How can periorbital oedema and ecchymose be reduced in rhinoplasty?

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

PubMedID: 26837508

Caglar E, Celebi S, Topak M, Develioglu NO, Yalcin E, Kulekci M. How can periorbital oedema and ecchymose be reduced in rhinoplasty?. Eur Arch Otorhinolaryngol. 2016;.
Oedema and ecchymose are frequent morbidities of septorhinoplasty, a facial surgical procedure for reforming the shape and functions of the nose. Periorbital oedema (PO) and periorbital ecchymose (PE) are normal occurrences, but are undesirable for patients undergoing the procedure for aesthetic purposes. The present study examined 65 patients who underwent open technique septorhinoplasty for aesthetic and functional complaints. Patients were divided into two groups: Group 1 patients underwent lateral osteotomy following tip plasty, at the end of the surgical operation; Group 2 patients underwent lateral osteotomy before tip plasty, at the beginning of the surgical operation. Patients were followed on the postoperative first, third and seventh days. PO and PE values of patients were scored from 0 to 4. The plastering time (Pt) was significantly shorter for Group I than Group II (p < 0. 05). The total surgical time (T) showed no significant difference (p > 0. 05). The PO value at the first, third and seventh days was significantly smaller for Group I than Group II (p < 0. 05). The PE value at the first, third and seventh days was also significantly smaller for Group I than Group II (p < 0. 05). The obtained data indicate that performing a lateral osteotomy in the final stages of surgery, and subsequently applying a nasal plaster and splint as rapidly as possible, decreases PO and PE in the postoperative period.