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两种浓度曲安奈德注射液预防鼻整形术后鼻尖上区水肿的比较:一项随机试验

Comparison of two concentrations of triamcinolone injection in the prevention of supratip edema after external rhinoplasty: A randomized trial.

作者信息

Saedi Babak, Amali Amin, Arabpor Mina

机构信息

Otolaryngology Department, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Am J Rhinol Allergy. 2017 Nov 1;31(6):412-415. doi: 10.2500/ajra.2017.31.4479.

Abstract

BACKGROUND

A comparison of the two methods of corticosteroid (triamcinolone) use in reducing supratip edema (pollybeak deformity) after rhinoplasty.

METHODS

Ninety patients who were candidates for rhinoplasty were randomly divided into three groups. Group A received no treatment, group B received 8 mg/mL of triamcinolone, and group C received 16 mg/mL of triamcinolone. Their effects on dorsal edema were evaluated by using the patients' and surgeons' visual analog scale scores. Also, dorsal edema was measured by using photo editing software.

RESULTS

There was no significant difference in the patients' characteristics in the study groups. The surgeons' visual analog scale scores were significantly better in those patients who received triamcinolone injection than in the control group (p = 0.02). However, none of the other assessment methods showed significant differences among the study groups. There was no significant difference between the two evaluated concentrations.

CONCLUSION

Triamcinolone injection had positive temporary effects on reducing supratip edema without any important complications.

摘要

背景

比较两种皮质类固醇(曲安奈德)使用方法在减少鼻整形术后鼻尖上区水肿(“鹰嘴鼻畸形”)方面的效果。

方法

90名拟行鼻整形术的患者被随机分为三组。A组未接受治疗,B组接受8mg/mL曲安奈德,C组接受16mg/mL曲安奈德。通过患者和外科医生的视觉模拟评分量表评估其对鼻背水肿的影响。此外,使用照片编辑软件测量鼻背水肿。

结果

各研究组患者的特征无显著差异。接受曲安奈德注射的患者的外科医生视觉模拟评分量表得分显著优于对照组(p = 0.02)。然而,其他评估方法在各研究组之间均未显示出显著差异。两种评估浓度之间无显著差异。

结论

曲安奈德注射在减轻鼻尖上区水肿方面有积极的短期效果,且无任何重要并发症。

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