Association of Periosteal Sweeping vs Periosteal Preservation With Early Periorbital Sequelae Among Patients Undergoing External Perforating Osteotomy During Rhinoplasty

JAMA Facial Plastic Surgery
Hossam El-SisiSam P Most

Abstract

Periorbital sequelae are a significant source of early postoperative morbidity after rhinoplasty, particularly after an osteotomy is performed. To compare postoperative periorbital sequelae after external perforating lateral osteotomy in rhinoplasty using a periosteal sweeping vs a periosteal preserving approach. This prospective cohort study conducted at a tertiary referral center located in Mansoura, Egypt, included 28 patients who underwent external perforating lateral osteotomy in open rhinoplasty between January and May 2017. Periosteal sweeping was performed on one side of the nose and periosteal preservation was performed on the other side during external perforating lateral osteotomy. Periorbital sequelae, including eyelid edema, periorbital ecchymosis, and subconjunctival hemorrhage, were assessed on both sides of the face on postoperative days 1, 7, and 21 by 2 independent surgeons using the scale first proposed by Kara and Gökalan in 1999. The scales for eyelid edema ranged from 0 to 4, for ecchymosis from 0 to 4, and for subconjunctival hemorrhage from 0 to 2, with higher values indicating greater edema, ecchymosis, and hemorrhage, respectively. Differences in the 3 time points and differences between the 2 osteotom...Continue Reading

References

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Citations

Mar 22, 2019·JAMA Facial Plastic Surgery·John S Rhee
Feb 8, 2020·The Laryngoscope·Mohamed Abdelwahab, Sam P Most
May 12, 2020·Clinical and Experimental Otorhinolaryngology·Ji-Sun KimSe Hwan Hwang
Aug 13, 2020·Clinical and Experimental Otorhinolaryngology·Hong Ryul Jin
Jan 13, 2021·The Journal of Laryngology and Otology·Z Onerci Altunay, T M Onerci
Aug 10, 2020·The Journal of Craniofacial Surgery·Zeynep Onerci Altunay, Metin Onerci
Mar 12, 2021·The Journal of Craniofacial Surgery·Zeynep Onerci Altunay, Metin Onerci

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