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Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients

Year 2017, Volume: 70 Issue: 3, 175 - 181, 16.12.2017
https://doi.org/10.1501/Tipfak_0000000983

Abstract

Aim: This study aimed to evaluate the post-operative presence, clinical severity and course of acne
vulgaris and seborrheic dermatitis among rhinoplasty patients.


Material and Method: Fifty-six patients who were planned to have rhinoplasty were administered
either pored or non-pored plaster cast for one week in the postoperative period. The patients in the
rhinoplasty group were randomized into four groups according to the application of pored or nonpored
plaster cast and adhesive strips for a further one-week. Forty patients that had undergone
closed technique-septoplasty were included in the control group. The self-assessments of the patients
in the rhinoplasty and septoplasty groups were recorded in terms of acne, seborrhea and erythema
via visual analog scale (VAS). The clinical severity of acne vulgaris and seborrheic dermatitis were
compared via Global Acne Grading Score (GAGS) and Seborrheic Dermatitis Area and Severity Index
(SDASI) in both groups at postoperative months 1, 3 and 6.
Results: In the rhinoplasty group, the VAS acne, VAS seborrhea, VAS erythema, GAGS, and SDASI
values increased significantly at postoperative month 1 and decreased significantly at postoperative
month 6 compared to the pre-operative values. At all visits, the GAGS values of patients that had
undergone rhinoplasty were found statistically significantly higher than those that had received
septoplasty. At postoperative month 6, the GAGS values were significantly decreased in the group
treated with non-pored plaster cast and adhesive strips for one more week. The SDASI values
statistically significantly decreased only in the group treated with pored plaster cast. However, at all
visits, the mean values of GAGS and SDASI were similar in the four rhinoplasty groups according to the
different types of plaster cast duration of nasal bandages.


Conclusion: We concluded that in post-rhinoplasty patients, the plaster cast type and duration of
nasal bandage application do not affect the severity of acne vulgaris and seborrheic dermatitis. 

References

  • 1.Cafferty A, Becker DG. Open and closed rhinoplasty. Clin Plast Surg 2016;43:17-27.
  • 2. Whitaker EG, Johnson CM. Skin and subcutaneous tissue in rhinoplasty.Aesthetic Plast Surg 2002;26:19.
  • 3. Sevin K. Rinoplasti. Turkiye Klinikleri J Plast Surg-Special Topics 2009;1:8-13.
  • 4. Bilgili AM, Koç A, Veyseller B. Revizyon Rinoplasti Olgularımızın Retrospektif Analizi. Turkiye Klinikleri J E.N.T.2004;4(2):95-101.
  • 5. Yosipovitch G, Tang M, Dawn AG, et al.Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Derm Venereol 2007;87:135-9.
  • 6. Nemati S, Golchay J, Alizadeh A.Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty. Iran J Otorhinolaryngol 2012;24:119-24.
  • 7. Coban YK. Decreased acne symptoms as a perception of rhinoplasty success.Aesthetic Plast Surg 2007;31:413-4.
  • 8. Koc EA, Buyuklu F, Koç B, Demirci GT.Skin problems following septorhinoplasty.Laryngoscope 2015;125:1291-5.
  • 9. Sadeghi M, Saedi B, Safavi A, Iri MR.Postrhinoplasty acne formation: A casecontrol study. B-ENT 2013;9:95-100.
  • 10. Nemati S, Golchay J, Iranfar K, Alizadeh A. Frequency of acne vulgaris and its exacerbation in facial and periorbital area after septorhinoplasty. Am J Otolaryngol 2013;34:378-81.
  • 11. Doshi A, Zaheer A, Stiller MJ. A comparison of current acne grading systems and proposal of a novel system.Int J Dermatol 1997;36:416-8.
  • 12. Hacivelioglu S, Gungor AN, Gencer M,Uysal A, Hizli D, Koc E, Cosar E. Acne severity and the Global Acne Grading System in polycystic ovary syndrome. Int J Gynaecol Obstet 2013;123:33-6.
  • 13. Baysal V, Yildirim M, Ozcanli C, Ceyhan AM. Itraconazole in the treatment of seborrheic dermatitis: a new treatment modality. Int J Dermatol 2004;43:63-6.
  • 14. Chiu A, Chon SY, Kimball AB. The response of skin disease to stress: Changes in the severity of acne vulgaris as affected by examination stress. Arch Dermatol 2003;139:897-900.
  • 15. Choi JM, Lew VK, Kimball AB. A singleblinded,randomized, controlled clinical trial evaluating the effect of face washing on acne vulgaris. Pediatr Dermatol 2006;23:421-7.
  • 16. Otto H. Mills, Maressa C. Criscito, Todd E. Addressing Free Radical Oxidation in Acne Vulgaris. J Clin Aesthet Dermatol 2016; 9: 25–30.
  • 17. Güngör E. Akne. Turk J Dermatol 2012;6: 138-49.
Year 2017, Volume: 70 Issue: 3, 175 - 181, 16.12.2017
https://doi.org/10.1501/Tipfak_0000000983

