Interventions to Decrease Postoperative Edema and Ecchymosis after Rhinoplasty: A Systematic Review of the Literature.


BACKGROUND:Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated with significant postoperative morbidities, especially periorbital edema and ecchymosis. The aim of this review is to summarize the results of published literature that studied interventions that decrease postoperative edema and ecchymosis after rhinoplasty, and provide evidence-based strategies for surgeons to incorporate into practice. METHODS:A systematic review of the PubMed, Scopus, and EMBASE databases was performed to investigate interventions studied to decrease postoperative edema and ecchymosis after rhinoplasty. After inclusion and exclusion criteria were applied, articles were grouped into one of the following categories: corticosteroids, other medications and herbal supplements, interventions to decrease intraoperative bleeding, other postoperative interventions, and surgical techniques. RESULTS:A total of 50 articles were included for review. Fourteen articles studied corticosteroids exclusively, whereas another 10 articles reviewed other medications and herbal supplements. Nine articles evaluated methods to decrease intraoperative bleeding during rhinoplasty, and four articles studied postoperative interventions to decrease edema and ecchymosis. Thirteen articles studied various surgical techniques to decrease postoperative morbidities. CONCLUSIONS:There was a consensus within the literature that steroids, intraoperative hypotension, intraoperative cooling, and head elevation postoperatively decrease postoperative edema and ecchymosis, whereas nasal packing and periosteal elevation before osteotomy increased these postoperative morbidities. Studies of herbal supplements may be incorporated into practice with minimal risk to the patient. More studies must be performed before recommending an external or internal approach to lateral osteotomy.


Plast Reconstr Surg


Ong AA,Farhood Z,Kyle AR,Patel KG




Has Abstract


2016-05-01 00:00:00














  • The anatomic data sheet in plastic surgery: graphic and accurate documentation for standardized evaluation of results.

    abstract::A graphic and written anatomic data sheet (ADS) for facial aesthetic surgery and body contour surgery is presented as a tool for: (1) analyzing surgical maneuvers and their effect on final outcome; (2) recording individual anatomic variations; (3) communicating data between office personnel and colleagues; (4) aiding ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Matarasso A

    更新日期:1993-04-01 00:00:00

  • Endoscopic excision and repair of simulated bilateral cleft lips in fetal lambs.

    abstract::The use of nonpenetrating clips to accomplish wound closure as an alternative to suture in the repair of simulated cleft lips in partially exteriorized fetuses has been described previously. In this study, the fetus is approached endoscopically, and clipped (n = 8) and sutured (n = 4) intrauterine endoscopic repairs i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Oberg KC,Robles AE,Ducsay C,Childers B,Rasi CR,Gates DL,Kirsch WM,Hardesty RA

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  • Lateral canthal anchoring.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Understand the principles involved in canthal support for patients undergoing cosmetic and reconstructive surgery. 2. Understand the variations in surgical techniques required to perform canthal anchoring in differing patients. 3. De...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: McCord CD,Boswell CB,Hester TR

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  • In vitro measurement of silicone bleed from breast implants.

    abstract::A method to measure gel bleed from intact silicone gel-filled breast implants was developed. This nondestructive technique permits accurate and reproducible serial measurements of silicone bleed from smooth wall breast implants (n=10) under simulated physiologic conditions in vitro. Gel bleed rates from new low bleed ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Yu LT,Latorre G,Marotta J,Batich C,Hardt NS

    更新日期:1996-04-01 00:00:00

  • Slowed growth of cultured fibroblasts from human radiation wounds.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rudolph R,Vande Berg J,Schneider JA,Fisher JC,Poolman WL

    更新日期:1988-10-01 00:00:00

  • Surgical management of penoscrotal lymphangioma circumscriptum.

    abstract::Lymphangioma circumscriptum of the penis and scrotum is an unusual entity that may be indistinguishable from genital warts. After confirmation of the diagnosis, a treatment plan consisting of wide excision should be outlined. To lower the chance of recurrence, not only the affected skin but all the subjacent subcutane...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Latifoğlu O,Yavuzer R,Demir Y,Ayhan S,Yenidünya S,Atabay K

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  • A comparison of factors affecting aesthetic outcomes of TRAM flap breast reconstructions.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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  • Neoumbilicus after Selective Excision in Deep Inferior Epigastric Perforator Flap Breast Reconstruction.

