Basic and patient-oriented researchDoes Creating a Subperiosteal Tunnel Influence the Periorbital Edema and Ecchymosis in Rhinoplasty?
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Materials and Methods
Eighteen consecutive patients were included in the study. Informed consent was obtained from the patients. Each patient was questioned for a history of systemic hypertension and antiaggregant drug use. For female patients, operating during or immediately before the menstrual period was avoided. Dexamethasone (10 mg) was given intravenously just prior to the surgery. The operations were carried out under general anesthesia or local anesthesia with sedation. Local anesthesia was achieved with 2%
Results
Eighteen patients (3 females and 15 males) who underwent rhinoplasty with osteotomies were evaluated. The mean age of the patients was 26 years (range, 18 to 53 years). Although open rhinoplasty was performed in 5 patients, closed technique was preferred in 13 patients. Subperiosteal tunnel was created on the right side of 9 patients, and on the left of the remaining 9.
In 3 patients, no differences were noted between sides regarding ecchymosis. While in 3 patients ecchymosis was more severe on
Discussion
Edema and ecchymosis are the usual results of the bony and soft tissue trauma during rhinoplastic surgery. Their characteristics and behavior were well documented in a previous study.3 It always appears just after the operation, and recovery may last until the ninth postoperative day. Periorbital ecchymosis is not limited to the lax skin of the eyelids and sometimes moves through the periorbital fatty tissues and results in a subconjunctival ecchymosis.6 In particular, disruption of the angular
References (14)
- et al.
Steroids in rhinoplasty
Laryngoscope
(1989) - et al.
Steroids and rhinoplasty. A double-blind study
Arch Otolaryngol Head Neck Surg
(1991) - et al.
Effects of single dose steroid usage on edema, ecchymosis and intraoperative bleeding in rhinoplasty
Plast Reconst Surg
(1999) - et al.
The large nose
- et al.
Subconjunctival ecchymosis due to rhinoplasty
Rhinology
(2001) - et al.
Basic technique
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