Comparison of the effect of corticosteroid therapy and decongestant on reducing rhinoplasty edema.

Abstract

BACKGROUND:

Comparison of the two methods of decongestant and three doses of dexamethasone on reducing edema and ecchymosis after septorhinoplasty.

METHODS:

Seventy-four patients who were candidates for rhinoplasty were randomly divided into three groups. Group A received 8 mg of i.v. dexamethasone preoperatively and again after 24 and 48 hours after surgery, group B received three pseudoephedrine tablets (60 mg) per day for 1 week, and group C received three pseudoephedrine tablets (60 mg) per day for 2 weeks. Finally, their effects on the eye, tip and dorsal edema, and ecchymosis were evaluated.

RESULTS:

Our findings showed that both decongestant and corticosteroid had significant short-term effects on edema and ecchymosis, but only continuation of pseudoephedrine could reduce the evaluated variables after 1 week.

CONCLUSION:

Pseudoephedrine can be effective for reducing eyelid edema and ecchymosis after rhinoplasty. Also, administration of three doses of dexamethasone in the postoperative care of nasal plastic surgery harmlessly diminished postsurgical edema.

• Authors: Babak Saedi, Mohammad Sadeghi, Khaveh Fekri
• Journal: American journal of rhinology & allergy (Am J Rhinol Allergy) 2011 Jul-Aug Vol. 25 Issue 4 Pg. e141-4 ISSN: 1945-8932 [Electronic] United States
• PMID: 21819749 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Chemical References

• Nasal Decongestants
• Pseudoephedrine
• Dexamethasone

Topics

• Adult
• Dexamethasone (administration & dosage, adverse effects)
• Ecchymosis (drug therapy, etiology)
• Edema (drug therapy, etiology)
• Eyelids (drug effects, pathology)
• Female
• Follow-Up Studies
• Humans
• Male
• Nasal Decongestants (administration & dosage, adverse effects)
• Nasal Septum (drug effects, pathology, surgery)
• Postoperative Complications
• Pseudoephedrine (administration & dosage, adverse effects)
• Rhinoplasty
• Surgery, Plastic