How Safe Is Airline Travel 48 Hours After Open Septo-Rhinoplasty Surgery?

Year 2022, Volume: 32 Issue: 3, 58 - 61, 28.09.2022

Deniz Kanliada

https://doi.org/10.26650/Tr-ENT.2022.1055474

Abstract

Objective: The aim of this study was to find out if patients can travel safely on a plane 48 hours after open septo-rhinoplasty (SRP) surgery. Also, to compare analgesic need, mobilization time, readmission rate, side effects, time out of work and routine life between travelling and nontravellingpatients. Materials and Methods: This study was conducted at Istanbul Florence Nightingale Hospitals in Istanbul/Turkey and Group Florence Hospitals in London/United Kingdom. A total of 120 patients who had SRP were included in the study. Sixty patients who traveled from London to Istanbul by plane (approximately 3 hours 40 minutes, 2520 km) for SRP surgery and returned home 48 hours after surgery were compared with 60 local patients. All patients were observed at 8, 12, 24, 36, and 48 hour intervals after surgery. Additionally, all patients who travelled from London to Istanbul were reviewed after 6 days, 14 days, 1 month, 3 months, 6 months and 1 year. The analgesia need, mobilization time, readmission rate, early and late complications patterns and incidence, time out of work and daily routine was compared between the two groups. Early onset side effects include pain, discomfort, bruising, ecchymosis, edema, oozing, bleeding, septal haematoma, and late onset complications like delayed septal haematoma, delayed bleeding, infection, excess edema, breathing problems were compared between travelling and nontravelling patients. Results: The hospital stay was 24 hours for all patients. No further analgesia was needed in both groups during their hospital stay, Mobilization time was in 8 hours in both groups and none of the patients needed readmission in both groups. Common early complications in travelling patients like pain, edema, bruising, ecchymosis, minor oozing, blocked nose, and pain after 48 hours were similar to the local patients and all travelling patients felt confident and strong enough to travel after 48 hours without additional medication or treatment during or after the surgery. Conclusion: People with no underlying medical conditions, who want to travel abroad for surgery and cannot or do not want to stay longer than 48 hours due to their personal or business lives, can consider travelling back to their countries, following SRP surgery, which is as safe as having the surgery locally without travelling abroad. 

Keywords

Rhinoplasty, safe travel, travel with planerhinoplasty, safe travel, travel with plane

References

• 1. Gould DJ, Hyuma A, Leland HA, Ho AL, Patel KM. Emerging trends in social media and plastic surgery. Ann Transl Med 016;4(23):455. google scholar
• 2. Farid M, Nikkhah D, Little M, Edwards D, Needham W, Shibu M. Complications of Cosmetic Surgery Abroad - Cost Analysis and Patient Perception. Plast Reconstr Surg Glob Open 2019;7(6):e2281. Doi:10.1097/GOX.0000000000002281 google scholar
• 3. Raggio BS, Brody-Camp SA, Jawad BA, Winters RD, Aslam R. Complications Associated with Medical Tourism for Facial Rejuvenation: A Systematic Review. Aesthetic Plast Surg 2020;44(3):1058-65. google scholar
• 4. Dqbrowska-Bien J, Skarzynski PH, Gwizdalska I, tazşcka K, Skarzynski H. Complications in septoplasty based on a large group of 5639 patients. Eur Arch Otorhinolaryngol 2018;275(7):1789-94. google scholar
• 5. Singh G, McCormack D, Roberts DR. Readmission and overstay after day case nasal surgery. BMC Ear Nose Throat Disord 2004;4(1):2. google scholar
• 6. Konishi M, Sivalingam S, Shin SH, Vitullo F, Falcioni M. Effects of early commercial air travel on graft healing rates after tympanoplasty. Ann Otol Rhinol Laryngol 2012;121(2):110-2. google scholar
• 7. Philbrick JT, Shumate R, Siadaty MS, Becker DM. Air Travel and Venous Thromboembolism: A Systematic Review. J Gen Intern Med 2007; 22(1):107-14. google scholar