Does Injection of Lidocaine with 1/100000 Epinephrine Immediately before Lateral Osteotomy Reduce Post-Operative Periorbital Edema and Ecchymosis in Rhinoplasty?

Novelty in Biomedicine

mansoor zojajy¹  nadereh alani¹  nader akbari dilmaghani¹  samaneh abdi soofi¹ 

[1] Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran

关键词: Rhinoplasty;    Periorbital;    Edema;    Ecchymosis;   

DOI  :  

学科分类：生物科学（综合）

来源: Shahid Beheshti University of Medical Sciences

【 摘 要 】

Background:Postoperative periorbital edema and ecchymosis are common after rhinoplasty. We studied the effect of local injection of Lidocaine/Adrenaline immediately before osteotomy on prevention of post-operative periorbital edema and ecchymosis in rhinoplasty. Materials and Methods:Thirty healthy candidates for rhinoplasty were enrolled in the self-controlled clinical trial study. Lidocaine/Adrenaline solution injected randomly to one side just prior to the lateral osteotomy. The opposite side used as a control. The degree of edema/ecchymosis on both sides was compared on the 1st, 2nd and 7th day postoperatively. Results:Mean of severity of edema, 24 hours after operation was 3in both sides, (Mann-whitney U; p=0.829). Mean of severity of edema, 48 hours after operation was 2 in both sides (Mann-whitney U; p=0.867) and it was 1 in both sides 7 days after operation (Mann-whitney U; p=0.756).There was no significant difference between two sides. Mean of severity of ecchymosis, 24 hours after operation was 3 in both sides (Mann-whitney U; p=0.692). Mean of severity of ecchymosis, 48 hours after operation was 2 in both sides (Mann-whitney U; p=0.655) and it was 1 in both sides 7 days after operation (Mann-whitney U; p=0.873). There was no significant difference between two sides. Conclusion:local injection of Lidocaine/Adrenaline solution immediately before lateral osteotomy could not reduce postoperative edema and ecchymosis in rhinoplasty.

【 授权许可】

Unknown