A Combination of Silicone Sheets for the Treatment of Adhesions in the Nasal Cavity

Nasal adhesions, or synechiae, commonly occur following surgical procedures, resulting in nasal airway obstruction and patient discomfort. While various packing materials are available to prevent adhesion formation post-surgery, there is limited guidance on effectively dividing existing adhesions and determining the optimal packing materials to maintain separation afterward. We treated a 59-year-old man with severe adhesions in the anterior nasal cavity. After dividing the adhesions, we placed a combination of silicone sheets to cover the nasal septum, inferior turbinate, and inferior meatus. The airway remained open for one year following the procedure. Silicone is so far the best material to cover the raw surface of the nasal cavity. Being chemically inert, it does not easily interact with bodily tissues, resulting in minimal inflammatory responses. This low level of tissue reaction decreases the risk of significant inflammation or immune responses and helps to prevent tissue assimilation or excessive scarring around the material. Here, we present the treatment history and our novel technique utilizing silicone sheets.