Title: A Correlation between Anterior Nasal Packing and Periorbital Ecchymosis in patients undergoing Rhinoplasty procedure

Authors: Dr Supriya Kokane Patil, Dr Tanush Vijay Shah, Dr Kalpana Rajiv Kumar, Dr Jubina PP, Dr Parag Patil

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i10.131

Abstract

Introduction

Rhinoplasty is a surgical procedure done for correcting and reconstructing the form, restoring the function and aesthetically enhancing the nose. Rhinoplasty in particular, is one of the most commonly performed cosmetic surgeries and as any surgical procedure, it has some well-documented side effects and complications1. Patient dissatisfaction rates range between 10 and 25 % and is highest in the early post-op period. This can be partially attributed to nasal obstruction, facial edema, periorbital swelling and ecchymosis. Multiple studies have attempted to address periorbital ecchymosis by modifying surgical techniques, using anti-inflammatory agents such as steroids, using cold compresses, etc2.

There is a wide practice of doing anterior nasal packing following every nasal surgery by most of the surgeons worldwide. This study is aimed to find out correlation between anterior nasal packing and patient developing periorbital ecchymosis following lateral osteotomies in rhinoplasty procedures.

References

  1. Holt G, ET G, McLarey D. Postoperative sequelae and complications of rhinoplasty. Otolaryngol Clin North Am. 1987;20 (4):853–76
  2. Al-Arfaj A, Al-Qattan M, Al-Harethy S, Al-Zahrani K. Effect of periosteum elevation on periorbital ecchymosis in rhinoplasty. J Plast Reconstr Aesthet Surg. 2009; 62(11):e538–9.
  3. Erişir F, Tahamiler R. Lateral osteotomies in rhinoplasty: a safer and less traumatic method. Aesthet Surg J. 2008;28(5):518–20
  4. Zojajy M, Alani N, Abdi-Soofi S, Akbari-Delmaghani N. Does injection of lidocaine with 1/100000 epinephrine immediately before lateral osteotomy reduce post-opera-tive periorbital edema and ecchymosis in rhinoplasty? Novelty Biomedicine. 2014;2 (2):59–63
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Corresponding Author

Dr Tanush Vijay Shah