Investigation of the Effects of Internal and External Lateral Osteotomies on Periorbital Edema and Ecchymosis in Patients Undergoing a Septorhinoplasty.

Ergin Bilgin,Deniz Baklacı

doi:10.7759/cureus.9609

Abstract

Objective: Periorbital ecchymosis and edema are common after septorhinoplasty surgery. This study aimed to compare internal and external lateral nasal osteotomies performed in septorhinoplasty in terms of postoperative ecchymosis and edema.Methods: Patients who underwent septorhinoplasty between January 2020 and July 2020 in our clinic were included in the study. In all patients, right lateral nasal osteotomies were performed endonasally and left lateral nasal osteotomies externally. The postoperative 1st, 7th, and 14th day ecchymosis and edema scores of all patients were calculated separately for the two groups and compared.Results: A total of 60 patients (29 females, 31 males) were included in the study. The mean age of the patients was 33.88 ± 10.30 years. No significant difference was observed between the two groups in terms of the postoperative periorbital ecchymosis scores on the first day and the first and second weeks (0.314, 0.344, and 0.468, respectively). There was also no significant difference between the two groups in terms of the postoperative periorbital edema scores on the first day and at the first and second weeks (0.272, 0.359, and 0.513, respectively).Conclusion: The results obtained from this study showed no significant difference in the periorbital ecchymosis and edema scores between the patients who had undergone septorhinoplasty with internal or external lateral osteotomies. Further multicenter studies are recommended to verify the findings of this study with a larger sample size.

Highlights

The results obtained from this study showed no significant difference in the periorbital ecchymosis and edema scores between the patients who had undergone septorhinoplasty with internal or external lateral osteotomies
As in all surgical procedures, there are well-known risks, such as intraoperative bleeding, postoperative pain, periorbital edema, and ecchymosis depending on the surgical procedures performed during septorhinoplasty [1]
There was no significant difference between the two groups in terms of the postoperative periorbital ecchymosis scores at any measurement time (p = 0.314, 0.344, and 0.468 for the first day, first week, and second week, respectively) (Table 2)

Summary

Introduction

As in all surgical procedures, there are well-known risks, such as intraoperative bleeding, postoperative pain, periorbital edema, and ecchymosis depending on the surgical procedures performed during septorhinoplasty [1]. Patients often have questions concerning the new appearance of their nose after surgery, as well as whether there will be swelling around the eyes or the degree of swelling after esthetic nasal surgery. Surgeons try to respond to these questions by focusing on the surgical procedures and medical materials to be used in an attempt to minimize the anxiety of patients. Ecchymosis and edema may occur at different degrees depending on some preventable/changeable factors, such as coagulation disorders, excess subcutaneous adipose tissue removal, type of surgical procedure, osteotomy type, length of surgery, localization differences of the angular artery, and presurgical drug use [4,5]

Methods

Results

Discussion

Conclusion