Abstract
Introduction: The efficacy of dexamethasone in reducing periorbital edema and ecchymosis following rhinoplasty was investigated in a double-blind, randomized trial. Materials & Methods: The study comprised fifty-four rhinoplasty patients who underwent open rhinoplasty surgery with tip modification, hump excision, and bilateral osteotomy and were divided into three groups: Group one: 18 patients: a single dosage of 8 mg dexamethasone given at the start of the procedure. Group two: 18 patients: three 8 mg dexamethasone doses given at the start of the procedure, then 24 and 48 hours afterwards. Group 3: a control group of 18 patients who were not given any medication. Result: In comparison to control group 3, there was a significant reduction in periorbital edema and ecchymosis in groups l and 2. Group 2 had less periorbital edema and ecchymosis at the end of the first postoperative week than group 1. Conclusion: Edema and ecchymosis were significantly reduced with dexamethasone administration in rhinoplasty with osteotomy. Use of three doses of dexamethasone can reduce edema and ecchymosis after rhinoplasty more than the single dose treatment during the first postoperative week.
Highlights
The efficacy of dexamethasone in reducing periorbital edema and ecchymosis following rhinoplasty was investigated in a double-blind, randomized trial
Materials & Methods: The study comprised fifty-four rhinoplasty patients who underwent open rhinoplasty surgery with tip modification, hump excision, and bilateral osteotomy and were divided into three groups: Group one: 18 patients: a single dosage of 8 mg dexamethasone given at the start of the procedure
Result: In comparison to control group 3, there was a significant reduction in periorbital edema and ecchymosis in groups l and 2
Summary
Rhinoplasty is challenging operation and patient satisfaction rates are lower compared to other cosmetic procedures [1]. Ecchymosis and swelling around the eyeball affect the patient’s aesthetic outcome and can cause dissatisfaction between the patient and the treating physician. An osteotomy can cause bruising and swelling around the eyeball due to damage to the angular arteries and periosteum [2]. The main purpose of prescribing steroids is to minimize bruising and swelling around the eyes. Many authors in various cosmetic surgeries have pointed out the favorable effect of steroids in reducing bruising and swelling around the eyes. We compared a group of steroid injection with a control group without steroid injection for bruising and swelling around the eye after rhinoplasty in a randomized double-blind study
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