Effects of Steroids on Edema and Ecchymosis in Rhinoplasty
A randomized, prospective double-blind study with placebo control was planned to determine the effects of a single-dose dexamethasone in reducing postoperative edema and ecchymosis after rhinoplasty. Fifty-six consecutive patients who underwent rhinoplasty with hump removal and lateral osteotomies w...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2001-09-01
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| Series: | Turkish Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/effects-of-steroids-on-edema-and-ecchymosis-in-rhi/43833
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| _version_ | 1797918920149041152 |
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| author | Ferhat Erişir Fatih Öktem Ender İnci |
| author_facet | Ferhat Erişir Fatih Öktem Ender İnci |
| author_sort | Ferhat Erişir |
| collection | DOAJ |
| description | A randomized, prospective double-blind study with placebo control was planned to determine the effects of a single-dose dexamethasone in reducing postoperative edema and ecchymosis after rhinoplasty. Fifty-six consecutive patients who underwent rhinoplasty with hump removal and lateral osteotomies were enrolled in this study. Thirty patients received 10 mg of dexamethasone intravenously before surgery and twenty-six patients received placebo. Postoperative scoring of edema and ecchymosis was begun approximately 24 hours after surgery. All patients were operated by the authors. A 4-point scale was used to assess the extent of periorbital edema and ecchymosis 24 hours postoperatively. A single-dose of 10 mg of dexamethasone intravenously reduced postoperative edema and ecchymosis significantly. The first two days differences between the steroid and placebo groups for edema and ecchymosis were clinically and statistically significant (p < 0.05). This study showed a statistically significant benefit of steroids when compared to placebo in decreasing edema and ecchymosis in rhinoplasty. However, the effect of dexamethasone has disappeared after the first two days, and its use did not shorten the recovery. No complications were attributed to the administration of dexamethasone. |
| first_indexed | 2024-04-10T13:37:04Z |
| format | Article |
| id | doaj.art-b77b31b0ffab41b688c56c52ec41f979 |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T13:37:04Z |
| publishDate | 2001-09-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-b77b31b0ffab41b688c56c52ec41f9792023-02-15T16:11:20ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742001-09-0139317117513049054Effects of Steroids on Edema and Ecchymosis in RhinoplastyFerhat Erişir0Fatih Öktem1Ender İnci2 Cerrahpaşa School of Medicine, Istanbul University, ENT Department Cerrahpaşa School of Medicine, Istanbul University, ENT Department Cerrahpaşa School of Medicine, Istanbul University, ENT Department A randomized, prospective double-blind study with placebo control was planned to determine the effects of a single-dose dexamethasone in reducing postoperative edema and ecchymosis after rhinoplasty. Fifty-six consecutive patients who underwent rhinoplasty with hump removal and lateral osteotomies were enrolled in this study. Thirty patients received 10 mg of dexamethasone intravenously before surgery and twenty-six patients received placebo. Postoperative scoring of edema and ecchymosis was begun approximately 24 hours after surgery. All patients were operated by the authors. A 4-point scale was used to assess the extent of periorbital edema and ecchymosis 24 hours postoperatively. A single-dose of 10 mg of dexamethasone intravenously reduced postoperative edema and ecchymosis significantly. The first two days differences between the steroid and placebo groups for edema and ecchymosis were clinically and statistically significant (p < 0.05). This study showed a statistically significant benefit of steroids when compared to placebo in decreasing edema and ecchymosis in rhinoplasty. However, the effect of dexamethasone has disappeared after the first two days, and its use did not shorten the recovery. No complications were attributed to the administration of dexamethasone. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/effects-of-steroids-on-edema-and-ecchymosis-in-rhi/43833 rhinoplastysteroidslateral osteotomiesedema. |
| spellingShingle | Ferhat Erişir Fatih Öktem Ender İnci Effects of Steroids on Edema and Ecchymosis in Rhinoplasty Turkish Archives of Otorhinolaryngology rhinoplasty steroids lateral osteotomies edema. |
| title | Effects of Steroids on Edema and Ecchymosis in Rhinoplasty |
| title_full | Effects of Steroids on Edema and Ecchymosis in Rhinoplasty |
| title_fullStr | Effects of Steroids on Edema and Ecchymosis in Rhinoplasty |
| title_full_unstemmed | Effects of Steroids on Edema and Ecchymosis in Rhinoplasty |
| title_short | Effects of Steroids on Edema and Ecchymosis in Rhinoplasty |
| title_sort | effects of steroids on edema and ecchymosis in rhinoplasty |
| topic | rhinoplasty steroids lateral osteotomies edema. |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/effects-of-steroids-on-edema-and-ecchymosis-in-rhi/43833
|
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