The Effect of Steri-Strip Dressing on Patients' Satisfaction and Reduction of Ecchymosis in Lower Eyelid, Malar and Cheek Following Rhinoplasty

Mohammad Reza Farahvash, Ghasemali Khorasani, Yadollah Mahdiani, Ahmad Reza Taheri, Mohammad Reza Farahvash, Ghasemali Khorasani, Yadollah Mahdiani, Ahmad Reza Taheri

Abstract

Background: Early postoperative edema and ecchymosis are the most common factors to complicate initial patient perceptions about rhinoplasty. The current study was conducted to determine the effects of longer steri-strip tape on patient malar and cheek in terms of ecchymosis control and reduction.

Methods: Through a randomized controlled clinical trial, 64 patients who underwent rhinoplasty were randomly enrolled. One side of the patients' face was randomly selected for different experience of dressing while the main intervention was different length of tape and steri-strip dressing. In one group, the right side and in the rest, the left side of face was applied with steri-stip from the nose to lateral malar and cheek. In the opposite side of the face, steri-strip taping was done from the nose to medical malar and cheek.

Results: The mean area of ecchymosis after rhinoplasty through our trial was 1.55 mm and 2.31 mm, respectively in sides with and without steri-strip which differed significantly. When patients' age and sex were taken into account, the distribution of ecchymosis had no significant difference in this regard.

Conclusion: The present study showed significant reduction in the area of post-rhinoplasty ecchymosis in lower lid, malar and cheek soft tissues as well as the obvious increase in satisfaction rate among intervention side of face in comparison to the control side. But longer steri-strip tape failed to control sub conjunctival bleeding or decrease it.

Keywords: Ecchymosis; Rhinoplasty; Satisfaction; Steri-strip; Subconjunctival bleeding.

Figures

Fig. 1
Fig. 1
Two computer soft wares namely, “Autocad” and “Image 2cad” were used to compute ecchymosis area in lower lid, malar and cheek parts of face bilaterally in cm2
Fig. 2
Fig. 2
Success of steri-strip tape for controlling post rhinoplasty ecchymosis

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