Scientific Online Resource System

Scripta Scientifica Medica

Postoperative care and measurement after septo- and rhinoplasty

Georgi Iliev

Abstract

INTRODUCTION: Postoperative care starts with the application of a bed rest, antihypertensive therapy, steroids and antibiotics prophylactic, dressing, nasal packing, transmucoseptal sutures and controlling postoperative result.

MATHERIAL AND METHODS: We report our experience with postoperative care and measurement after septo- and rhinoplasty. We review the free access literature about the experience of other clinics in these problems and compared the results.

REVIEW: In our review we present our postoperative care and those described by other authors.

DISCUSSION: All postoperative care aims at preventing possible complications and shortening recovery. Most of them have been adopted as standard postoperative treatment and supervision. Topic of our discussion are the differences and similarities in their implementation compared to our practice.

CONCLUSION: The postoperative care is more effective when we are aware of their strengths and weaknesses and we combine them individually for each patient.


Keywords

postoperative care, nasal dressing, nasal packing, transmucoseptal suturing, splints

Full Text


References

Недев П. Септопластика. Изд. Геа-принт - Варна 2008. ISBN 978-954-9430-35-6. стр. 124.

Andrews PJ, East CA, Jayaraj SM, Badia L, Panagamuwa C, Harding L.; Prophylactic vs postoperative antibiotic use in complex septorhinoplasty surgery: a prospective, randomized, single-blind trial comparing efficacy..Arch Facial Plast Surg. 2006 Mar-Apr;8(2):84-7.

Ardehali MM, Bastaninejad S.; Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg. 2009 Oct;38(10):1022-4. Epub 2009 Jul 4.

Awan MS, Iqbal M.; Nasal packing after septoplasty: a randomized comparison of packing ver¬sus no packing in 88 patients. Ear Nose Throat J.

Nov;87(11):624-7.

Caniello M, Passerotti GH, Goto EY, Voegels RL, Butugan O. Antibiotics in septoplasty: is it necessary? Braz J Otorhinolaryngol. 2005 Nov-Dec;71(6):734-8.

Dubin MR, Pletcher SD Postoperative packing af¬ter septoplasty: is it necessary? Otolaryngol Clin NorthAm. 2009 Apr;42(2):279-85, viii-ix.

Georgiou I, Farber N, Mendes D, Winkler E. The role of antibiotics in rhinoplasty and septoplasty: a literature review. Rhinology. 2008 Dec; 46(4):267-70.

Gurlek A, Fariz A, Aydogan H, Ersoz-Ozturk A, Evans GR., Effects of high dose corticosteroids in open rhinoplasty. JPlast Reconstr Aesthet Surg. 2009 May;62(5):650-5. Epub 2008 Mar 24.

G.J. Nolst Trenite, RHINOPLASTY, A practical guide to functional and aesthetic surgery of the nose, Kugler Publications, The Hague, The Netherlands, ISBN Book: 90 6299 206 4, 31-37 pages

Kargi E, Ho § nuter M, Babuc?u O, Altunkaya H, Altinyazar C. Effect of steroids on edema, ecchymosis, and intraoperative bleeding in rhinoplasty. Ann Plast Surg. 2003 Dec; 51(6):570-4.

Kula M, Yuce I, Unlu Y, Tutus A, Cagli S, Ketenci I. Effect of nasal packing and haemostatic septal suture on mucociliary activity after septoplasty: an assessment by rhinoscintigraphy Eur Arch Otorhinolaryngol. 2010 Apr;267(4):541-6. Epub 2009 Oct 13.

Lemmens W, Lemkens P. Septal suturing follow¬ing nasal septoplasty, a valid alternative for nasal packing? Acta Otorhinolaryngol Belg. 2001;55(3):215-21.

Michael Evan Sachs, M.D. MASTERING REVISION RHINOPLASTY Springer, New York 2006, ISBN-10:0-387-98904-8, ISBN-13:978-0387-98904-4

Nedev P. Cranio-caudal transdomal sutures for the nasal tip correction. European Archives of Oto-Rhino-Laryngology and Head & Neck, Volume 266, Number 2 / February, 2009, pp 1434-4726

Ozdel O, Kara CO, Kara IG, Sevinc D, Oguzhanoglu NK, Topuz B. Does corticosteroid usage in rhinoplasty cause mood changes? Adv Ther. 2006 Sep-Oct;23(5):809-16.

Rhee SC, Kim JS. A simple method of fabricating nasal packing armed with ventilation tube. J Craniofac Surg. 2008 Sep;19(5):1385-6.

Salassa JR, Pearson BW. Polyethylene oxide gel. A new intranasal dressing after septorhinoplasty Arch Otolaryngol Head Neck Surg. 1991 Dec;117(12):1365-7.




DOI: http://dx.doi.org/10.14748/ssm.v42i4.8051
Array
Article Tools
Email this article (Login required)
About The Author

Georgi Iliev
Medical University of Varna
Bulgaria

Department of Otorhinolaryngology, St. Marina University Hospital

Font Size


|