Effects of high dose corticosteroids in open rhinoplasty

dc.contributor.authorGuerlek, Ali
dc.contributor.authorFariz, Alpay
dc.contributor.authorAydogan, Hakan
dc.contributor.authorErsoez-Oeztuerk, Ayse
dc.contributor.authorEvans, Gregory R. D.
dc.date.accessioned2024-08-04T20:31:11Z
dc.date.available2024-08-04T20:31:11Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description27th National Congress of Turkish Plastic, Reconstructive and Aesthetic Surgery -- SEP 14-17, 2005 -- Konya, TURKEYen_US
dc.description.abstractBackground: Although some studies about the effects of steroids on surgical. trauma in closed or combined (closed and open together) rhinoplasty have been reported in the literature, still more information is needed in order to enlighten rhinoplasty surgeons. The purpose of this study is to evaluate the anti - inflammatory activity of steroids administered in high doses to prevent and decrease periorbital. ecchymosis and oedema in patients who underwent open rhinoplasty with osteotomies by the same surgeon. This is the first study in open rhinoplasty atone. Methods: The study was performed on 40 patients, under general anaesthesia. Patients were divided randomly into five groups (eight patients in each group); the groups comprised: a single 250 mg dose of methylprednisolone (Group I), a single 500 mg dose of methylprednisolone (Group II), four 250 mg doses of methylprednisotone (Group III), four 500 mg doses of methylprednisotone (Group IV) and placebo (Group V). Digital photographs were taken of each patient on the first, third and seventh postoperative days. Scorings of eyelid swelling and ecchymosis were evaluated separately using a graded scale from 0 to (+) 4 by three observers, independently. Additionally, blood samples were taken for the evaluations of C-reactive protein (CRP), white blood cell (WBC) and erythrocyte sedimentation rate (ESR) on the same days. Results: Clinically and statistically significant difference was observed in the decrease of both ecchymosis and oedema, between the placebo and high dose methylprednisolone groups, which is effective to prevent and to decrease both the ecchymosis and oedema in open rhinoplasty with osteotomies. CRP was the most sensitive acute phase reactant among CRP, ESR and WBC. No complication was observed due to steroid usage. Conclusions: We can confidently say that high dose methylprednisolone is effective in preventing and reducing both the periorbital ecchymosis and oedema in open rhinoplasty with osteotomies and it can be used safety for this purpose. (C) 2008 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.en_US
dc.identifier.doi10.1016/j.bjps.2007.08.030
dc.identifier.endpage655en_US
dc.identifier.issn1748-6815
dc.identifier.issue5en_US
dc.identifier.pmid18359280en_US
dc.identifier.scopus2-s2.0-64749113191en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage650en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjps.2007.08.030
dc.identifier.urihttps://hdl.handle.net/11616/94786
dc.identifier.volume62en_US
dc.identifier.wosWOS:000266209900022en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofJournal of Plastic Reconstructive and Aesthetic Surgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCorticosteroidsen_US
dc.subjectRhinoplastyen_US
dc.subjectOpen rhinoplastyen_US
dc.subjectEyeliden_US
dc.subjectOedemaen_US
dc.subjectEcchymosisen_US
dc.titleEffects of high dose corticosteroids in open rhinoplastyen_US
dc.typeConference Objecten_US

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