Abstract

References

  • 1.Cafferty A, Becker DG. Open and closed rhinoplasty. Clin Plast Surg 2016;43:17-27.
  • 2. Whitaker EG, Johnson CM. Skin and subcutaneous tissue in rhinoplasty.Aesthetic Plast Surg 2002;26:19.
  • 3. Sevin K. Rinoplasti. Turkiye Klinikleri J Plast Surg-Special Topics 2009;1:8-13.
  • 4. Bilgili AM, Koç A, Veyseller B. Revizyon Rinoplasti Olgularımızın Retrospektif Analizi. Turkiye Klinikleri J E.N.T.2004;4(2):95-101.
  • 5. Yosipovitch G, Tang M, Dawn AG, et al.Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Derm Venereol 2007;87:135-9.
  • 6. Nemati S, Golchay J, Alizadeh A.Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty. Iran J Otorhinolaryngol 2012;24:119-24.
  • 7. Coban YK. Decreased acne symptoms as a perception of rhinoplasty success.Aesthetic Plast Surg 2007;31:413-4.
  • 8. Koc EA, Buyuklu F, Koç B, Demirci GT.Skin problems following septorhinoplasty.Laryngoscope 2015;125:1291-5.
  • 9. Sadeghi M, Saedi B, Safavi A, Iri MR.Postrhinoplasty acne formation: A casecontrol study. B-ENT 2013;9:95-100.
  • 10. Nemati S, Golchay J, Iranfar K, Alizadeh A. Frequency of acne vulgaris and its exacerbation in facial and periorbital area after septorhinoplasty. Am J Otolaryngol 2013;34:378-81.
  • 11. Doshi A, Zaheer A, Stiller MJ. A comparison of current acne grading systems and proposal of a novel system.Int J Dermatol 1997;36:416-8.
  • 12. Hacivelioglu S, Gungor AN, Gencer M,Uysal A, Hizli D, Koc E, Cosar E. Acne severity and the Global Acne Grading System in polycystic ovary syndrome. Int J Gynaecol Obstet 2013;123:33-6.
  • 13. Baysal V, Yildirim M, Ozcanli C, Ceyhan AM. Itraconazole in the treatment of seborrheic dermatitis: a new treatment modality. Int J Dermatol 2004;43:63-6.
  • 14. Chiu A, Chon SY, Kimball AB. The response of skin disease to stress: Changes in the severity of acne vulgaris as affected by examination stress. Arch Dermatol 2003;139:897-900.
  • 15. Choi JM, Lew VK, Kimball AB. A singleblinded,randomized, controlled clinical trial evaluating the effect of face washing on acne vulgaris. Pediatr Dermatol 2006;23:421-7.
  • 16. Otto H. Mills, Maressa C. Criscito, Todd E. Addressing Free Radical Oxidation in Acne Vulgaris. J Clin Aesthet Dermatol 2016; 9: 25–30.
  • 17. Güngör E. Akne. Turk J Dermatol 2012;6: 138-49.
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Pelin Üstüner

Publication Date December 16, 2017
Published in Issue Year 2017 Volume: 70 Issue: 3

Cite

APA Üstüner, P. (2017). Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 70(3), 175-181. https://doi.org/10.1501/Tipfak_0000000983
AMA Üstüner P. Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. December 2017;70(3):175-181. doi:10.1501/Tipfak_0000000983
Chicago Üstüner, Pelin. “Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 70, no. 3 (December 2017): 175-81. https://doi.org/10.1501/Tipfak_0000000983.
EndNote Üstüner P (December 1, 2017) Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası 70 3 175–181.
IEEE P. Üstüner, “Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 70, no. 3, pp. 175–181, 2017, doi: 10.1501/Tipfak_0000000983.
ISNAD Üstüner, Pelin. “Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 70/3 (December 2017), 175-181. https://doi.org/10.1501/Tipfak_0000000983.
JAMA Üstüner P. Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2017;70:175–181.
MLA Üstüner, Pelin. “Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 70, no. 3, 2017, pp. 175-81, doi:10.1501/Tipfak_0000000983.
Vancouver Üstüner P. Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2017;70(3):175-81.