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Avaliação da equimose após osteotomia nasal lateral contínua interna e externa na rinoplastia aberta / Ecchymosis evaluation after internal and external continuous lateral nasal osteotomy in open rhinoplasty
Magno, Felipe Pimentel; Biavatti, Henrique; de Matos, Juliana Bolandini; Fernandes, Bruno Perrelli Sá Freire; Queiroga, Felipe Gomes de Oliveira; Ohana, Bianca Maria Barros; Boechat, Celso Eduardo Jandre.
  • Magno, Felipe Pimentel; Hospital Municipal Barata Ribeiro. Rio de Janeiro, RJ. BR
  • Biavatti, Henrique; Hospital Municipal Barata Ribeiro. Rio de Janeiro, RJ. BR
  • de Matos, Juliana Bolandini; Hospital Municipal Barata Ribeiro. Rio de Janeiro, RJ. BR
  • Fernandes, Bruno Perrelli Sá Freire; Hospital Municipal Barata Ribeiro. Rio de Janeiro, RJ. BR
  • Queiroga, Felipe Gomes de Oliveira; Hospital Municipal Barata Ribeiro. Rio de Janeiro, RJ. BR
  • Ohana, Bianca Maria Barros; Hospital Municipal Barata Ribeiro. Sociedade Brasileira de Cirurgia Plástica. Sociedade Brasileira de Queimaduras. Rio de Janeiro, RJ; São Paulo, SP. BR
  • Boechat, Celso Eduardo Jandre; Hospital Municipal Barata Ribeiro. Sociedade Brasileira de Cirurgia Plástica. Rio de Janeiro, RJ; São Paulo, SP. BR
Rev. bras. cir. plást ; 33(2): 211-216, abr.-jun. 2018. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-909407
RESUMO

INTRODUÇÃO:

O objetivo é avaliar a presença de equimose com 7 e 15 dias após osteotomia nasal lateral interna e externa na rinoplastia aberta.

Métodos:

Análise prospectiva, dos pacientes submetidos à rinoplastia aberta, com osteotomia nasal lateral com total de 15 pacientes. Os pacientes foram alocados em dois grupos. Aqueles submetidos à osteotomia nasal lateral externa formaram o grupo A (n = 6) e os submetidos à osteotomia interna, o grupo B (n = 9). Foram avaliados com 7 e 15 dias de pós-operatório e registrada a presença ou ausência de equimose.

Resultados:

Dentro do grupo A evidenciamos no 7º dia de pós-operatório 3 (50%) pacientes com equimose e 3 (50%) sem alteração na tonalidade da pele. Com 15 dias de pós-operatório, o mesmo grupo apresentava 2 (25%) pacientes com equimose e 4 (75%) sem alteração. Já no grupo B foram identificados no 7º dia após o procedimento 3 (33,4%) pacientes com presença de equimose e 6 (66,6%) sem alteração. O mesmo grupo após 15 dias do procedimento apresentou 1 (11,1%) paciente com equimose e 8 (88,9%) sem alteração.

Conclusão:

Apesar da fratura interna apresentar menor incidência de equimose no sétimo e décimo quinto dias de pós-operatório, não houve relevância estatística na comparação entre as técnicas.
ABSTRACT

Introduction:

The objective is to evaluate the presence of ecchymosis 7 and 15 days after internal and external lateral nasal osteotomy in open rhinoplasty.

Methods:

A prospective evaluation of 15 patients who underwent open rhinoplasty with lateral nasal osteotomy was conducted. The patients were allocated into two groups. Those who underwent external lateral nasal osteotomy were included in group A (n = 6), while those who underwent internal osteotomy were included in group B (n = 9). The patients were evaluated on postoperative days 7 and 15, and the presence or absence of ecchymosis was recorded.

Results:

In group A, we observed that on postoperative day 7, 3 patients (50%) had ecchymosis and 3 (50%) showed no changes in skin color. On postoperative day 15, the same group had 2 patients (25%) with ecchymosis and 4 (75%) without changes. On the other hand, in group B, 3 patients (33.4%) had ecchymosis and 6 (66.6%) showed no changes on postoperative day 7. In the same group, 1 patient (11.1%) had ecchymosis and 8 (88.9%) showed no changes 15 days after surgery.

Conclusion:

Despite the lower incidence of ecchymosis in internal fractures on postoperative days 7 and 15, no statistical significance was observed between the two techniques.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Osteotomy / Postoperative Complications / Rhinoplasty / Nose / Prospective Studies / Ecchymosis Type of study: Evaluation studies / Observational study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English / Portuguese Journal: Rev. bras. cir. plást Journal subject: General Surgery Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Municipal Barata Ribeiro/BR

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Full text: Available Index: LILACS (Americas) Main subject: Osteotomy / Postoperative Complications / Rhinoplasty / Nose / Prospective Studies / Ecchymosis Type of study: Evaluation studies / Observational study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English / Portuguese Journal: Rev. bras. cir. plást Journal subject: General Surgery Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Municipal Barata Ribeiro/BR