4.0 Article

Drainage tube use for the reduction of postoperative ecchymosis in rhinoplasty

Journal

ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE
Volume 68, Issue 2, Pages 145-151

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ELSEVIER
DOI: 10.1016/j.anplas.2022.07.017

Keywords

Rhinoplasty; Facial esthetics; Edema; Ecchymosis

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In this study, we aimed to reduce postoperative edema and ecchymosis by applying a minidrain system. We evaluated the effectiveness of this intervention by observing patients on the left and right sides, comparing the intervention side with the control side. The use of a drain on the left side resulted in a significant decrease in ecchymosis at postoperative day 7.
Background. - Postoperative healing after rhinoplasty can have a negative impact on patient quality of life. Objectives. - In our study, we aimed to reduce postoperative edema and ecchymosis by applying a minidrain system. We evaluated this intervention's benefit on postoperative morbid-ity by observing the patient with left and right sides, intervention side and control side respectively. Methods. - All surgeries were performed using a piezo device with an open technique septorhi-noplasty. We only used a left-sided minidrain system through the osteotomy lines just in front of the piriform aperture for all patients with no other intervention on the right side of the same patient. Results. - Use of a drain on the left side was associated with a statistically significant decrease in ecchymosis at postoperative day 7 (P < 0.05). Conclusions. - We found that using a minidrain system through internal osteotomy lines was effective in reducing the amount of ecchymosis by day seven after surgery. (c) 2022 Elsevier Masson SAS. All rights reserved.

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