title: Results of intravenous steroid injection on reduction of postoperative edema in rhinoplasty.
abstract: OBJECTIVE
  To determine the efficacy of intravenous dexamethasone in reducing postrhinoplasty edema.
  
  
  METHODS
  A prospective, randomized clinical trial with placebo control.
  
  
  METHODS
  Department of Otorhinolaryngology, Al-Sabah and Zain Hospital, Kuwait.
  
  
  METHODS
  Eighty-four patients (male = 28; female = 56) aged between 20 and 40 years, undergoing open rhinoplasty with hump removal and bilateral lateral osteotomies were enrolled in this study.
  
  
  METHODS
  Patients were randomized to receive two doses of 10 mg of dexamethasone intravenously or placebo, first dose during surgery and second dose 12 hours after surgery.
  
  
  METHODS
  Patients were evaluated postoperatively at 24 hours, days 2, 5, 7 and 10 for periorbital edema.
  
  
  RESULTS
  10 mg of dexamethasone given intravenously during rhinoplasty and a second dose 12 hours after surgery, reduced postoperative periorbital edema significantly.
  
  
  CONCLUSIONS
  This study showed a statistically significant benefit of dexamethasone over placebo in reducing periorbital edema after rhinoplasty. No complications were attributed to the administration of dexamethasone.
authors.affiliation: E.N.T Department, Al-Sabah and Zain Hospital, Kuwait, Kuwait.
authors.forename: Monther Ali
authors.initials: MA
authors.lastname: Alajmi
authors.forename: Khalid A
authors.initials: KA
authors.lastname: Al-Abdulhadi
authors.forename: Hamoud Saud
authors.initials: HS
authors.lastname: Al-Noumas
authors.forename: Gopalan
authors.initials: G
authors.lastname: Kavitha
keywords: Dexamethasone; Edema; Lateral osteotomy; Rhinoplasty