Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients

Abstract

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.