插管引流对减轻鼻整形术后水肿和瘀斑的效果。

IF 1.1 4区 医学 Q3 SURGERY
Facial Plastic Surgery Pub Date : 2024-10-01 Epub Date: 2024-01-24 DOI:10.1055/a-2253-5971
Saad Younus Sulaiman, Haitham Alnori, Islam Al-Talibi, Abdulkadir Goksel
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引用次数: 0

摘要

鼻成形术是最常见的整形外科手术之一,术后水肿、瘀斑和疼痛是导致患者不满意的常见原因。在这项随机比较研究中,我们讨论了插管引流对减轻开放式结构性鼻中隔成形术后眶周水肿、瘀斑、疼痛和鼻阻塞的效果。研究于 2022 年 4 月至 11 月在一家三级转诊中心进行。我们使用外侧锯并在外侧截骨器的辅助下对所有患者进行了内外侧截骨术。手术结束后,准备好插管引流,仅在左侧骨膜下隧道插入引流管。第 1 天、第 3 天、第 7 天、第 14 天和第 21 天检查患者的眶周水肿、瘀斑、疼痛和鼻塞情况,每侧分别评分。共招募了 40 名患者(共 80 侧),其中女性 22 名(55%),男性 18 名(45%),均为成年人(18-44 岁;平均年龄 29 岁)。最常见的年龄组是 20 岁以下,占样本的 35%,男性占 33.3%。在术后的所有日子里,引流侧水肿和疼痛的减轻均有统计学意义(P=0.000)。另一方面,引流侧的瘀斑较少,但无统计学意义(P= > 0.29)。鼻阻塞仅在术后第 7 天明显减轻(P=0.000)。与鼻整形术相关的术后病症会对患者的功能和心理产生重要影响。本研究表明,在鼻整形术中将插管插入骨膜下隧道进行引流,在临床和统计学上可显著减轻术后眶周水肿和疼痛,但对瘀斑和鼻阻塞影响不大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Cannula Drain in Reducing Edema and Ecchymosis after Rhinoplasty.

Rhinoplasty is one of the most common plastic surgeries and is commonly associated with postoperative edema, ecchymosis, and pain which play a role in patients' dissatisfaction. In this randomized comparative study, we discuss the effect of cannula drainage in the reduction of postoperative periorbital edema, ecchymosis, pain, and nasal obstruction after open structural septorhinoplasty. The study was conducted at a tertiary referral center from April to November 2022. We performed internal lateral osteotomy on all patients using the lateral saw and aided by lateral osteotome. At the end of the procedure, a cannula drain is prepared and inserted in the subperiosteal tunnel on the left side only. Patients were examined on the 1st, 3rd, 7th, 14th, and 21st days for periorbital edema, ecchymosis, pain, and nasal obstruction, and each side is scored separately. A total of 40 patients (80 sides in total) were recruited, 22 females (55%) and 18 males (45%), all of whom were adults (18-44 years old; mean age 29 years). The most frequent age group is those younger than 20 years representing 35% of the sample and the males forming 33.3%. The reduction in edema and pain was statistically significant in the drained sides (p = 0.000) during all the postoperative days. On the other hand, ecchymosis was lower on the drained side but statistically insignificant (p = > 0.29). Nasal obstruction was reduced significantly only on the seventh postoperative day (p = 0.000). The postoperative morbidities associated with rhinoplasty could have important functional and psychological effects on patients. This study demonstrates that inserting a cannula in the subperiosteal tunnel for drainage in rhinoplasty yields a significant clinical and statistical decrease in postoperative periorbital edema and pain with little effect on ecchymosis and nasal obstruction.

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来源期刊
Facial Plastic Surgery
Facial Plastic Surgery 医学-外科
CiteScore
1.80
自引率
10.00%
发文量
87
审稿时长
6-12 weeks
期刊介绍: Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.
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