Abstract
Objectives
Medical device-related pressure ulcer (MDRPU) is a skin or subcutaneous tissue injury
caused by medical devices. Skin protectants have been used to prevent MDRPU in other
fields. In endoscopic sinonasal surgery (ESNS), rigid endoscopes and forceps can cause
MDRPU; however, detailed investigations have not been conducted. This study aimed
to investigate the frequency of MDRPU in ESNS and the preventive effects of skin protectants
Methods
Thirty-nine patients who received ESNS and consented to study participation were randomly
assigned to the “protective agent” (n = 18) or “control” (n = 21) group. MDRPU presence around the nostril was evaluated for up to 7 days post-surgically
based on physical findings and subjective symptoms. The occurrence ratio and severity
of MDRPU were statistically compared between the groups to evaluate the efficacy of
skin protective agents.
Results
Stage 1 MDRPU, according to the National Pressure Ulcer Advisory Panel classification,
was seen in 20.5% (8/39) of the patients, and no patient had more high-grade ulceration.
On postoperative days 2 and 3, skin erythema was predominantly observed on the nasal
floor, with a comparatively lower incidence in the protective agent group. Significant
pain reduction was observed in the nostril's floor on postoperative days 2 and 3 in
the protective agent group.
Conclusions
MDRPU occurred with a relatively high frequency around the nostrils after ESNS. Protective
agent use in the external nostrils was effective especially in reducing post-operative
pain on the nasal floor, where tissue damage can easily occur due to device-related
friction.
Keywords
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Article info
Publication history
Published online: March 09, 2023
Accepted:
February 24,
2023
Received:
October 3,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.
