Abstract | BACKGROUND: Although some studies about the effects of steroids on surgical trauma in closed or combined (closed and open together) rhinoplasty have been reported in the literature, still more information is needed in order to enlighten rhinoplasty surgeons. The purpose of this study is to evaluate the anti-inflammatory activity of steroids administered in high doses to prevent and decrease periorbital ecchymosis and oedema in patients who underwent open rhinoplasty with osteotomies by the same surgeon. This is the first study in open rhinoplasty alone. METHODS: The study was performed on 40 patients, under general anaesthesia. Patients were divided randomly into five groups (eight patients in each group); the groups comprised: a single 250 mg dose of methylprednisolone (Group I), a single 500 mg dose of methylprednisolone (Group II), four 250 mg doses of methylprednisolone (Group III), four 500 mg doses of methylprednisolone (Group IV) and placebo (Group V). Digital photographs were taken of each patient on the first, third and seventh postoperative days. Scorings of eyelid swelling and ecchymosis were evaluated separately using a graded scale from 0 to (+) 4 by three observers, independently. Additionally, blood samples were taken for the evaluations of C-reactive protein (CRP), white blood cell (WBC) and erythrocyte sedimentation rate (ESR) on the same days. RESULTS: CONCLUSIONS:
|
Authors | Ali Gürlek, Alpay Fariz, Hakan Aydoğan, Ayşe Ersöz-Oztürk, Gregory R D Evans |
Journal | Journal of plastic, reconstructive & aesthetic surgery : JPRAS
(J Plast Reconstr Aesthet Surg)
Vol. 62
Issue 5
Pg. 650-5
(May 2009)
ISSN: 1878-0539 [Electronic] Netherlands |
PMID | 18359280
(Publication Type: Journal Article, Randomized Controlled Trial)
|
Chemical References |
- Anti-Inflammatory Agents
- Glucocorticoids
- Methylprednisolone
|
Topics |
- Adult
- Anti-Inflammatory Agents
(administration & dosage, therapeutic use)
- Dose-Response Relationship, Drug
- Drug Administration Schedule
- Ecchymosis
(etiology, prevention & control)
- Edema
(etiology, prevention & control)
- Eyelid Diseases
(etiology, prevention & control)
- Female
- Glucocorticoids
(administration & dosage, therapeutic use)
- Humans
- Male
- Methylprednisolone
(administration & dosage, therapeutic use)
- Osteotomy
(adverse effects)
- Perioperative Care
(methods)
- Rhinoplasty
(adverse effects, methods)
- Severity of Illness Index
- Treatment Outcome
- Young Adult
|