Evaluation of the Postoperative Cutaneous Findings in Rhinoplasty Patients

Year 2017, Volume: 70 Issue: 3, 175 - 181, 16.12.2017

Pelin Üstüner

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. 

Keywords

Acne Vulgaris, Cast, Dermatitis, Rhinoplasty

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