Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jul-Sep;9(3):73-79.
doi: 10.4103/japtr.JAPTR_294_18.

Comparison of edema and ecchymosis in rhinoplasty candidates after lateral nasal osteotomy using piezosurgery and external osteotomy

Mohammad Ali Ghavimi  1 , Saeed Nezafati  1 , Javad Yazdani  1 , Tannaz Pourlak  1 , Masoumeh Amini  2 , Tala Pourlak  3 , Arezu Ghoreishizadeh  4 , Ramin Negahdari  5
Affiliations

Comparison of edema and ecchymosis in rhinoplasty candidates after lateral nasal osteotomy using piezosurgery and external osteotomy

Mohammad Ali Ghavimi et al. J Adv Pharm Technol Res. 2018 Jul-Sep.

Abstract

Rhinoplasty is done with external and endonasal methods. One of the main stages of rhinoplasty in both external and endonasal methods is the lateral nasal osteotomy. Lateral nasal osteotomy is the main cause of edema and ecchymosis after rhinoplasty, which is annoying and unpleasant for patients. Piezosurgery is a new method that uses electronic-ultrasonic waves to perform nasal osteotomies. The aim of this study was to compare of edema and ecchymosis after lateral nasal osteotomy using piezosurgery with external osteotomy in rhinoplasty candidates. In this clinical trial, 66 experimental patients for rhinoplasty surgery were selected from Imam Reza hospital in Tabriz, Iran. After examination, the patients were randomly divided into two groups. One group of patients had lateral nasal osteotomy by using the piezosurgery technique, and the other group had a lateral osteotomy with the conventional method of external subcutaneous. On the third and 7 days after the operation, the level of edema and ecchymosis in the patients were examined as per the Gökalan questionnaire (adopted by Yucel) by two persons who were not aware of the goals of the study, and then, they evaluated and scored the questionnaire. The obtained data were analyzed by the SPSS 19 software. The highest level of edema and ecchymosis was observed 3 days after surgery in both groups. Meanwhile, the findings revealed a significant difference between the two groups in the amount of edema and ecchymosis on day 3 after surgery. Furthermore on day 7, the amount of edema and ecchymosis compared to that of the 3rd day was statistically significant for both groups. In general, in all studied groups, edema, and ecchymosis decreased in 7 days compared to 3 days and also piezosurgery is more promising and effective than osteotomy.

Keywords: Ecchymosis; edema; lateral nasal osteotomy; piezosurgery; rhinoplasty.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
How to perform piezosurgery
Figure 2
Figure 2
Ecchymosis: Extending the ecchymosis to one-third of the inner lower or upper eyelid = Grade 1, extending the ecchymosis to two third of the inner lower or upper eyelid = Grade 2, and extending the ecchymosis to the entire lower or upper eyelid = Grade 3
Figure 3
Figure 3
Edema: Iris is not covered by eyelid = Grade 1, part of the iris covered with eyelid = Grade 2, full iris coverage with a flap of the eyelid = Grade 3, and complete closure of the eye and swelling = Grade 4
Figure 4
Figure 4
The comparison of edema and ecchymosis after surgery between the piezosurgery and control groups. (a) edema 3 days; (b) edema 7 days; (c) ecchymosis 3 days; (d) ecchymosis 7 days
See this image and copyright information in PMC

References

    1. Manafi A, Eslami Shahr Babaki A, Mehrabani G, Shahlaee A, Manafi A. Can we add auricular composite graft to our rhinoplasty armamentarium? World J Plast Surg. 2013;2:33–40. - PMC - PubMed
    1. Hassanpour SE, Heidari A, Moosavizadeh SM, Tarahomi MR, Goljanian A, Tavakoli S, et al. Comparison of aesthetic and functional outcomes of spreader graft and autospreader flap in rhinoplasty. World J Plast Surg. 2016;5:133–8. - PMC - PubMed
    1. Motamed S, Saberi A, Niazi F, Molaei H. Complications of internal continuous and perforating external osteotomy in primary rhinoplasty. World J Plast Surg. 2017;6:164–9. - PMC - PubMed
    1. Robiony M, Toro C, Costa F, Sembronio S, Polini F, Politi M, et al. Piezosurgery: A new method for osteotomies in rhinoplasty. J Craniofac Surg. 2007;18:1098–100. - PubMed
    1. Vercellotti T. Piezoelectric surgery in implantology: A case report – A new piezoelectric ridge expansion technique. Int J Periodontics Restorative Dent. 2000;20:358–65. - PubMed