ISSN Online: 2177-1235 | ISSN Print: 1983-5175
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Search for : Felipe Gomes de Oliveira Queiroga
ABSTRACT
Introduction: The objective is to evaluate the presence of ecchymosis 7 and 15 days after
internal and external lateral nasal osteotomy in open rhinoplasty.
Methods: A prospective evaluation of 15 patients who underwent open rhinoplasty with
lateral nasal osteotomy was conducted. The patients were allocated into two
groups. Those who underwent external lateral nasal osteotomy were included
in group A (n = 6), while those who underwent internal osteotomy were
included in group B (n = 9). The patients were evaluated on postoperative
days 7 and 15, and the presence or absence of ecchymosis was recorded.
Results: In group A, we observed that on postoperative day 7, 3 patients (50%) had
ecchymosis and 3 (50%) showed no changes in skin color. On postoperative day
15, the same group had 2 patients (25%) with ecchymosis and 4 (75%) without
changes. On the other hand, in group B, 3 patients (33.4%) had ecchymosis
and 6 (66.6%) showed no changes on postoperative day 7. In the same group, 1
patient (11.1%) had ecchymosis and 8 (88.9%) showed no changes 15 days after
surgery.
Conclusion: Despite the lower incidence of ecchymosis in internal fractures on
postoperative days 7 and 15, no statistical significance was observed
between the two techniques.
Keywords: Rhinoplasty; Osteotomy; Nose; Ecchymosis
RESUMO
Introdução: O objetivo é avaliar a presença de equimose com 7 e 15 dias após osteotomia
nasal lateral interna e externa na rinoplastia aberta.
Métodos: Análise prospectiva, dos pacientes submetidos à rinoplastia aberta, com
osteotomia nasal lateral com total de 15 pacientes. Os pacientes foram
alocados em dois grupos. Aqueles submetidos à osteotomia nasal lateral
externa formaram o grupo A (n = 6) e os submetidos à osteotomia interna, o
grupo B (n = 9). Foram avaliados com 7 e 15 dias de pós-operatório e
registrada a presença ou ausência de equimose.
Resultados: Dentro do grupo A evidenciamos no 7º dia de pós-operatório 3 (50%) pacientes
com equimose e 3 (50%) sem alteração na tonalidade da pele. Com 15 dias de
pós-operatório, o mesmo grupo apresentava 2 (25%) pacientes com equimose e 4
(75%) sem alteração. Já no grupo B foram identificados no 7º dia após o
procedimento 3 (33,4%) pacientes com presença de equimose e 6 (66,6%) sem
alteração. O mesmo grupo após 15 dias do procedimento apresentou 1 (11,1%)
paciente com equimose e 8 (88,9%) sem alteração.
Conclusão: Apesar da fratura interna apresentar menor incidência de equimose no sétimo e
décimo quinto dias de pós-operatório, não houve relevância estatística na
comparação entre as técnicas.
Palavras-chave: Rinoplastia; Osteotomia; Nariz; Equimose
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