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Perioperative steroids for minimizing Edema and ecchymosis after rhinoplasty: A meta-analysis

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TLDR
Evidence-based guidelines for perioperative steroid administration can be given based on results from a meta-analysis of the existing literature, which shows preoperative administration is superior to postoperative, and extended dosing are superior to singular.
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This article is published in Aesthetic Surgery Journal.The article was published on 2011-08-01 and is currently open access. It has received 50 citations till now. The article focuses on the topics: Perioperative & Ecchymosis.

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Citations
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Re: AdVance/AdVance XP Transobturator Male Slings: Preoperative Degree of Incontinence as Predictor of Surgical Outcome

TL;DR: The results of the study have shown that the AdV Vance and AdVance XP male slings are safe and efficient in patients with mild postprostatectomy stress incontinence, and the severity of incontinent was the only predictor of a successful outcome.
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Effects of perioperative remifentanil with controlled hypotension on intraoperative bleeding and postoperative edema and ecchymosis in open rhinoplasty.

TL;DR: Remifentanil with controlled hypotension may reduce edema and ecchymosis of the upper and lower eyelids, by reducing mean arterial pressure and amount of bleeding in rhinoplasty.
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The efficacy of tranexamic acid and corticosteroid on edema and ecchymosis in septorhinoplasty

TL;DR: TA use in patients who underwent open septorhinoplasty with osteotomies was found clinically and statistically effective for prevention of bleeding during oSRP operations and reduction of both periorbital edema and ecchymosis.
Journal ArticleDOI

The efficacy of steroids for edema and ecchymosis after rhinoplasty: a meta-analysis.

TL;DR: The goal of this study was to perform a systematic review of the literature on the efficacy of steroids on edema and ecchymosis during rhinoplasty.
References
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Effects of single-dose steroid usage on edema, ecchymosis, and intraoperative bleeding in rhinoplasty.

TL;DR: Use of single-dose dexamethasone (either preoperatively or postoperatively) in rhinoplasty has a significant effect in decreasing upper and lower eyelid edema and upper eyelid ecchymosis for the first 2 days when compared with a placebo group, but its use did not shorten the recovery period.
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A randomized, controlled comparison between arnica and steroids in the management of postrhinoplasty ecchymosis and edema.

TL;DR: It is suggested that both arnica and corticosteroids may be effective in reducing edema during the early postoperative period and Arnica does not appear to provide any benefit with regard to extent and intensity of ecchymosis.
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Effect of steroids on edema, ecchymosis, and intraoperative bleeding in rhinoplasty.

TL;DR: If the first dose is given before osteotomy, triple-dose steroid application is the best bet for decreasing postoperative edema and ecchymosis.
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Four common anatomic variants that predispose to unfavorable rhinoplasty results: a study based on 150 consecutive secondary rhinoplasties.

TL;DR: It is important for all surgeons performing rhinoplasty to recognize these anatomic variants to avoid the unsatisfactory functional and aesthetic sequelae that they may produce by making their correction a deliberate part of each preoperative surgical plan.
Journal ArticleDOI

Dynamics of rhinoplasty.

TL;DR: Reduction of the nasion area, besides setting the soft tissue back, gave the appearance of increased intercanthal distance and lengthened the nos during rhinoplasty.
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