Nasal packing, periorbital edema and ecchymosis after septorhinoplasty
Researcher Bulletin of Medical Sciences,
Vol. 22 No. 1 (2017),
8 September 2018
,
Page e4
Abstract
Introduction:Edema and ecchymosis after septorhinoplasty is an unpleasant manifestation for both the patient and surgeon. Although routine nasal packing is frequently done after septorhinoplasty, assessing the relevancy of post-surgical periorbital edema and ecchymosis with nasal packing eventually may helps to clarifying more prohibitable causes of these complications that are unintentionally perform.
Materials and Methods: In an interval of 1.5 years, 124 patients whom were candidates of septorhinoplasty by one surgeon in a center of plastic and reconstructive surgery in Tehran participated in our study. Patients were randomly divided in two groups. For half of them at the end of operation bilateral routine nasal packing was done and for the rest a light dressing limited to the nostril was performed. Thereafter, sequentially in the 1st, 3rd, 7th and 30th postoperative day severity of periorbital edema and ecchymosis were recorded based on a scaling system by a third person who was not informed about the study.
Results: Conventional nasal packing is relevant to an increasing number of cases with periorbital edema and ecchymosis after septorhinoplasty. The difference between patients whom were nasally packed or not was not significant at the first postoperative day but in the 3rd and 7th day it was meaningfully less in number and severity in the unpacked group.
Discussion: This shows that it is not necessary to do pack in every patient after septorhinoplasty and performing a light dressing may suffice.
- Septorhinoplasty
- Nasal pack
- Periorbital edema and ecchymosis
How to Cite
References
Biggs T, Fraser L, Ward M, Sunkaraneni V, Harries P, Salib R. Patient reported outcome measures in septorhinoplasty surgery. Ann R Coll Surg Engl. 2015;97(1):63–5.
Cüneyt Orhan Kara, Inci Gokalan Kara, Volkan Yaylali. Subconjunctival ecchymosis due to rhinoplasty. Rhinology. 2001; 39;166–168.
Kara CO, Gokalan Kara I. Effects of single dose steroid usage on edema, ecchymosis and intraoperative bleeding in rhinoplasty.
Plastic and Reconstructive Surgery. 1999;104;2213-2218.
Kara CO, Gokalan I. Effects of single-dose steroid usage on edema, ecchymosis, and intraoperative bleeding in rhinoplasty. Plast Reconstr Surg1999; 104: 2213–2218.
Gürlek A, Fariz A, Aydogan H, Ersoz-Ozturk A, Eren AT. Effects of different corticosteroids on edema and ecchymosis in open rhinoplasty. Aesthet Plast Surg. 2006;30(2):150–4.
Becker DG, McLaughlin RB Jr, Loevner LA, Mang A. The lateral osteotomy in rhinoplasty: clinical and radiographic rationale for osteotome selection. Plast Reconstr Surg. 2000;105, 1806-1816.
Hettige R, Mansell N. Limiting oedema, ecchymosis and haemorrhage in septorhinoplasty with ice cooled swabs. Ann R Coll Surg Engl. 2014;96(5):395–6.
Hatef DA, Ellsworth WA, Allen JN, Bullocks JM, Hollier LH, Stal S. Perioperative steroids for minimizing edema and ecchymosis after rhinoplasty: a meta-analysis. Aesthet Surg J. 2011;31(6):648–57.
Koşucu M, SO S, Beşir A, Uraloğlu M, MT M, Livaoğlu M. Effects of perioperative remifentanil with controlled hypotension on intraoperative bleeding and postoperative edema and ecchymosis in open rhinoplasty. J Craniofac Surg. 2014;25(2):471–5.
Zojajy M, Alani N, Abdi-Soofi S, Akbari-Delmaghani N. Does injection of lidocaine with 1/100000 epinephrine immediately before lateral osteotomy reduce post-operative periorbital edema and ecchymosis in rhinoplasty? Novelty Biomedicine. 2014;2(2):59–63.
Al-Arfaj A, Al-Swiahb JN, Al-Harthy S, Al-Essa M. Nasal packing in cosmetic and functional nasal surgery. Saudi Med J. 2008;29(7):994–7.
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