Efficacy of adhesive strips to reduce postoperative periorbital edema and ecchymosis following rhinoplasty

Background/aim: Periorbital edema and ecchymosis may develop following rhinoplasty. The aim of this study was to assess the efficacyof adhesive strip application on the upper and lower eyelids to reduce postoperative edema and ecchymosis following rhinoplasty.Materials and methods: The eyelids of one side were randomly selected, and an adhesive strip of standard size and number was appliedat the end of the operation. The strips were removed at postoperative day 3; photos of the eyes were taken at days 3 and 7. Edema andecchymosis were graded on a scale from 1 to 4. The ecchymosis areas on the lower and upper eyelids were measured and compared insquare centimeters.Results: The mean ecchymosis area of the lower eyelid on the side of the adhesive strip and on the side without the strip was 1.63 cm2and 3.32 cm2 in the early period, respectively. It was 1.15 cm2 on the upper eyelid on the side of the adhesive strip, and 1.87 cm2 onthe side without the strip. It was 0.224 cm2 on the side of the adhesive strip, and 0.498 cm2 on the side without the adhesive strip in thelate period.Conclusion: Applying adhesive strips reduces periorbital edema and ecchymosis.

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American Society of Plastic Surgeons. 2014 Plastic Surgery Statistics Report. Available at: http://www.plasticsurgery. org/ Documents/news-resources/statistics/2014-statistics/plasticsurgery-statsitics-full-report.pdf. Accessed 26 October 26 2015.
Kargi E, Hoşnuter M, Babucçu O, Altunkaya H, Altinyazar C. Effect of steroids on edema, ecchymosis, and intraoperative bleeding in rhinoplasty. Ann Plast Surg 2003; 51: 570-574.
Abbas OL. Revision rhinoplasty: measurement of patientreported outcomes and analysis of predictive factors. Springerplus 2016; 1;5: 1472.
Schmidt JH, Caffee HH. The efficacy of methylprednisolone in reducing flap edema. Plast Reconstr Surg 1990; 86: 1148-1151.
Koc S, Gurbuzler L, Yaman H, Eyibilen A, Süren M, Kaya Z, Yelken K, Aladağ I. The effectiveness of steroids for edema, ecchymosis and intraoperative bleeding in rhinoplasty. Am J Rhinol Allergy 2011; 25: 95-98.
Xu F, Zeng W, Mao X, Fan GK. The efficacy of melilotus extract in the management of postoperative ecchymosis and edema after simultaneous rhinoplasty and blepharoplasty. Aesth Plast Surg 2008; 32: 599-603.
Kelles M, Erdem T, Fırat Y, Kalcıoğlu MT, Akarçay M, Selimoğlu E, Yoloğlu S. Efficacy of local heparinoids on preventing edema and ecchymosis after rhinoplasty. Kulak Burun Boğaz İhtisas Dergisi 2010; 20: 191-194 (article in Turkish with an abstract in English).
Sinha V, Gupta D, More Y, Prajabati B, Kedia BK, Singh SN. External vs. internal osteotomy in rhinoplasty. Indian J Otolaryngol Head Neck Surg 2007; 59: 9-12.
Kara CO, Kara IG, Topuz B. Does creating a subperiosteal tunnel influence the periorbital edema and ecchymosis in rhinoplasty? J Oral Maxillofac Surg 2005; 63: 1088-1090.
Chaiet SR, Marcus BC. Perioperative Arnica montana for reduction of ecchymosis in rhinoplasty surgery. Ann Plast Surg 2016; 76: 477-482. E-published ahead of print: 7 May 2015.
Belek KA1, Gruber RP. The beneficial effects of postrhinoplasty taping: fact or fiction? Aesthet Surg J 2014; 34: 56-60.
Farahvash MR, Khorasani G, Mahdiani Y, Thaeri AR. The effect of Steri-Strip dressing on patients’ satisfaction and reduction of ecchymosis in lower eyelid, malar and cheek following rhinoplasty. World J Plast Surg 2016; 5: 51-57.
Ozucer B, Yıldırım YS, Veyseller B. Effect of postrhinoplasty taping on postoperative edema and nasal draping: a randomized clinical trial. JAMA Facial Plast Surg 2016; 18: 157-163.
Hwang SH, Lee JH, Kim BG, Kim SW, Kang JM. The efficacy of steroids for edema and ecchymosis after rhinoplasty: a metaanalysis. Laryngoscope 2015; 125: 92-98.
Koşucu M, Omür S, Beşir A, Uraloğlu M, Topbas M, Livaoğlu M. Effects of perioperative remifentanil with controlled hypotension on intraoperative bleeding and postoperative edema and ecchymosis in open rhinoplasty. J Craniofac Surg 2014; 25: 471-475.
Simsek G, Sarı E, Kılıç R. Topical application of arnica and mucopolysaccharide polysulfate attenuates periorbital edema and ecchymosis in open rhinoplasty: a randomized controlled clinical study. Plast Reconstr Surg 2016; 137: 530-535.
Kılıç C, Tuncel Ü, Cömert E. Effect of the rhinoplasty technique and lateral osteotomy on periorbital edema and ecchymosis. J Craniofac Surg 2015; 26: 430-433.
Hashemi M, Mokhtarinejad F, Omrani M. A comparison between external versus internal lateral osteotomy in rhinoplasty. J Res Med Sci 2005; 10: 10-15.
Sarı E, Simsek G. Comparison of the effects of total nasal block and central facial block on acute postoperative pain, edema, and ecchymosis after septorhinoplasty. Aesthetic Plast Surg 2015; 39: 877-880.
Hoefflin SM. Postoperative nighttime nasal taping to decrease swelling. Plast Reconstr Surg 1989; 84: 375.