Am J Otolaryngol Head Neck Surg | Volume 1, Issue 6 | Case Report | Open Access
Fernando Mirage Jardim Vieira*, Carlos Alberto Atherinos Pierre, Cristiane Leite Castro and Roberto Vidal Haverroth
Department of Otorhinolaryngology, Hospital Baia Sul, Brazil
*Correspondance to: Fernando Mirage Jardim Vieira
Fulltext PDFIntroduction: Turbinate reduction is one of the most common surgical procedures performed in ENT. Post-operative hemorrhage is the most feared complication and crusting is a common occurrence in the weeks following the surgery, causing nasal obstruction, risk of nasal sinequias and nasal bleeding when debrided. To cover the turbinectomy site may contribute to decrease nasal crusting and facilitate the healing process. Platelet Rich Fibrin (PRF) is an autologous hemoderivative used in odontology to improve the oral mucosal healing in chronic wounds or dental implants. In this study we report a 52 case series of PRF use for covering turbinectomy site.
Methods: 52 patients submitted to nasal surgery that would include turbinate reduction surgery had their surgical site covered with an autologous PRF membrane manufactured in the operating room.
Results: In all cases was possible to perform the manufacturing of the PRF. There was no inflammation on the site and no case of hemorrhage that required surgical intervention. The crusting formation was low and required little intervention or cleaning in the office in the following weeks. The patients referred a remarkable improvement in visual scale measurement for nasal obstruction following 3 months of surgery.
Conclusion: Platelet Rich Fibrin (PRF) is a viable, autologous and relatively low cost resource for covering the turbinectomy site immediately after turbinate reduction surgery and may contribute to the healing process.
Vieira FMJ, Pierre CAA, Castro CL, Haverroth RV. Platelet Rich Fibrin (PRF): An Autologous Biomaterial for Turbinectomy Healing Assistance. Am J Otolaryngol Head Neck Surg. 2018;1(6):1027.