Working on the major premise that it is preferable to pack the nasal passages following resection of the septum in order to acquire more perfect approximation of the flaps of mucous membrane and to avoid the formation of a hematoma, the problem presents itself as to the proper type of packing to be employed.
Diagram of an improved method of nasal packing, showing: a, the left naris; b, the Penrose tube; c, the gauze packing within the tube; d, the rubber catheter, and e, the heavy black silk thread.
The one most commonly used in the past consisted of gauze strips lubricated with petrolatum, but this was found to abrade the delicate mucous membrane of the septum, and removal tore the newly formed adhesions and caused fresh bleeding. To obviate this difficulty, Sewall1 described a modification of the method of packing with gauze. There was first inserted a
GIDOLL SH. AN IMPROVED PACKING FOR SEPTUM RESECTIONS PERMITTING NASAL RESPIRATION. Arch Otolaryngol. 1935;21(4):466–467. doi:10.1001/archotol.1935.00640020478012