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

Abstract

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.

Ophthalmic Complications of Periorbital and Facial Aesthetic Procedures: A Literature Review

“…Maintaining intraoperative mean arterial blood pressure (50-60mmHg) Preoperative intravenous dexamethasone [30] Steroids Nasal decongestant…”

“…Maintaining intraoperative mean arterial blood pressure (50-60mmHg) Preoperative intravenous dexamethasone [30] Conservative management as it resolves spontaneously within 2-4 weeks [29] TABLE 3: Complications after rhinoplasty with references to studies. Image credit: Charles-de-Sa et al, 2014 [29] with permission.…”

Proposal for Perioperative Pharmacological Protocol for the Reduction in Early Complications in Orthorhinoseptoplasty: Five Years of Experience

“…Technical complications include septal perforation, saddle nose deformity, open roof deformity, inverted V deformity, pollybeak deformity, and rocker deformity (these depend on technique rather than management related to osteotomy and other procedures). There are numerous clinical studies that have examined the effects of some medical applications [ 4 , 8 , 9 ], surgical techniques [ 10 , 11 ], and preoperative and postoperative medications [ 12 , 13 , 14 , 15 ] to minimize these complications, but there is not yet a standardized protocol. In the absence of standardized definitions of complications and treatment protocols, comparison of complication rates between different studies is extremely difficult, and the ability to perform high-quality meta-analyses is limited.…”