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Ghasemali Khorasani

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


Authors: Mohammad Reza Farahvash, Ghasemali Khorasani, Yadallah Mahdiani, Ahmad Reza Taheri
Keywords: Rhinoplasty; Ecchymosis; Steri-strip; Subconjunctival bleeding; Satisfaction
World J Plast Surg 2016;5(1), Vol.5, No.1, 2016,Page:

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 cheek in terms of ecchymosis
control and reduction.
METHODS
Through a randomized controlled clinical trial, 70 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 tape over lower lid and
from nose to lateral cheek and malar area at one side to the other side.
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 postrhinoplasty
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.