Objectives: In this study, the effect of local heparinoids
on prevention of periorbital edema and ecchymosis
due to rhinoplasty was investigated.
Patients and Methods: Twenty patients (12 males,
8 females, mean age 23.3 years; range 19 to 34
years) who had bilateral osteotomy were randomly
administered postoperative local heparinoid on one
periorbital region, without performing any care in the
other one. One and a half centimeter of heparinoid
was applied once a day for nine days. The other
periorbital region was used as control group. The
heparinoid was applied additionally, 8 mg dexamethasone
i.v was administered to all patients 30 minutes
before the surgery and 24 hours after the surgery.
Photographs of each patient which were taken on
postoperative days 1, 3, 5 and 9 were evaluated as
double-blind by two observers. Scoring was performed
according to edema and ecchymosis scales.
Results: There was no statistical difference with
respect to edema and ecchymosis between local
heparinoid treated and control eyes.
Conclusion: No hypersensitivity to drugs occurred
in any patients. After analysing the scores, we
observed that heparanoids administered locally was
not effective in preventing periorbital edema and
ecchymosis after rhinoplasty (p>0.05).
FREE FULL TEXTAnahtar Kelimeler: Ekimoz/önleme/kontrol; ödem; osteotomi/metot; rinoplasti.