The Effect of Steri-Strip Dressing on Patients' Satisfaction and Reduction of Ecchymosis in Lower Eyelid, Malar and Cheek Following Rhinoplasty.
BACKGROUND
Early postoperative edema and ecchymosis are the most common factors to complicate initial patient perceptions about rhinoplasty. The current study was conducted to determine the effects of longer steri-strip tape on patient malar and cheek in terms of ecchymosis control and reduction.


METHODS
Through a randomized controlled clinical trial, 64 patients who underwent rhinoplasty were randomly enrolled. One side of the patients' face was randomly selected for different experience of dressing while the main intervention was different length of tape and steri-strip dressing. In one group, the right side and in the rest, the left side of face was applied with steri-stip from the nose to lateral malar and cheek. In the opposite side of the face, steri-strip taping was done from the nose to medical malar and cheek.


RESULTS
The mean area of ecchymosis after rhinoplasty through our trial was 1.55 mm and 2.31 mm, respectively in sides with and without steri-strip which differed significantly. When patients' age and sex were taken into account, the distribution of ecchymosis had no significant difference in this regard.


CONCLUSIONS
The present study showed significant reduction in the area of post-rhinoplasty ecchymosis in lower lid, malar and cheek soft tissues as well as the obvious increase in satisfaction rate among intervention side of face in comparison to the control side. But longer steri-strip tape failed to control sub conjunctival bleeding or decrease it.
Department of Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza
MR
Farahvash
Department of Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Ghasemali
G
Khorasani
Department of Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Yadollah
Y
Mahdiani
Department of Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Ahmad Reza
AR
Taheri
Ecchymosis; Rhinoplasty; Satisfaction; Steri-strip; Subconjunctival bleeding