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Journals / Türk Otolarengoloji Arşivi / 2001 / Cilt: 39 - Sayı: 3

Rinoplasti sonrasında oluşan ödem ve ekimoza steroidlerin etkileri

Effects of steroids on edema and ecchymosis in rhinoplasty

Ferhat ERİŞİR
Fatih ÖKTEM
Ender İNCİ
Pages
171–175
Publication Date
2022-11-04
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No complications were attributed to the administration of dexamethasone.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A randomized, prospective double-blind study with placebo control was planned to determine the effects of a single-dose dexamethasone in reducing postoperative edema and ecchymosis after rhinoplasty.
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Key Findings & Data:Thirty patients received 10 mg of dexamethasone intravenously before surgery and twenty-six patients received placebo.
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Conclusion & Impact:No complications were attributed to the administration of dexamethasone.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A randomized, prospective double-blind study with placebo control was planned to determine the effects of a single-dose dexamethasone in reducing postoperative edema and ecchymosis after rhinoplasty. Fifty-six consecutive patients who underwent rhinoplasty with hump removal and lateral osteotomies were enrolled in this study. Thirty patients received 10 mg of dexamethasone intravenously before surgery and twenty-six patients received placebo. Postoperative scoring of edema and ecchymosis was begun approximately 24 hours after surgery. All patients were operated by the authors. A 4-point scale was used to assess the extent of periorbital edema and ecchymosis 24 hours postoperatively. A single-dose of 10 mg of dexamethasone intravenously redu-ced postoperative edema and ecchymosis significantly. The first two days differences between the steroid and placebo groups for edema and ecchymosis were clinically and statisti-cally significant (p < 0.05). This study showed a statistically significant benefit of Steroids when compared to placebo in decreasing edema and ecchymosis in rhinoplasty. However, the effect of dexamethasone has disappeared after the first two days, and its use did not shorten the recovery. No complications were attributed to the administration of dexamethasone.

Özet

Rinoplasti sonrasında oluşan postoperatif ödem ve ekimozu azaltmada tek doz deksametazonun etkinliğini belirlemek için plasebo kontrollü prospektif bir randomize, çift kör çalışma planlandı. Hump rezeksiyonu ve lateral osteotomi uygulanan elli altı hasta çalışmaya dahil edildi. Otuz hastaya cerrahiden önce 10 mg intravenöz deksametazon, yirmi altı hastaya plasebo verildi. Postoperatif ödem ve ekimozun skorlaması yaklaşık olarak operasyondan 24 saat sonra başladı. Tüm hastalar yazarlar tarafından opere edildi. 24 saat sonraki periorbital ödem ve ekimozun şiddetini değerlendirmek için 4 puanlık bir skala kullanıldı. intravenöz olarak uygulanan 10 mg deksametazonun postoperatif ödem ve ekimozu anlamlı derecede azalttığı gözlendi. Steroid ve plasebo grupları arasında, ilk iki gündeki ödem ve ekimoz arasındaki farklar klinik ve istatistiksel olarak anlamlı bulundu (p

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Cite This Article

ERİŞİR, F., ÖKTEM, F., İNCİ, E. (2022). Rinoplasti sonrasında oluşan ödem ve ekimoza steroidlerin etkileri. Türk Otolarengoloji Arşivi, Cilt: 39 - Sayı: 3, 171–175. https://ajindex.com/articles/640127

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