Effects of subperiosteal tunnel creation on periorbital edema and ecchymosis after Rhinoplasty

Introduction: In this study we try to determine the effects of sub periosteal tunneling before intranasal lateral osteotomies during rhinoplastic operation on periorbital edema and ecchymosis Materials and Methods: In ۵۰ patients we carried out ۱۰۰ lateral osteotomies which ۵۰ without subperiosteal tunneling and ۵۰ after subperosteal tunneling in a fashion that in each patient in one side we did sub perosteal tunneling and in the other side not .Then an other surgeon compared periorbital edema, ecchymosis and subcojunctival ecchymosis in each patient separately on ۳rd postoperative day. Results: There was significant increment in perorbital edema, ecchymosis and subcojunctival ecchymosis in the side of patient whom subperiosteal tunneling carried out before itranasal lateral osteotomy. Conclusion: we suggest performing lateral osteotomies without subperiosteal tunneling during a rhinoplastic operation. I

Keywords:

Subperosteal tunneling , Osteotomy , Rhinoplasty , Ecchymosis , Periorbital Edema