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Article Type

Article

Abstract

Background
Rhinoplasty is a challenging procedure, which aims at improving the aesthetic and functional outcome of the nose. Despite its complexity, it is one of the most common plastic procedures.
Severe edema after rhinoplasty is an extremely worrying condition for the patient and the surgeon. Every attempt is tried to avoid its development.
Aim
In this study, the author analyzed the possible factors for severe edema after rhinoplasty as an endeavor for expecting it beforehand.
Patients and methods
A retrospective study was performed by data collection of the same surgeon over the period from March 2018 until February 2020. All patients’ photographs were reviewed before and 1 week after the surgery. Edema was graded from 0 to 4. Cases with grade 3 or 4 edema were analyzed for the possible factors. Data were summarized using mean, SD, median, minimum, and maximum for quantitative data, and using frequency (count) and relative frequency (percentage) for categorical data.
Results
A total of 70 cases were involved, of which 15 cases developed grade 3 edema. Overall, 53% were in the third decade of life. Moreover, 47% had operations on the nasal tip, roof, medial, and lateral walls, and 66% underwent approaches requiring more soft tissue dissection.
Conclusion
Severe edema after rhinoplasty could happen in cases that undergo operation on several nasal walls (roof, medial, and lateral wall), with more soft tissue dissection, and in the third decade of life. The surgeon and the patient should be well prepared if these factors are present.
Keywords:
edema in rhinoplasty, extensive edema in rhinoplasty, marked edema after rhinoplasty, severe edema after rhinoplasty.

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