Expired CME Article

Current Concepts in the Postoperative Care of the Rhinoplasty Patient

Authors: C Spencer Cochran, MD, Yadranko Ducic, MD, FRCS(C), FACS, Robert J. DeFatta, MD, PhD

Abstract

Abstract: This is a systematic review of the available literature and our own personal experience regarding the optimal management of the rhinoplasty patient. The routine utilization of nasal splinting, casting and perioperative antibiotics is supported. The management of a number of common early complications is also discussed. Meticulous technique based on sound structural principles and coupled with preoperative planning and attention to wound care will result in a favorable outcome in most individuals undergoing rhinoplasty.


Key Points


* It is necessary to redrape the nasal soft tissue envelope following rhinoplasty to avoid unfavorable outcomes.


* Splinting, casting and postoperative taping may assist in this process.


* The use of perioperative antibiotics is indicated as is nasal hygiene maintenance with saline irrigations.


* Perioperative steroids help with nausea and facial edema but have a yet undetermined, and likely minor, effect on nasal edema.

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