Septorinoplastide Eksternal Splint Kullanımının Ödem, Ekimoz ve Stabilizasyona Etkisi

Abstract

Despite the controversies, external nasal splint is commonly used by most surgeons after septorhinoplasty. The aim of this study is to compare postoperative periorbital edema, ecchymosis and nasal bone position of the patients with and without nasal splint application. Forty patients older than 18 years of age whom primary septorhinoplasty performed were included in the study. The patients were divided into 2 groups consisted 20 patients according to usage of external nasal splint. The sticking plaster was applied to the nasal dorsum of the patients in whom external nasal splint was not used. Comparisons of edema and ecchymosis between two groups were done by the digital photography on the second and seventh days postoperatively. All the patients in the study had computerized tomography scan at the 3rd week after surgery to detect the distance between the beginning of the osteotomy and the midpoint line on the right and the left sides. Mann- Whitney U test is preferred for statistical analysis. The patients with sticking plaster had less edema and ecchymosis than the patients with external nasal splint on both 2nd and 7th days postoperatively which was statistically significant. On computerized tomography, the distance from the osteotomy lines to the midline was similar between the right and the left side of both the sticking plaster and the external nasal splint group. In conclusion; usage of the sticking plaster after septorhinoplasty causes less periorbital edema and ecchymosis than external nasal splint. In both groups of the patients, nasal bones were successfully repositioned and there was not any significant difference statistically.