Skin problems following septorhinoplasty

Büyüklü, Fuat; Koç, Bülent; Demirci, Gülşen Tükenmez

doi:10.1002/lary.25073

Cited by 8 publications

(11 citation statements)

References 13 publications

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“…Age, gender, family history of acne and recent medication use prior to surgery showed no significant correlation with acne formation (9). In another casecontrol study evaluating 30 septorhinoplasty patients and 20 septoplasty patients for postoperative skin conditions the mean preoperative GAGS, SDASI and VAS (acne, seborrhea, and ecchymosis) were found to be significantly higher in the septorhinoplasty group than in the septoplasty group (8). In our study, the subjective patient's assessment of acne was remarkably correlated with the clinician's assessment of GAGS.…”

Section: Discussionsupporting

confidence: 58%

“…In the literature, there are only four reports that focus on the co-presence of acne vulgaris and rhinoplasty (6,(8)(9)(10). In a case-control study with a total of 120 patients without acne or any specific skin condition (60 who had undergone rhinoplasty and 60 control group patients) were examined with respect to acne formation (9).…”

Section: Discussionmentioning

confidence: 99%

“…However, a case with a remarkable remission in the acneiform lesions after successful septorhinoplasty surgery has been also reported (6). In the literature, prospective, randomized and controlled studies about the cutaneous side effects after rhinoplasty are limited in number (6,(8)(9)(10). These adverse occasions are often thought to result from occlusive methods involving the use of post-operative plaster cast, adhesive plasters or sterile strips after surgery (10).…”

mentioning

confidence: 99%

“…There are only a few clinical studies that indicated an increase in the frequency of skin problems after septorhinoplasty (6,(8)(9)(10). However, to date, possible methods to minimize postoperative adverse effects have not been studied.…”

mentioning

confidence: 99%

“…There are a few etiopathogenetic hypotheses that have addressed acne exacerbation in early postoperative periods and remission after postoperative month 1 (8,10).…”

mentioning

confidence: 99%

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Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients

Üstüner

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Aim: This study aimed to evaluate the post-operative presence, clinical severity and course of acne vulgaris and seborrheic dermatitis among rhinoplasty patients.Material and Method: Fifty-six patients who were planned to have rhinoplasty were administered either pored or non-pored plaster cast for one week in the postoperative period. The patients in the rhinoplasty group were randomized into four groups according to the application of pored or nonpored plaster cast and adhesive strips for a further one-week. Forty patients that had undergone closed technique-septoplasty were included in the control group. The self-assessments of the patients in the rhinoplasty and septoplasty groups were recorded in terms of acne, seborrhea and erythema via visual analog scale (VAS). The clinical severity of acne vulgaris and seborrheic dermatitis were compared via Global Acne Grading Score (GAGS) and Seborrheic Dermatitis Area and Severity Index (SDASI) in both groups at postoperative months 1, 3 and 6.Results: In the rhinoplasty group, the VAS acne, VAS seborrhea, VAS erythema, GAGS, and SDASI values increased significantly at postoperative month 1 and decreased significantly at postoperative month 6 compared to the pre-operative values. At all visits, the GAGS values of patients that had undergone rhinoplasty were found statistically significantly higher than those that had received septoplasty. At postoperative month 6, the GAGS values were significantly decreased in the group treated with non-pored plaster cast and adhesive strips for one more week. The SDASI values statistically significantly decreased only in the group treated with pored plaster cast. However, at all visits, the mean values of GAGS and SDASI were similar in the four rhinoplasty groups according to the different types of plaster cast duration of nasal bandages. Conclusion:We concluded that in post-rhinoplasty patients, the plaster cast type and duration of nasal bandage application do not affect the severity of acne vulgaris and seborrheic dermatitis.Keywords: Acne Vulgaris, Cast, Dermatitis, Rhinoplasty, Seborrhea Amaç: Bu çalıșmada, rinoplasti hastalarında postoperatif dönemde akne vulgaris ve seboreik dermatit varlığı, klinik șiddetleri ve seyirlerinin değerlendirilmesi amaçlanmıștır.Gereç ve yöntem: Rinoplasti planlanan 56 hastaya postoperatif dönemde bir hafta süreyle porlu veya porsuz alçı uygulandı. Rinoplasti grubundaki hastalar porlu veya porsuz alçı ve bir hafta süresince yapıșkan bandaj uygulanmasına göre dört gruba rastgele dağıtıldı. Kapalı teknik septoplasti uygulanan 40 hasta ise kontrol grubuna alındı. Rinoplasti ve septoplasti gruplarındaki hastaların akne, sebore ve eritem bakımından kendi değerlendirmeleri görsel analog skala (VAS) ile kaydedildi. Her iki guptaki hastaların Global Akne Derecelendirme Ölçeği (GADÖ) ve Seboreik Dermatit Alan ve Șiddet İndeksi (SDASI) ile akne vulgaris ve seboreik dermatit klinik șiddeti postoperatif 1, 3 ve 6. aylarda karșılaștırıldı.Bulgular: Rinoplasti grubunda VAS akne, VAS sebore, VAS eritem, GADÖ ve...

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

“…There are a few etiopathogenetic hypotheses that have addressed acne exacerbation in early postoperative periods and remission after postoperative month 1 (8,10).…”

mentioning

confidence: 99%

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Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients

Üstüner

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping

Özüçer

Yıldırım

Veyseller

et al. 2016

JAMA Facial Plast Surg

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BACKGROUND Edema persists for months after rhinoplasty. Numerous modalities have been described to counteract postoperative edema. OBJECTIVE To evaluate the effect of postrhinoplasty taping (PRT) on nasal edema and nasal draping. DESIGN, SETTING, AND PARTICIPANTS In this randomized clinical trial, 57 patients undergoing rhinoplasty at a tertiary reference center from August 1, 2014, to January 31, 2015, were assigned to a control group or to 2-or 4-week PRT groups. Baseline nasal thickness was measured with ultrasonography at the nasion, rhinion, supratip, and tip, and mean nasal skin thickness (MNST) was calculated. Participants in each group were categorized by the baseline MNST measurement from the lowest to greatest MNST; those in the upper half were categorized as having thick skin; those in the lower half, thin skin. The control group underwent no PRT after the removal of external packing. Patients in the 2-and 4-week PRT groups

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