2019, Number 2
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Rev Med UAS 2019; 9 (2)
Cryotherapy + dexamethasone vs dexamethasone for the prevention of complications in rhinoplasty: controlled clinical trial
Díaz PGA, Solórzano BJV, Castro UÁ, Burgos PA, Peraza GFJ
Language: Spanish
References: 21
Page: 56-64
PDF size: 106.62 Kb.
ABSTRACT
Objectives: To demonstrate that dexamethasone plus cryotherapy will be more effective than dexamethasone alone in decreasing
surgery time, perioperative bleeding, edema and periorbital ecchymosis in patients undergoing rhinoplasty with osteotomies.
Methodology: Controlled clinical trial. Patients undergoing rhinoplasty with osteotomies were divided into two groups, doses of 8 mg
intravenous dexamethasone were applied at the start of surgery in both groups, and in the experimental group a gauze soaked w ith
ice solution was applied to the nasal dorsum between each step of the procedure. The surgical time and the amount of bleeding at
the end of each intervention were measured. Postoperative photos were taken at 7 days, 14 days and one month to compare the level
of bruising and periorbital edema.
Results: 80 patients were included, 42 patients in the control group and 38 in the experimental
group. No significant difference was found in the transoperative time (p = 0.955), but for the amount of transoperative bleeding, it was
lower in the experimental group (p = 0.031). The experimental group showed a decrease in the Taskin U. scale at 7, 14 and a m onth
posterior to surgery (p = 0.016, 0.000 and 0.022 respectively).
Conclusions: Combined therapy with dexamethasone and cryotherapy
proved to be superior in reducing transoperative bleeding, ecchymosis and postoperative edema in patients undergoing rhinoplasty
with osteotomies than the use of dexamethasone as monotherapy.
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