Abstract
Edema and ecchymosis are among the most important morbidities after rhinoplasty. The aim of the present study was to investigate the effects of hilotherapy application compared with traditional ice applications after rhinoplasty in terms of periorbital edema, ecchymosis, and pain. A total of 60 patients (35 women and 25 men) had undergone primary rhinoplasty with the same surgeon. In the postoperative period, 30 patients in the study group received continuous cooling at 15°C using Hilotherm (Hilotherm GmbH, Argenbühl-Eisenharz, Germany), and 30 patients in the control group were treated with conventional cryotherapy with ice packs. Both treatments started within 45minutes after the end of the surgery and were maintained for 24hours. For the following 1week, the patients were examined for edema, ecchymosis, and pain. When the postoperative periorbital region was evaluated for mean edema and mean ecchymosis for 7days, less edema and less ecchymosis were detected in the Hilotherm group compared with that observed in the ice pack group (P<.001). When the mean pain scores were compared both morning and evening for 7days, less pain had been recorded with Hilotherm application compared with ice application (P<.001). Hilotherapy is a useful method to prevent postoperative edema, ecchymosis, and pain compared with traditional ice application.
Published Version
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