Effects of Single-Dose Steroid Usage on Edema, Ecchymosis, and Intraoperative Bleeding in Rhinoplasty

Kara, Cüneyt Orhan; Gökalan, İnci

doi:10.1097/00006534-199912000-00043

Cited by 95 publications

(113 citation statements)

References 2 publications

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“…In the standard rhinoplasty, the osteotomies are responsible for a signifi cant amount of periorbital swelling and ecchymosis due to the injury to angular vessels which cross the osteotomy sites and the trauma of fracturing the nasal bones [1,2]. the effect of steroids after rhinoplasty and concluded that triple dose administration of steroids effectively decreased edema and ecchymosis during the fi rst 5-7 days and also established that steroid administration before osteotomy reduced edema and ecchymosis signifi cantly.…”

Section: Discussionmentioning

confidence: 99%

“…They stated that preoperative administration of steroids may reduce intraoperative bleeding and they reported that edema and ecchymosis decreased by 24 hours postoperatively. In a study by Kara and Gokalan [2], the effect of single-dose dexamethasone on postoperative edema and ecchymosis, and intraoperative bleeding in rhinoplasty were investigated. There was a signifi cant difference between the steroid and control groups in terms of decreasing edema during the fi rst 2 days only.…”

Section: Methodsmentioning

confidence: 99%

“…In the standard rhinoplasty procedure, fractured nasal bones and osteotomies account for a notable proportion of this periorbital swelling and ecchymosis due to injury to the angular vessels crossing the osteotomy sites [1,2]. A marked improvement in the usual postoperative appearance would occur if this edema could be decreased.…”

Section: Introductionmentioning

confidence: 99%

“…Administration of steroids to minimize or prevent edema is widely practiced in maxillofacial and plastic surgery [2]. Some experimental animal studies have demonstrated reduced edema in fl ap models or replants [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Results of intravenous steroid injection on reduction of postoperative edema in rhinoplasty

Alajmi

Al-Abdulhadi

Al-noumas

et al. 2009

Indian J Otolaryngol Head Neck Surg

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Objective To determine the effi cacy of intravenous dexamethasone in reducing postrhinoplasty edema.Design A prospective, randomized clinical trial with placebo control.Setting Department of Otorhinolaryngology, Al-Sabah and Zain Hospital, Kuwait.Subject Eighty-four patients (male = 28; female = 56) aged between 20 and 40 years, undergoing open rhinoplasty with hump removal and bilateral lateral osteotomies were enrolled in this study.Intervention Patients were randomized to receive two doses of 10 mg of dexamethasone intravenously or placebo, fi rst dose during surgery and second dose 12 hours after surgery. Main outcome measuresPatients were evaluated postoperatively at 24 hours, days 2, 5, 7 and 10 for periorbital edema.Results 10 mg of dexamethasone given intravenously during rhinoplasty and a second dose 12 hours after surgery, reduced postoperative periorbital edema signifi cantly.Conclusion This study showed a statistically signifi cant benefi t of dexamethasone over placebo in reducing periorbital edema after rhinoplasty. No complications were attributed to the administration of dexamethasone.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Results of intravenous steroid injection on reduction of postoperative edema in rhinoplasty

Alajmi

Al-Abdulhadi

Al-noumas

et al. 2009

Indian J Otolaryngol Head Neck Surg

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“…The severity of the edema was defined as absent, as slight when the eyelid edema did not cover the iris edge, as moderate when it extended past the iris edge and as severe when the periorbital edema kept the eyelid closed. (4) The presence of periorbital edema, the affected eyelid, the severity and coloration of the eyelid edema were assessed every 12 hours from patient's admission at ICU to the third postoperative day (0, 12, 24, 36, 48, 60, 72 hours) and every 24 hours from the third to the seventh postoperative day (96, 120, 144, 168, 192 hours). Pupil examination was considered as performed when the nurse managed to open the patient's eyelid, with or without periorbital edema, and when it was possible to assess the pupil diameter and light reflex Pupil examination was considered as not performed when the nurse was able to open the patient's eyelid partially but was not possible to assess the pupil diameter and light reflex, or was not able to open the patient's eyelid.…”

Section: Methodsmentioning

confidence: 99%

Interferência e características do edema periorbital no exame pupilar após craniotomia

2015

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Objective: To assess the interference and the characteristics of periorbital edema in pupil examination with patients who underwent anterior craniotomy. Methods: Prospective cohort study conducted postoperatively in an intensive care unit and neurosurgery ward. Interference and characteristics of periorbital edema in pupil examination were assessed between patients' admission and the seventh day of the postoperative period. Pupil examination was performed by nurses. Results: One hundred patients were examined and the incidence of periorbital edema was 80%. Pupil examination was not performed by a nurse in 24 patients (30%). The characteristics that influenced the performance of pupil examination were purplish coloration and severe periorbital edema. Conclusion: Periorbital edema was found in most postoperative craniotomy patients and pupil examination was not performed in 30% of them. The presence of severe periorbital edema and purplish coloration were the factors that hampered pupil examination. ResumoObjetivo: Avaliar a interferência e características do edema periorbital no exame pupilar, em pacientes submetidos a craniotomia por via anterior. Métodos: Estudo de coorte prospectivo realizado em pacientes no pós-operatório na unidade de terapia intensiva e internação de neurocirurgia. A interferência e características do edema periorbital no exame pupilar foram avaliados da admissão do paciente até sétimo dia de pós-operatório. O exame pupilar foi realizado por enfermeiros. Resultados: Foram avaliados 100 pacientes e a incidência de edema periorbital foi de 80%. O enfermeiro não realizou o exame pupilar em 24 (30%) pacientes. As características que influenciaram na realização do exame pupilar foram coloração arroxeada e intenso edema periorbital. Conclusão: O edema periorbital estava presente na maioria dos pacientes no pós-operatório de craniotomia e o exame pupilar não foi realizado em 30% dos pacientes. A presença de intenso edema periorbital e de coloração arroxeada foram características que prejudicaram o exame pupilar.

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Practice Patterns in the Perioperative Treatment of Patients Undergoing Septorhinoplasty

Shadfar

Deal

Jarchow

et al. 2014

JAMA Facial Plast Surg

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Effects of Single-Dose Steroid Usage on Edema, Ecchymosis, and Intraoperative Bleeding in Rhinoplasty

Cited by 95 publications

References 2 publications

Results of intravenous steroid injection on reduction of postoperative edema in rhinoplasty

Results of intravenous steroid injection on reduction of postoperative edema in rhinoplasty

Interferência e características do edema periorbital no exame pupilar após craniotomia

Practice Patterns in the Perioperative Treatment of Patients Undergoing Septorhinoplasty

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