Effects of different corticosteroids on edema and ecchymosis in open rhinoplasty

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dc.authoridEREN, AHMET/0000-0003-1202-8337
dc.authorwosidEREN, AHMET/AAK-9203-2020
dc.contributor.authorGurlek, A
dc.contributor.authorFariz, A
dc.contributor.authorAydogan, H
dc.contributor.authorErsoz-Ozturk, A
dc.contributor.authorEren, AT
dc.date.accessioned2024-08-04T20:15:22Z
dc.date.available2024-08-04T20:15:22Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description27th National Congress of Turkish Plastic, Reconstructive and Aesthetic Surgery -- SEP 14-17, 2005 -- Konya, TURKEYen_US
dc.description.abstractA double-blind, randomized trial with placebo control was planned to evaluate the effects of corticosteroids (betamethasone, dexamethasone, methylprednisolone) in approximately equivalent doses (8 mg dexamethasone/day), and to compare their effects with that of tenoxicam, an antiinflammatory drug, on both the edema and ecchymosis in open rhinoplasty with osteotomies. For this study, 40 patients were divided randomly into five groups of 8 patients each, which received, respectively, betamethasone (group 1), dexamethasone (group 2), methylprednisolone (group 3), tenoxicam (group 4), and placebo (group 5). Open rhinoplasty with osteotomies was performed by the same surgeon with the patient under general anesthesia. Drugs were administered just before the induction of anesthesia and continued for 3 days. Only acetaminophen was used to control postoperative analgesia. Digital photographs of each patient were taken on postoperative days 1, 3, and 7. Scoring was performed separately for eyelid swelling and ecchymosis by three observers independently using a graded scale from 0 to 4. No statistically significant differences existed among the five groups in terms of age, sex, duration of surgery, amount of bleeding, and intravenous fluid administration during the surgery. On postoperative days 1, 3, and 7, no differences in the levels of ecchymosis or edema among the steroid groups, the tenoxicam group, and the control groups were observed. In conclusion, the authors observed no significant differences among the different kinds of steroids administered in equivalent doses (8 mg dexamethasone/day). Steroids used in these doses were not effective in preventing or reducing edema and ecchymosis after open rhinoplasty with osteotomies. Tenoxicam also was not effective. No complications caused by the use of steroids were observed during the 6-month follow-up period.en_US
dc.identifier.doi10.1007/s00266-005-0158-1
dc.identifier.endpage154en_US
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue2en_US
dc.identifier.pmid16547634en_US
dc.identifier.scopus2-s2.0-33645397424en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage150en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-005-0158-1
dc.identifier.urihttps://hdl.handle.net/11616/94334
dc.identifier.volume30en_US
dc.identifier.wosWOS:000236490800003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcorticosteroidsen_US
dc.subjectecchymosisen_US
dc.subjectedemaen_US
dc.subjectnonsteroidal antiinflammatory drugen_US
dc.subjectrhinoplastyen_US
dc.titleEffects of different corticosteroids on edema and ecchymosis in open rhinoplastyen_US
dc.typeConference Objecten_US

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