Steroids and rhinoplasty. A double-blind study.
Many facial plastic surgeons use perioperative steroids to reduce postoperative edema and morbidity. This use of steroids is based more on theory and anecdotal experience than on controlled studies. We studied 49 patients undergoing rhinoplasty in a randomized, double-blind fashion to evaluate the effects of perioperative and postoperative steroid use. We found significantly less postoperative eyelid and paranasal edema in those patients receiving steroids. In addition, trends toward less ecchymosis, less intranasal edema, and less discomfort in the patients receiving steroids were noted.
Hoffmann
D F
DF
Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland 97201.
Cook
T A
TA
Quatela
V C
VC
Wang
T D
TD
Brownrigg
P J
PJ
Brummett
R E
RE
D000293:Adolescent; D000328:Adult; D000368:Aged; D003907:Dexamethasone / Q000008:administration & dosage*; D004311:Double-Blind Method; D004438:Ecchymosis / Q000209:etiology / Q000517:prevention & control; D004487:Edema / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011241:Prednisone / Q000008:administration & dosage*; D011446:Prospective Studies; D012225:Rhinoplasty
D003907:Dexamethasone; D011241:Prednisone