Postoperative careBabak Saedi

Otolaryngologist , Imam Khomeini Hospital

G.J. NOLST TRENITÉ

Postoperative care starts with the application of an adequate internal and external nose dressing.

The follow-up does not

end with removal of the nose dressing.

Intranasal lidocaine plus nephazoline nitrate improves surgical conditions and perioperative analgesia in septorhinoplasty surgery

a simple and efficient technique for decreasing intra- and postoperative pain and for lessening rescue analgesic requirements in the postoperative period after septorhinoplasty.

Packing and internal splint

Evaluation of time of nasal packing after nasal surgery: a randomized trial.

the end of the procedure, surgeons should evaluate the risk of postoperative bleeding (i.e., presence of hypertension) and decide whether 24-hour nasal packing is enough.

DRESSING

to fix the skin on the under-layer,thereby reducing dead space– to prevent hematomas and swelling– to prevent displacement by outsidetrauma– to prevent widening of the lateral wallsby intranasal edema

method

splint

Antibiotics and other medication

What

How long

Prophylactic vs Postoperative Antibiotic Use in Complex Septorhinoplasty Surgery

A Prospective, Randomized, Single-blind Trial Comparing Efficacy

We recommend the use of prophylactic antibiotics rather than empirical postoperative antibiotics for patients undergoing complex septorhinoplasty

steroid A Randomized, Controlled

Comparison between placebo and Steroids in the Management of Post rhinoplasty Ecchymosis and Edema

This study suggests that corticosteroids may be effective in reducing edema during the early postoperative period.

Early postoperative period (up to sixweeks)

raise the head of the bed when resting or sleeping; – apply cold compresses regularly

during the first day after operation; – prevent blowing the nose fiercely and when sneezing occurs, sneeze through the mouth; –

avoid any intensive physical activity or traumatizing sports for six weeks; – do not wear spectacles resting on an operated nose bridge until six weeks after operation; – do not drink alcohol or smoke

Edema and ecchymosis

When it subside

Persistent dark circle

Hanasono triamcinolone 1 to 2 weeks after surgery., Guyuron 0.2 to 0.4 cc of 20 mcg/cc of triamcinolone in the deep subcutaneous tissue if taping fails after 6 to 8 weeks.

4

Fig. 3

Fig. 3 Supratip taping.

Rhinoplasty: An Outcome Research