Effect of Lateral Osteotomy in Subperiostal Plan in Reducing Severity of Periorbital Edema and Ecchymosis after Rhinoplasty
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 15, Issue 6
Abstract
Introduction: Osteotomy is the main reason of periorbital edema and ecchymosis after rhinoplasty due to damage of angular vessels and fracture of the nasal bones and frontal process of maxilla. Several methods are suggested for reducing periorbital edema and ecchymosis. The main purpose of this study was to determine the effect of internal lateral osteotomy in subperiosteal plan in reducing periorbital edema and ecchymosis after rhinoplasty. Methods: This double-blinded clinical trial was conducted on 30 patients. Internal lateral osteotomy was performed in one side in subperiosteal plan and opposite side used as a control without elevation of periostium from the bone. The degree of edema/ecchymosis on both sides was compared on the 1st and 7th day postoperatively. Results: The severity of periorbital edema was more significant in one side with periosteal elevation 24 hours after operation (P. value=0.006). However, no significant difference was found in periorbital edema between both sides 7 days after the surgery (P. value=0.098). The severity of periorbital ecchymosis was also more significant in the side with periosteal elevation 24 hours (P. value= 0.023) and seven days after operation (P. value=0.004). Conclusion: Since lateral osteotomy in subperiosteal plan increased periorbital edema and ecchymosis after rhinoplasty, performing lateral osteotomies without subperiosteal tunneling during rhinoplasty operation is suggested.
Authors and Affiliations
Atighechi Saeid, Meybodian Mojtaba, Vaziribozorg Sedighe, Behniafard Nasim, Mandegari Mohammad
Keywords
Related Articles
- EP ID EP341442
- DOI 10.9734/BJMMR/2016/24530
- Views 57
- Downloads 0
Lack of Association between Halitosis and the Presence of Streptococcus mutans in Saliva
Background: Streptococcus mutans is a Gram-positive bacteria which plays a major role in tooth decay. S. mutans is among the bacterial agents that initiate biofilm formation on the tooth surface and other bacteria will a...
Etiology of Non-variceal Bleeding of upper Gastrointestinal System: A Brief Review
Upper gastrointestinal bleeding (UGB) has important morbidity and mortality risk and these risk increases when co-morbidities exist. Nonsteroidal anti-inflammatory drugs use and Helicobacter Pylori infection are risk fac...
Biologics and Biosimilars: Differences and Clinical Implications
Biologics or biopharmaceuticals are drugs derived from living organisms by recombinant technology. Biologics have made a significant contribution to the management of certain chronic diseases such as cancer, rheumatoid,...
Serum Levels of Interleukin-6 (IL-6) Cytokine in Patients with Classic Fever of Unknown Origin, in Maiduguri, Nigeria
Aim: To assess whether a significant correlation exists with serum Interleukin-6 cytokine levels in patients with Classic Fever of Unknown Origin (FUO) compared with healthy controls. The levels of IL-6 cytokine were tes...
Stem Cell Therapy for Stroke, Recent Advances, Controversies and Literature Review
Stem cells based therapy has shown to improve stroke recovery in multiple animal models. Translating these findings into clinical research can result in a potential therapeutic option for stroke. At this moment multiple...