{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:05:41Z","timestamp":1787313941713,"version":"build-2736575974"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":71,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bioabsorbable packs, which are frequently used after nasal surgery, have been recently deemed more comfortable than removable packs. If these packs cause lower levels of eustachian dysfunction than silicone nasal splint with integral airway, they would be a good alternative for nasal packing after septoplasty.<\/jats:p>\n                  <jats:p>To compare the effects of chitosan-based biodegradable nasal packs and silicone nasal septal splints with integral airway on the ventilation and pressure of the middle ear after septoplasty in patients with normal otoscopic examination.<\/jats:p>\n                  <jats:p>Patients who underwent septoplasty for nasal septal deviation with otoscopically-normal tympanic membranes and bilateral, normal type-A preoperative tympanograms were included. Following surgery, the patients were randomized into two groups (group P: chitosan-based biodegradable nasal packs; group S: silicone nasal septal splint).<\/jats:p>\n                  <jats:p>The tympanometric pressures of all patients in both groups decreased, but more so in group S in the first 24\u2009hours following surgery. These pressure differences between the 2 groups in the first 48\u2009hours following surgery were statistically significant.<\/jats:p>\n                  <jats:p>The present study demonstrated that chitosan-based biodegradable nasal packs would be a good alternative for nasal packing after septoplasty.<\/jats:p>","DOI":"10.1055\/s-0045-1809433","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T23:16:14Z","timestamp":1757546174000},"page":"001-005","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Chitosan-Based Biodegradable Nasal Packs on Eustachian Dysfunction after Septoplasty"],"prefix":"10.1055","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6306-4357","authenticated-orcid":false,"given":"Halil","family":"Elden","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5323-0059","authenticated-orcid":false,"given":"Mahmut S.","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4915-1384","authenticated-orcid":false,"given":"Ahmet","family":"Cihan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9743-2867","authenticated-orcid":false,"given":"Ebru M.","family":"Guven","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Sakarya University Faculty of Medicine, Sakarya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3600-5957","authenticated-orcid":false,"given":"Ahmet","family":"Kara","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1001\/archotol.1977.00780260051004","article-title":"Effects of nasal packing on eustachian tube function","volume":"103","author":"J A McCurdy Jr","year":"1977","journal-title":"Arch Otolaryngol"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"340","DOI":"10.3109\/00016487009181895","article-title":"Development of mucous glands in the human Eustachian tube","volume":"70","author":"M Tos","year":"1970","journal-title":"Acta Otolaryngol"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1177\/0194599811421595","article-title":"Do silicone nasal septal splints with integral airway reduce postoperative eustachian tube dysfunction?","volume":"146","author":"M S Yilmaz","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3390\/sinusitis1010003","article-title":"Effect of a chitosan-based biodegradable middle meatal dressing after endoscopic sinus surgery: a prospective randomized comparative study","volume":"1","author":"K Hsu","year":"2016","journal-title":"Sinusitis"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1001\/archotol.1970.04310040005002","article-title":"Clinical experience with impedance audiometry","volume":"92","author":"J Jerger","year":"1970","journal-title":"Arch 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merocel packs, silicone splint, and trans-septal suture after septoplasty on Eustachian dysfunction","volume":"16","author":"K Topal","year":"2020","journal-title":"B-ENT"},{"issue":"01","key":"ref10","first-page":"63","article-title":"Is middle ear pressure effected by nasal packings after septoplasty?","volume":"11","author":"M \u015eereflican","year":"2015","journal-title":"J Int Adv Otol"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/0194599812465587","article-title":"An evaluation of biodegradable synthetic polyurethane foam in patients following septoplasty: a prospective randomized trial","volume":"148","author":"M S Yilmaz","year":"2013","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"e93959","DOI":"10.1371\/journal.pone.0093959","article-title":"Merocel versus Nasopore for nasal packing: a meta-analysis of randomized controlled trials","volume":"9","author":"J Wang","year":"2014","journal-title":"PLoS One"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1177\/1945892420983645","article-title":"Polyurethane versus chitosan-based polymers nasal packs after functional endoscopic sinus surgery: a prospective randomized double-blinded study","volume":"35","author":"A G Khafagy","year":"2021","journal-title":"Am J Rhinol Allergy"}],"container-title":["International Archives of 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