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Intravenous dexamethasone significantly reduced periorbital edema after rhinoplasty with lateral osteotomies. This steroid treatment showed a 50% decrease in swelling, proving effective with no observed side effects.

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Pharmacology

Background:

  • Postoperative periorbital edema is a common complication following rhinoplasty involving lateral osteotomies.
  • This swelling can lead to patient and surgeon dissatisfaction.
  • Current practice aims to minimize edema by performing osteotomies last.

Purpose of the Study:

  • To evaluate the effectiveness of intravenous dexamethasone in reducing periorbital edema after rhinoplasty.
  • To assess the impact of dexamethasone on edema severity and patient outcomes.

Main Methods:

  • A prospective randomized controlled trial was conducted with 60 patients undergoing open rhinoplasty.
  • Patients were divided into two groups: one received intravenous dexamethasone (8mg preoperatively and 4 hours postoperatively), while the control group received no treatment.
  • Periorbital edema was assessed on postoperative days 1 and 7.

Main Results:

  • Patients receiving dexamethasone experienced a 50% decrease in edema, compared to 33.3% in the control group.
  • By day 7, only 3.33% of patients in the dexamethasone group had grade III edema, versus 13.3% in the control group.
  • Statistical analysis (Chi test) yielded a p-value of 0.0289, indicating significant effectiveness.

Conclusions:

  • Intravenous dexamethasone administration is advantageous in minimizing periorbital edema following rhinoplasty with lateral osteotomies.
  • The study found no evidence of adverse side effects associated with the minimal dosage of dexamethasone used.
  • Dexamethasone offers a safe and effective adjunct for managing postoperative swelling in rhinoplasty patients.