karachi from June 2012 to June 2014. A total of 46 patients who underwent Caldwell-Luc surgery were included in the study. The cases were divided in two groups of 23 each. In Group A patients, maxillary antrum was packed with Foley’s catheter after Caldwell-Luc surgery and in Group B patients, packing was done with BIPP gauze. Results in terms of efficacy and discomfort were observed. Efficacy was assessed by control of bleeding and subjective discomfort was assessed based on VAS (Visual Analogue Scale). Results: In Group A average age of patients was 36.30(SD+13.52) and in Group B average age of patients was 39.65 (SD+13.84). There were 56.52% males in Group A and in Group B there were 60.86% males. Whilst the pack was in situ, average pain score in Group A (Foley’s catheter pack group) was 4.09 (SD+0.73) and in Group B, average pain score was 4.17(SD+0.83). On removal of pack, pain caused by BIPP gauze was significantly higher i.e average pain score of Group B was 7.30 (SD+1.10), however that of Group A was 5.13 (SD+1.32) (p<0.001). There was no case of bleeding after pack removal which showed that both types of packing are equally effective. Conclusion: Maxillary antrum/antral packing with Foley’s catheter is equally effective as compared to BIPP gauze packing and causes significantly less pain on removal as compared to BIPP gauze pack after Caldwell-Luc surgery.

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