USE OF STEROIDS IN RHINOPLASTY WITH LATERAL OSTEOTOMIES FOR REDUCING POST OPERATIVE OEDEMA

Authors

  • Aamna Sanober Shifa International Hospital Islamabad
  • Mamoon Rashid Shifa International hospital Islamabad
  • Mohammad Ibrahim Khan Shifa International Hospital Islamabad
  • Saad Ur Rehman Sarwar Shifa International Hospital Islamabad
  • Shumaila Yousaf Shifa International Hospital Islamabad
  • Ishtiaq Ur Rehman Orakzai Shifa International Hospital Islamabad
  • Samia Fatima Shifa International Hospital Islamabad
  • Farhan Ahmed Eitezaz Shifa International Hospital Islamabad
  • Adeela Hussain Khan Shifa International Hospital Islamabad

Abstract

Background Postoperative periorbital edema is a commonly encountered side effect of rhinoplasties in which lateral osteotomies have been incorporated. It dissatisfies the surgeon as well as the patient. Osteotomies are done at the end of all soft tissue manipulation to reduce the development of edema. The aim of this study was to determine the efficacy of intravenous dexamethasone in reducing edema in patients who undergo rhinoplasty with lateral osteotomies.MethodsA Prospective randomized controlled trial was done at department of plastic and reconstructive surgery, Shifa International Hospital Islamabad. Sixty patients age between 16- 55 requiring open rhinoplasty were taken for this study and divided in two groups. One group received dexamethasone 8mg intravenously peroperatively and second dose 4 hours postoperatively. The second group did not receive anything. Both groups were assessed on first post operative day and 7th day for periorbital edema. ResultThe overall decrease in edema in patients who received steroid was by 50% while in control group was 33.3%. By the 7th day control group 13.3% patients had grade III edema as compared to 3.33% in steroid group. Chi test was applied and p value of 0.0289 was obtained which was found to be statistically very significant.ConclusionDexamethasone used in minimal dosage showed significant advantage in reducing periorbital edema after rhinoplasty with no evidence of any side effects secondary to steroid administration.Keywords: Rhinoplasty, Lateral osteotomy, Steroid use in rhinoplastyBackground: Postoperative periorbital oedema is a commonly encountered side effect of rhinoplasties in which lateral osteotomies have been incorporated. It dissatisfies the surgeon as well as the patient. Osteotomies are done at the end of all soft tissue manipulation to reduce the development of oedema. The aim of this study was to determine the efficacy of intravenous dexamethasone in reducing oedema in patients who undergo rhinoplasty with lateral osteotomies. Methods: A Prospective randomized controlled trial was done at department of plastic and reconstructive surgery, Shifa International Hospital Islamabad. Sixty patients age between 16–55 requiring open rhinoplasty were taken for this study and divided in two groups. One group received dexamethasone 8mg intravenously preoperatively and second dose 4 hours postoperatively. The second group did not receive anything. Both groups were assessed on first post-operative day and 7th day for periorbital oedema. Result: The overall decrease in oedema in patients who received steroid was by 50% while in control group was 33.3%. By the 7th day control group 13.3% patients had grade III oedema as compared to 3.33% in steroid group. Chi test was applied and p-value of 0.0289 was obtained which was found to be statistically very significant. Conclusion: Dexamethasone used in minimal dosage showed significant advantage in reducing periorbital oedema after rhinoplasty with no evidence of any side effects secondary to steroid administration.Keywords: Rhinoplasty; Lateral osteotomy; Steroid

Author Biographies

Aamna Sanober, Shifa International Hospital Islamabad

Department of plastic surgeryFellow (plastic surgery)

Mamoon Rashid, Shifa International hospital Islamabad

Professor of department of plastic surgery

Mohammad Ibrahim Khan, Shifa International Hospital Islamabad

Consultant department of plastic surgery

Saad Ur Rehman Sarwar, Shifa International Hospital Islamabad

Associate consultant department of plastic surgery

Shumaila Yousaf, Shifa International Hospital Islamabad

Assistant consultant department of plastic surgery

Ishtiaq Ur Rehman Orakzai, Shifa International Hospital Islamabad

Fellow department of plastic surgery

Samia Fatima, Shifa International Hospital Islamabad

Fellow department of plastic surgery

Farhan Ahmed Eitezaz, Shifa International Hospital Islamabad

Postgraduate resident department of plastic surgery

Adeela Hussain Khan, Shifa International Hospital Islamabad

Postgraduate resident department of plastic surgery

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Published

2018-01-09