{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:36:01Z","timestamp":1777563361106,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:00:00Z","timestamp":1762560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:00:00Z","timestamp":1762560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>\n                      Endoscopic dacryocystorhinostomy (Endo DCR) is a standard treatment for nasolacrimal duct obstruction, though outcomes may be compromised by intraoperative bleeding and postoperative inflammation. This study evaluated the clinical efficacy of Novacol Fibrillar\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , a collagen-based absorbable hemostatic agent, in Endo DCR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review was conducted on 357 patients who underwent Endo DCR from January 2018 to September 2024. The Novacol group (n\u2009=\u2009168) received Novacol packing, while the Nasopore group (n\u2009=\u2009189) received Nasopore. Primary outcomes included anatomical and functional success, operative time, and intraoperative bleeding. Secondary outcomes included granulation, infection, epistaxis, postnasal drip, and revision surgery within 3\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The Novacol group showed higher anatomical (94.6% vs 85.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.039) and functional (93.5% vs 84.1%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.023) success. Intraoperative bleeding was lower (9.5 vs 12.4 gauzes,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.022), as were rates of granulation (9.5% vs 24.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.009), epistaxis (5.4% vs 21.7%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.028), postnasal drip (6.5% vs 23.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.032), and revision surgery (2.4% vs 16.4%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.041). Infection rates were not significantly different (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.083).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Novacol Fibrillar improved surgical outcomes and reduced complications in Endo DCR, supporting its use as an effective hemostatic packing material.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613251392335","type":"journal-article","created":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T08:47:16Z","timestamp":1762591636000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Collagen-Based Nasal Packing in Endoscopic Dacryocystorhinostomy"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9482-5727","authenticated-orcid":false,"given":"Hyunkyu","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Korea University College of Medicine, Anam Hospital, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5918-8165","authenticated-orcid":false,"given":"Sehyun","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Korea University College of Medicine, Guro Hospital, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001985"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100109405"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e31802c610b"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(02)01114-4"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2003.08.023"},{"issue":"2","key":"e_1_3_2_7_2","first-page":"115","article-title":"Dacryocystorhinostomy with silicone tubes: evaluation of 253 cases","volume":"20","author":"Rosen N","year":"1989","unstructured":"Rosen N, Sharir M, Moverman DC, Rosner M. Dacryocystorhinostomy with silicone tubes: evaluation of 253 cases. Ophthalmic Surg. 1989;20(2):115-119.","journal-title":"Ophthalmic Surg"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3182a230b0"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.02.019"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000313818"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1977.04450030162029"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2010.09.001"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300460-1"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-008-0841-3"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/01455613221104438"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biomaterials.2003.10.073"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biomaterials.2008.09.039"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bip.22486"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msec.2019.03.093"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2016.08.010"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000977"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.3390\/pharmaceutics15051534"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2022.1062676"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.3341\/jkos.2020.61.7.718"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000034782"},{"issue":"9","key":"e_1_3_2_26_2","first-page":"492","article-title":"Use of absorbable collagen for hemostasis in general surgical patients","volume":"52","author":"Browder IW","year":"1986","unstructured":"Browder IW, Litwin MS. Use of absorbable collagen for hemostasis in general surgical patients. Am Surg. 1986;52(9):492-494.","journal-title":"Am Surg"},{"issue":"8","key":"e_1_3_2_27_2","first-page":"985","article-title":"Applicazione percutanea di collagene (vasoseal): un\u2019efficace sistema di emostasi dopo cateterismo o procedure interventistiche per via arteriosa","volume":"24","author":"Sganzerla P","year":"1994","unstructured":"Sganzerla P, Fabbiocchi F, Montorsi P, Loaldi A, Passaretti B, Bartorelli AL. Applicazione percutanea di collagene (vasoseal): un\u2019efficace sistema di emostasi dopo cateterismo o procedure interventistiche per via arteriosa [Percutaneous administration of collagen (VasoSeal): an efficacious system of hemostasis after catheterization or interventional procedures using arterial approach]. G Ital Cardiol. 1994;24(8):985-992.","journal-title":"G Ital Cardiol"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42825-022-00079-2"},{"key":"e_1_3_2_29_2","doi-asserted-by":"crossref","unstructured":"Wormald P-J. Endoscopic sinus surgery: anatomy three-dimensional reconstruction and surgical technique. 3\ufeffrd ed. 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