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Erschienen in:
01.11.2008 | Letter to the Editor
Loop Drainage Tube for Reduction of Edema and Ecchymosis After Rhinoplasty
Erschienen in: Aesthetic Plastic Surgery | Ausgabe 6/2008
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The proper nasal osteotomy technique ensures maximal aesthetic and functional results of rhinoplasty [1‐3]. The literature supporting the external perforated technique notes that it leads to a controlled, stable fracture and produces less nasal airway narrowing, hemorrhage, edema, and ecchymosis [4, 5]. The external perforated technique is our method of choice for lateral nasal osteotomy. After each side of the external perforated nasal osteotomy procedure is completed, we place a minidrain system, which we designed, in each osteotomy line (Figs. 1, 2). The minidrain system was prepared from a perfusion set. Hemorrhage is drained to the nasal tip throughout the tube. The tube is removed after 6 h. This system prevents malar area maceration as a result of frequent nasal dressing changes for hemorrhage after surgery. Edema and ecchymosis reduction are also seen after rhinoplasty (Fig. 2). We suggest that this new tube system provides more patient comfort after the external perforated technique of rhinoplasty.
Fig. 1
Minidrain system was prepared from a perfusion set (above, left and right). After each side of the external perforated lateral nasal osteotomy procedure is completed, a minidrain system is placed in each osteotomy line (below)
Fig. 2
View of minidrain system (above, left); minidrain system with nasal packing and plaster cast (above, right and below, left). View of 3-mm stab incision line while the nasal splint is removed on the seventh day. Significant edema and ecchymosis are not seen
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