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Turkish Archives of Otolaryngology 2001; 39(3): 171-175 Abstract |
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Effects
of Steroids on Edema and Ecchymosis in Rhinoplasty Rinoplasti
Sonrasında Oluşan Ödem ve Ekimoza Steroidlerin Etkileri |
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| Cerrahpaşa School of Medicine, Istanbul University, ENT Department, İstanbul, Turkey |
| Key Words |
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| Rhinoplasty, steroids, lateral osteotomies, edema |
| Abstract |
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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<0.005). 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. |
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| Accepted: May 8, 2001 | |||
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Correspondence: |
Ferhat Erişir, MD Cerrahpaşa School of Medicine, Istanbul University, ENT Department K.M.Paşa 34303 İstanbul - Türkiye, Phone: (0212) 568 35 33
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Türk Otolarengoloji Arşivi / Turkish Archives of Otolaryngology |
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Copyright © 2002-2005 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
