• J. Oral Maxillofac. Surg. · Aug 2005

    Randomized Controlled Trial Comparative Study Clinical Trial

    Does creating a subperiosteal tunnel influence the periorbital edema and ecchymosis in rhinoplasty?

    • Cüneyt Orhan Kara, Kara Inci Gökalan IG, and Bülent Topuz.
    • Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Pamukkale University, Denizli, Turkey. cokara@yahoo.com
    • J. Oral Maxillofac. Surg. 2005 Aug 1; 63 (8): 1088-90.

    PurposeThe study goal was to determine whether creating a subperiosteal tunnel before lateral osteotomy had an effect on postoperative periorbital edema, ecchymosis, and subconjunctival ecchymosis.Patients And MethodsEighteen consecutive patients who underwent septorhinoplasty were included in the study. In all patients lateral osteotomies were carried out bilaterally, after creating a subperiosteal tunnel on a randomly chosen side and without creating a subperiosteal tunnel on the other side. The patients were seen on the second postoperative day, and a different surgeon who was unaware of the side with the periosteal tunnel determined the side of the face with more edema and ecchymosis. Subconjunctival ecchymosis was evaluated and recorded, as well.ResultsCreating subperiosteal tunnels before lateral osteotomy statistically increased periorbital ecchymosis. Although there was no statistically significant difference, creating subperiosteal tunnels also increased development and severity of subconjunctival ecchymosis and edema.ConclusionsWe suggest performing lateral osteotomy without creating subperiosteal tunnels.

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