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Facial Plast Surg 2023; 39(04): 427-433
DOI: 10.1055/s-0043-1764146
Original Article

Reducing Postoperative Swelling, Edema, and Ecchymosis after Open Rhinoplasty Using Intranasal Drainage

Sebastian Haack
1   Department for Facial Plastic Surgery, Marienhospital Stuttgart, Stuttgart, Germany
,
Steven Mann
1   Department for Facial Plastic Surgery, Marienhospital Stuttgart, Stuttgart, Germany
,
Brigitta Gahl
2   Surgical Outcome Research Center Basel, University Hospital Basel, Basel, BS, Switzerland
,
Martin Haug
3   Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital, Basel, Switzerland
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Abstract

Reducing postoperative strain on the patient after rhinoplasty is an important goal for the surgeon. Many strategies are described to reach that goal. One strategy is to remove blood from under the dissected soft tissue envelope by drains, before it can infiltrate the different layers causing ecchymosis, edema, and swelling. In our setting with wide degloving and using drains, we could show a significant reduction in ecchymosis on day 2 and 14 after surgery (p = 0.006 and p = 0.017). We also observed a significant effect for edema and general swelling on day 2 (p = 0.027 and p = 0.004), but this effect did not reach significance for these two parameters on day 14. And although the long-term effect needs to be assessed in the future, we found that using drains in open rhinoplasty with wide degloving is an easily applicable, cheap, and reproducible approach to reduce postoperative ecchymosis, edema, and swelling.

Keywords

rhinoplasty - ecchymosis - edema - drains - osteotomy


Publication History

Article published online:
14 March 2023

© 2023. Thieme. All rights reserved.

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