Visualized Subperiosteal Internal Lateral Osteotomy in Open Rhinoplasty for Improved Recovery and Outcome

Darwish, Yasmine; Raafat, Sarah; Ezzat, Sherif Z; Kholy, Yusuf El; Nasr, Laila Aboul

doi:10.21608/ejprs.2021.201656

Cited by 1 publication

(2 citation statements)

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“…However, in rhinoplasty, the common cause for periorbital swelling and ecchymosis are osteotomies that are used to correct the deformities of the bony pyramid 6,7 . Lateral osteotomies may cause damage to the angular vessels within the periosteum or the capillaries and venules in the subcutaneous tissue [6][7][8] . Many medical and surgical interventions have been attempted to reduce edema, ecchymosis and nasal obstruction, so to improve patients' satisfaction 4,[9][10][11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

“…Lateral osteotomies may cause damage to the angular vessels within the periosteum or the capillaries and venules in the subcutaneous tissue. [6][7][8] Many medical and surgical interventions have been attempted to reduce edema, ecchymosis, and nasal obstruction, to improve patients' satisfaction. 4,[9][10][11][12][13] In this comparative study, we investigate the benefit of drainage obtained by the use of the external plastic sleeve of a medical cannula needle that is inserted in a subperiosteal tunnel along the line of lateral osteotomies to establish a liquid drainage system to reduce edema and ecchymosis.…”

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confidence: 99%

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The Effect of Cannula Drain in Reducing Edema and Ecchymosis after Rhinoplasty

Sulaiman,

Alnori,

Al-Talibi

et al. 2024

Facial Plast Surg

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Rhinoplasty is one of the most common plastic surgery and is commonly associated with post-operative edema, ecchymosis and pain which play a role in patient dissatisfaction. In this randomized comparative study we discuss the effect of cannula drainage in the reduction of post-operative periorbital edema, ecchymosis, pain and nasal obstruction after open structural septorhinoplasty. The study was conducted at a tertiary referral center from April to November 2022. We performed internal lateral osteotomy on all patients using the lateral saw and aided by lateral osteotome. At the end of the procedure, a cannula drain is prepared and inserted in the subperiosteal tunnel on the left side only. Patients were examined on the 1st, 3rd, 7th, 14th and 21st days for periorbital edema, ecchymosis, pain and nasal obstruction, and each side is scored separately. A total of 40 patients(80 sides in total) were recruited, 22 females (55%) and 18 males (45%), all of whom were adults (18-44 years old; mean age 29 years). The most frequent age group is those under 20 years representing 35% of the sample and the males forming 33.3%. The reduction in edema and pain was statically significant in the drained sides (P=0.000) during all the post-operative days. On the other hand, ecchymosis was lower on the drained side but statistically insignificant (P= > 0.29). Nasal obstruction was reduced significantly only on the 7th postoperative day (P=0.000). The postoperative morbidities associated with rhinoplasty could have important functional and psychological effects on patients. This study demonstrates that inserting a cannula in the subperiosteal tunnel for drainage in rhinoplasty yields a significant clinical and statistical decrease in post-operative periorbital edema and pain with little effect on ecchymosis and nasal obstruction.

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