Noninvasive Approach to Postoperative Bleeding in Patients Undergoing Septorhinoplasty Surgery.

IF 1 4区 医学 Q3 SURGERY Journal of Craniofacial Surgery Pub Date : 2025-01-09 DOI:10.1097/SCS.0000000000011051
Ekrem Karaca, Gökhan Çinar, Erkan Soylu
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Abstract

Objectives: In this study, we retrospectively examined the bleeding that occurred in the 5-year patient series.

Materials and methods: One thousand seven hundred seventy-five patients who underwent septorhinoplasty surgery between 2019 and 2023 were included in the study, and 28 of these patients who presented with bleeding complications were examined. All patients underwent open-technique septorhinoplasty surgery with or without concha intervention and were discharged the next day after overnight hospitalization.

Results: Of the 1775 patients included in the study, 1415 (79.7%) were female and 360 (20.3%) were male. Bleeding was observed in a total of 28 cases (1.6%). There was no difference regarding age or sex in patients with bleeding. It was also observed that concha intervention did not make a difference in terms of bleeding. The bleeding period ranged from 1 to 9 days, with an average period of 5.53 ± 2.36 days and a median bleeding period of 6 days. All bleeding patients were followed up with supportive treatment and were discharged after a 24-hour bleeding-free period. There was no need for interventions in the operating room or blood transfusions in for any patient.

Conclusion: Patients who present with bleeding after rhinoplasty can be observed, and their bleeding can be controlled without further intervention with supportive treatment and sufficient time.

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无创方法治疗鼻中隔成形术患者术后出血。
目的:在这项研究中,我们回顾性检查了5年患者系列中发生的出血。材料和方法:研究纳入了2019年至2023年期间接受鼻中隔成形术的1775例患者,并对其中28例出现出血并发症的患者进行了检查。所有患者均接受开放技术鼻中隔成形术,有或没有鼻甲干预,并在住院过夜后于次日出院。结果:纳入研究的1775例患者中,女性1415例(79.7%),男性360例(20.3%)。出血28例(1.6%)。出血患者的年龄和性别没有差异。还观察到,在出血方面,鼻甲干预没有产生差异。出血时间1 ~ 9天,平均(5.53±2.36)天,中位出血时间6天。所有出血患者均给予支持性治疗随访,24小时无出血出院。不需要在手术室进行干预,也不需要为任何病人输血。结论:鼻整形术后出现出血的患者是可以观察到的,只要给予支持性治疗和充足的时间,无需进一步干预即可控制出血。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
968
审稿时长
1.5 months
期刊介绍: ​The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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