Effects of Perioperative Remifentanil With Controlled Hypotension on Intraoperative Bleeding and Postoperative Edema and Ecchymosis in Open Rhinoplasty

Koşucu, Müge; Ömür, Şahin; Beşir, Ahmet; Uraloğlu, Muhammet; Topbaş, Murat; Livaoğlu, Murat

doi:10.1097/scs.0000000000000603

Cited by 44 publications

(28 citation statements)

References 21 publications

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“…Different surgical approaches have been reported in the literature to decrease these complaints to a minimal level. 10 A variety of medical analyses 11 and different anesthetic agents have been used for this purpose. 12 Nevertheless, there is no consensus on the mechanism of production of these complaints because it is believed to be multifactorial.…”

Section: Discussionmentioning

confidence: 99%

Effect of the Rhinoplasty Technique and Lateral Osteotomy on Periorbital Edema and Ecchymosis

Kılıç

Tuncel

Cömert

et al. 2015

Journal of Craniofacial Surgery

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The difference in the rate of edema and ecchymosis in the early postoperative period between the closed technique rhinoplasty and the open surgical approach was statistically significant, whereas osteotomy did not cause a significant difference. According to these results, the authors suggest endonasal surgery to prevent the development of edema and ecchymosis, whereas the choice of lateral osteotomy should be dependent on the experience of the surgeon.

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Section: Discussionmentioning

confidence: 99%

Effect of the Rhinoplasty Technique and Lateral Osteotomy on Periorbital Edema and Ecchymosis

Kılıç

Tuncel

Cömert

et al. 2015

Journal of Craniofacial Surgery

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“…Additionally, different pharmacological agents were tested to reduce postoperative edema. 5,8 Platelet concentrates have been widely used in the last two decades, especially in dental and orthopaedic procedures. Since many growth factors and cytokines are available in PRF, its clinic effects on tissue healing have been defined for many clinic procedures.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Platelet-Rich Fibrin on Nasal Skin Thickness in Rhinoplasty

et al. 2019

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The study hypothesized the potential positive effects of platelet-rich fibrin (PRF) in postoperative rhinoplasty patients, such as better wound healing, less dead space, and less edema. The authors assessed PRF for nasal dorsum camouflage and studied its potential effects on nasal dorsal skin in rhinoplasty. Thirty-eight patients who underwent open approach primary rhinoplasty were categorized into two groups: nasal dorsal PRF group and control group. PRF membrane was used for nasal dorsum camouflage and laid over the bony dorsum and cartilage framework of the supratip area. Skin and subcutaneous soft tissue thickness were measured by linear superficial tissue ultrasound at the pre- and postoperative first week and the third month in both groups. Mean skin thickness over the supratip area was significantly higher in the control group in the first-week control. There were no significant differences in both first-week and third-month controls' nasal dorsum mean skin thickness measurements between the two groups. Regarding PRF complications, we encountered no complications in either group, including scarring, hematoma, infection, skin discoloration, and acne. The authors present the application of PRF membrane over the bony dorsum and cartilage framework of the supratip area. They observed its positive effect on postoperative edema, especially in the early postoperative period. Long-term investigations have to be performed to evaluate its potential effect on the rhinoplasty procedure. This was a level of evidence 3 study.

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“…Studies show that preoperative administration of steroids reduced edema and ecchymosis, and repeated administration of steroids was more effective than administration of a single dose (5,14). A study performed by Koşucu et al reported that keeping intraoperative mean arterial blood pressure at 50-60 mmHg reduced edema and ecchymosis (15). There are some studies about topical administration of arnica and mucopolysaccharide polysulfide cream, which reduces edema and ecchymosis (16).…”

Section: Discussionmentioning

confidence: 99%

“…The grade of edema and ecchymosis is affected by many traits of the patient as well as by surgical interventions and techniques. Edema and ecchymosis are more common in patients with hypertension, bleeding diathesis, and less subcutaneous fatty tissue, as well as in light-skinned patients (15).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of adhesive strips to reduce postoperative periorbitaledema and ecchymosis following rhinoplasty

Tatar¹,

Bulam²,

Özmen³

2018

Turk J Med Sci

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Background/aim: Periorbital edema and ecchymosis may develop following rhinoplasty. The aim of this study was to assess the efficacy of adhesive strip application on the upper and lower eyelids to reduce postoperative edema and ecchymosis following rhinoplasty. Materials and methods: The eyelids of one side were randomly selected, and an adhesive strip of standard size and number was applied at the end of the operation. The strips were removed at postoperative day 3; photos of the eyes were taken at days 3 and 7. Edema and ecchymosis were graded on a scale from 1 to 4. The ecchymosis areas on the lower and upper eyelids were measured and compared in square centimeters. Results: The mean ecchymosis area of the lower eyelid on the side of the adhesive strip and on the side without the strip was 1.63 cm2 and 3.32 cm2 in the early period, respectively. It was 1.15 cm2 on the upper eyelid on the side of the adhesive strip, and 1.87 cm2 on the side without the strip. It was 0.224 cm2 on the side of the adhesive strip, and 0.498 cm2 on the side without the adhesive strip in the late period. Conclusion: Applying adhesive strips reduces periorbital edema and ecchymosis.

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Effects of Perioperative Remifentanil With Controlled Hypotension on Intraoperative Bleeding and Postoperative Edema and Ecchymosis in Open Rhinoplasty

Abstract: Remifentanil with controlled hypotension may reduce edema and ecchymosis of the upper and lower eyelids, by reducing mean arterial pressure and amount of bleeding in rhinoplasty.

Cited by 44 publications

References 21 publications

Effect of the Rhinoplasty Technique and Lateral Osteotomy on Periorbital Edema and Ecchymosis

Effect of the Rhinoplasty Technique and Lateral Osteotomy on Periorbital Edema and Ecchymosis

The Effect of Platelet-Rich Fibrin on Nasal Skin Thickness in Rhinoplasty

Efficacy of adhesive strips to reduce postoperative periorbitaledema and ecchymosis following rhinoplasty

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