Facial plastic surgery & aesthetic medicine · 2025
The Effect of Subperiosteal Drain Placement on Periorbital Edema and Ecchymosis Following Ultrasonic Piezoelectric-Assisted Rhinoplasty: A Prospective Comparative Study.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Uzunoğlu Eray, Hazır Burak, Ateş Murat Samet, Çallı Çağlar
Аннотация
BACKGROUND: Periorbital edema and ecchymosis are frequent complications after rhinoplasty, impacting early recovery and patient satisfaction.
OBJECTIVE: To evaluate the effect of subperiosteal drain placement in patients undergoing ultrasonic piezo-assisted rhinoplasty, as measured by periorbital edema and ecchymosis on postoperative days (POD) 3, 7, and 14.
METHODS: In this prospective comparative study, 110 adults undergoing open rhinoplasty with piezo-assisted osteotomies were divided into drain (n = 55) and non-drain (n = 55) groups. The drain group received bilateral subperiosteal cannula drains along the osteotomy lines, removed on POD3. Edema and ecchymosis were graded by blinded observers on days 3, 7, and 14 using a 0-4 scale.
RESULTS: Patients were 28.2 ± 8.5 years; 76/110 (69.1%) were female; groups were balanced in age (p = 0.224) with a higher female proportion in the drain group (81.8% vs. 56.4%). At POD3 and POD7, total ecchymosis scores were lower with drains (POD3: 2.82 vs. 4.29, p = 0.002; POD7: 0.76 vs. 1.58, p = 0.001), while edema scores were similar between groups at all timepoints. By POD14, edema had resolved and ecchymosis was minimal in both groups.
CONCLUSIONS: In this study, the use of subperiosteal drains in patients undergoing piezo-assisted osteotomies was found to be associated with a reduction in early postop ecchymosis, but not periorbital edema.
OBJECTIVE: To evaluate the effect of subperiosteal drain placement in patients undergoing ultrasonic piezo-assisted rhinoplasty, as measured by periorbital edema and ecchymosis on postoperative days (POD) 3, 7, and 14.
METHODS: In this prospective comparative study, 110 adults undergoing open rhinoplasty with piezo-assisted osteotomies were divided into drain (n = 55) and non-drain (n = 55) groups. The drain group received bilateral subperiosteal cannula drains along the osteotomy lines, removed on POD3. Edema and ecchymosis were graded by blinded observers on days 3, 7, and 14 using a 0-4 scale.
RESULTS: Patients were 28.2 ± 8.5 years; 76/110 (69.1%) were female; groups were balanced in age (p = 0.224) with a higher female proportion in the drain group (81.8% vs. 56.4%). At POD3 and POD7, total ecchymosis scores were lower with drains (POD3: 2.82 vs. 4.29, p = 0.002; POD7: 0.76 vs. 1.58, p = 0.001), while edema scores were similar between groups at all timepoints. By POD14, edema had resolved and ecchymosis was minimal in both groups.
CONCLUSIONS: In this study, the use of subperiosteal drains in patients undergoing piezo-assisted osteotomies was found to be associated with a reduction in early postop ecchymosis, but not periorbital edema.