Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Comparison Between External and Internal Lateral Osteotomy regarding Postoperative Edema and Ecchymosis in Rhinoplasty

Document Type : Original

Authors
Ahmad Meymaneh Jahromi
Morteza Noorolahian
Mohammad Seyyedi
Maryame Salehi
Monavar Afzalaghaei
10.22038/ijorl.2006.3521
Abstract
Interduction:
Rhinoplasty is the most common aesthetic surgery in Iran which is done more and more. In majority, lateral osteotomy is the integral part of rhinoplasty that has two major methods: external (perforating or non-continuous) and internal (endonasal or continuous). It is the surgeon’s choice according the experience and comfort. Edema and ecchymosis are major sequels of this operation. We compared these two techniques regarding ecchymosis and edema.
 Materials and Methods:
 it is done as a clinical prospective randomized trial on two 40- patient groups with informed consent. In one group, we did lateral external osteotomy and in another group, internal lateral osteotomy was done in the same condition. Data were gathered and recorded according visual scoring system which were done by two blinded examiners by comparing sample in data sheath with patient. We compared both sequels in second and seventh day.
 Results:
Edema was the same in both groups in second and seventh days. Ecchymosis was not significantly different in seventh day in both groups. But, ecchymosis was significantly less in internal group, comparing with External group in second days.
 Conclusions:
External and internal osteotomy techniques were the same regarding edema but internal technique produced less ecchymosis in second postoperative day.
Keywords
Rhinoplasty
Edema
Ecchymosis
Lateral osteotomy