    abstract::The umbilicus offers no functional importance to the adult human but remains a key aesthetic landmark of the anterior abdominal wall, and its absence can be a cause for concern in aesthetic and reconstructive patients. Umbilical reconstruction or transposition for abdominoplasty and abdominally based flap operations i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Haddock NT,Kelling JA,Teotia SS

    更新日期:2020-11-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    journal_title:Plastic and reconstructive surgery

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    pub_type: 杂志文章


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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究


    authors: Khavanin N,Clemens MW,Pusic AL,Fine NA,Hamill JB,Kim HM,Qi J,Wilkins EG,Kim JYS

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rosique RG,Rosique MJF

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    abstract:BACKGROUND:The search for safe and effective tissue fillers has been an ongoing effort in plastic and cosmetic surgery over recent decades. Biocompatibility is a prerequisite for any substance to be used as an implant material, and potential biomaterials need to be characterized by histologic evaluation of tissue respo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Fernández-Cossío S,León-Mateos A,Sampedro FG,Oreja MTC

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Van Damme PA,Maltha JC,Kuijpers-Jagtman AM,Freihofer HP,Van't Hof MA

    更新日期:1997-06-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stal S,Hollier L

    更新日期:2000-09-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    更新日期:1991-03-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Israeli R,Funk S,Reaven NL

    更新日期:2014-03-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cemal Y,Albornoz CR,Disa JJ,McCarthy CM,Mehrara BJ,Pusic AL,Cordeiro PG,Matros E

    更新日期:2013-03-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nigro LC,Parkerson J,Nunley J,Blanchet N

    更新日期:2020-01-01 00:00:00

  • Endoscopic forehead lift: an operative technique.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Daniel RK,Tirkanits B

    更新日期:1996-12-01 00:00:00

  • Abdominal Etching: Surgical Technique and Outcomes.

    abstract:BACKGROUND:The ideal body is characterized by a muscular physique and defined anterior abdominal wall. Despite diet and exercise, many are unable to achieve this desired result. Liposuction with abdominal etching is used to achieve high-definition abdominal aesthetics. The etching technique is performed with liposuctio...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Husain TM,Salgado CJ,Mundra LS,Perez C,AlQattan HT,Bustillo E,Perez R,Garri JI

    更新日期:2019-04-01 00:00:00

  • Outcomes of Prosthetic Reconstruction of Irradiated and Nonirradiated Breasts with Fat Grafting.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Komorowska-Timek E,Turfe Z,Davis AT

    更新日期:2017-01-01 00:00:00

  • Surgical angiogenesis with short-term immunosuppression maintains bone viability in rabbit allogenic knee joint transplantation.

    abstract:BACKGROUND:Vascularized composite allotransplantation has the potential for reconstruction of joint defects but requires lifelong immunosuppression, with substantial risks. This study evaluates an alternative, using surgical angiogenesis from implanted autogenous vessels to maintain viability without long-term immunoth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kremer T,Giessler GA,Friedrich PF,Willems WF,Giusti G,Bishop AT

    更新日期:2013-02-01 00:00:00

  • True median cleft of the upper lip associated with three pedunculated club-shaped skin masses.

    abstract::A rare case of true median cleft of the upper lip associated with three skin masses is reported. While 114 cases of median cleft of the upper lip have been reported, in our literature review we found only 1 case, reported by Sharma, in which the median cleft was associated with skin masses. The embryology of this case...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nakamura J,Tomonari H,Goto S

    更新日期:1985-05-01 00:00:00

  • Discrepancies in Parent Perceptions and Patient-Reported Psychosocial Function in Children with Craniofacial Anomalies.

    abstract:BACKGROUND:Understanding and optimizing psychosocial functioning in children with craniofacial anomalies are essential components of their reconstructive care. This work compared parental perceptions to pediatric self-reported psychosocial functioning in children with craniofacial anomalies. METHODS:Two hundred twenty...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Volpicelli EJ,Pfaff MJ,Potemra HMK,De Leon FS,Lin J,Ayeroff JR,Bradley JP,Wilson L,Lee JC

    更新日期:2020-01-01 00:00:00

  • The Internet as a source of information on breast augmentation.

    abstract::The Internet was evaluated as a source of information for the layperson on the topic of breast augmentation. Three commonly used search engines (Excite, AOL, and Yahoo) were employed using the term "breast augmentation." These sites were then evaluated by each of three experienced plastic surgeons for their quality an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gordon JB,Barot LR,Fahey AL,Matthews MS

    更新日期:2001-01-01 00:00:00