ABSTRACT
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