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Updated: Apr 10, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Open Versus Closed Septorhinoplasty Approaches for Postoperative Edema and Ecchymosis
Öner Sakallioğlu1, Cemal Cingi, Cahit Polat
1*Elazig Training and Research Hospital, Otorhinolaryngology Clinic, Elazig †Eskisehir Osmangazi University, Otorhinolaryngology Department, Eskisehir ‡Medipol University, Otorhinolaryngology Department, Istanbul §Eskisehir Military Hospital, ENT Department, Eskisehir, Turkey.
Objective:
The aim of this study was to compare periorbital edema and ecchymosis seen after closed (endonasal) and open (external) septorhinoplasty (SRP).
Methods:
In total, 50 patients undergoing hump extraction and osteotomies were allocated to 2 groups. Group 1 consisted of 25 patients who underwent closed SRP. Group 2 consisted of 25 patients who underwent open SRP. Operation time, amount of intraoperative bleeding, and complications were recorded. Scoring of eyelid edema and periorbital ecchymosis was evaluated on the first, third, and seventh postoperative days using a scale of 0 to 4 by the first author.
Results:
There was no statistically significant difference between the groups in terms of age, sex, or operation time. No significant difference was observed clinically or statistically in the scores of periorbital edema or ecchymosis between groups 1 and 2 on the first, third, and seventh postoperative days (P > 0.05).
Conclusions:
The authors observed no clinically or statistically significant difference in comparing periorbital edema and ecchymosis seen after closed and open SRP.
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