The effectiveness of steroids for edema, ecchymosis, and intraoperative bleeding in rhinoplasty

dc.contributor.authorKoç, Sema
dc.contributor.authorGürbüzler, Levent
dc.contributor.authorYaman, Hüseyin
dc.contributor.authorEyibilen, Ahmet
dc.contributor.authorSüren, Mustafa
dc.contributor.authorKaya, Ziya
dc.contributor.authorAladağ, İbrahim
dc.date.accessioned2020-04-30T23:33:16Z
dc.date.available2020-04-30T23:33:16Z
dc.date.issued2011
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000292636400010en_US
dc.descriptionPubMed: 21679511en_US
dc.description.abstractBackground: The aim of this study was to investigate the dose-related effectiveness of steroids on periorbital edema, ecchymosis, and intraoperative bleeding in patients who underwent open rhinoplasty with osteotomy. Methods: Forty patients were divided into three groups: those in group 1 (n = 15) were given a single dose of 1-mg/kg intravenous (i.v.) methylprednisolone, those in group 2 (n = 15) were given a single dose of 3-mg/kg i.v. methylprednisolone preoperatively, and group 3 (n = 10) was the control group. Eyelid edema and periorbital soft-tissue ecchymosis were evaluated separately using a scale of 0-4. Results: In groups using the steroid preoperatively, periorbital edema and ecchymosis were significantly lower compared with the control group (p < 0.05). No significant differences were seen clinically or statistically in preventing or reducing either the periorbital ecchymosis or the periorbital edema between groups 1 and 2. Also, there was no significant difference among the groups in terms of bleeding (p > 0.05). No complications with regard to the operation or steroid use were observed. Conclusion: Our results support that steroids significantly decrease periorbital ecchymosis and periorbital edema in open rhinoplasty with osteotomy. Additionally, our results suggest that if the dose of steroids is adjusted according to body weight, there is no significant benefit in a single dose of 3 mg/kg of methylprednisolone over a lower dose of 1 mg/kg and there is no need for higher doses of methylprednisolone administration. (Am J Rhinol Allergy 25, e95-e98, 2011; doi: 10.2500/ajra.2011.25.3612)en_US
dc.identifier.doi10.2500/ajra.2011.25.3612en_US
dc.identifier.endpageE98en_US
dc.identifier.issn1945-8924
dc.identifier.issue2en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpageE95en_US
dc.identifier.urihttps://doi.org/10.2500/ajra.2011.25.3612
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4932
dc.identifier.volume25en_US
dc.identifier.wosWOS:000292636400010en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherOcean Side Publications Incen_US
dc.relation.ispartofAmerican Journal Of Rhinology & Allergyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleThe effectiveness of steroids for edema, ecchymosis, and intraoperative bleeding in rhinoplastyen_US
dc.typeArticleen_US

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