[Effect of Dexamethasone on postoperative periorbital edema and ecchymosis in rhinoplasty]

A double blind, randomized study was designed to determine the efficacy of dexamethasone in decreasing periorbital edema and ecchymosis after rhinoplasty Sixty rhinoplasty patients undergoing open rhinoplasty surgery with tip modification, hump resection and bilateral osteotomy were included in the study and were enrolled in 3 groups: group 1: 20: a single dose of 8 mg dexamethasone at the beginning of operation. Group 2: 20: three doses of 8 mg dexamethasone first at the beginning of operation and then 24 and 48 h postoperatively. Group 3: 20 control group with no medication used. Significant reduction in periorbital edema and ecchymosis was obvious in groups 1and 2 compared with control group 3. Periorbital edema and ecchymosis during the end of first postoperative week was lower in group 2 compared with group 1. steroid administration before osteotomy reduced edema and ecchymosis significantly. Patients can return to their normal lives earlier with this reduction in postoperative edema and ecchymosis

[Effects of subperiosteal tunnel creation on periorbital edema and ecchymosis after Rhinoplasty]

In this study we try to determine the effects of sub periosteal tunneling before intranasal lateral osteotomies during rhinoplastic operation on periorbital edema and ecchymosis In 50 patients we carried out 100 lateral osteotomies which 50 without subperiosteal tunneling and 50 after subperosteal tunneling in a fashion that in each patient in one side we did sub perosteal tunneling and in the other side not .Then an other surgeon compared periorbital edema, ecchymosis and subcojunctival ecchymosis in each patient separately on 3 [rd] postoperative day. There was significant increment in perorbital edema, ecchymosis and subcojunctival ecchymosis in the side of patient whom subperiosteal tunneling carried out before itranasal lateral osteotomy. we suggest performing lateral osteotomies without subperiosteal tunneling during a rhinoplastic operation

[Post rhinoplastic nasal obstruction in 180 patients]

Difficulty in breathing through the nose after rhinoplasty is a serious problem. Patient dissatisfaction can be great even when cosmetic results are excellent. The etiology of nasal obstruction can be multifactorial, but is primarily the result of interplay between two factors. Unrecognized preexisting nasal conditions [such as deviated septum, turbinate hypertrophy and mucosal disease], in conjunction with decrease in nasal valve area after rhinoplasty. In order to prevent nasal obstruction after aesthetic rhinoplasty, the surgeon needs to recognize and correct the preexisting nasal deformities; and, on the other hand, sugary at or near the nasal valve area must be performed carefully and conservatively with the knowledge that narrowing in this area can cause significant air way obstruction and difficulty in breathing

Result of open septorhinoplasty in 42 patients with twisted nose

The twisted nose represents a complex deformity that involves multiple anatomic components. A deviated nose often produces a cosmetic and functional deformity. Experienced surgeons uniformly regard the twisted as the most challenging of all septorhinoplasty procedures, and sometimes complete straightening of such a Nose may not be possible. The septum is the key point of deformities in most twist noses. A well done septoplasty with any correction if significant Septal deviations and deformities is important to attain satisfactory aesthetic and functional results. An open rhinoplastic approach with better visual field for using different sutures and grafts is essential for successful treatment