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Subconjunctival ecchymosis due to rhinoplasty
C O Kara1, I G Kara, V Yaylali
1Department of Otorhinolaryngology, Pamukkale University, Faculty of Medicine, Denizli, Turkey.
Rhinology
|November 28, 2001
Summary
Subconjunctival ecchymosis, a common rhinoplasty complication, affects 19.1% of patients, typically resolving within 11 days. This complication primarily prolongs recovery without other ocular symptoms.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Facial Reconstructive Surgery
Background:
- Rhinoplasty can lead to orbital complications, ranging from mild swelling to severe vision loss.
- Subconjunctival ecchymosis is a recognized, albeit less severe, orbital complication following rhinoplasty procedures.
Purpose of the Study:
- To determine the incidence and progression of subconjunctival ecchymosis after rhinoplasty.
- To investigate the underlying mechanisms contributing to this specific complication.
Main Methods:
- A prospective study design was employed to observe patients undergoing rhinoplasty.
- Data collection focused on the occurrence, timing, and resolution of subconjunctival ecchymosis.
Main Results:
- The incidence of subconjunctival ecchymosis was observed to be 19.1%.
- This complication typically presented unilaterally or bilaterally in the temporal subconjunctival area within two days post-operation.
- Complete resolution of subconjunctival ecchymosis occurred in approximately 11 ± 3 days, with no associated ocular symptoms.
Conclusions:
- Subconjunctival ecchymosis is a frequent occurrence after rhinoplasty, impacting nearly one-fifth of patients.
- While not associated with other visual disturbances, it does extend the overall patient recovery timeline.

