Aydın Canset, Yücel Ömer Taşkın, Akçalar Seray, Atay Gamze, Özer Serdar, Sözen Tevfik, Akata Deniz
ENT Department Medicana International Hospital Ankara Turkey.
ENT Department Hacettepe University Ankara Turkey.
Laryngoscope Investig Otolaryngol. 2021 Jul 9;6(4):628-633. doi: 10.1002/lio2.616. eCollection 2021 Aug.
The aim of this study was to observe the effect of the triamcinolone acetonide injections in thick skinned patients with ultrasonographic measurements and to compare these results with the postoperative nasal skin thickness of patients that were not injected with steroids.
A prospective study was planned with 42 thick nasal skinned rhinoplasty candidates in our clinic. Skin thickness of specific points along nose was measured and documented. On the 10th day after surgery, triamcinolone acetonide injections were performed into the supratip region of 21 patients in the study group. No injections were made for the control group. Nasal ultrasonographic measurements were repeated 40 days after the surgery for all 42 patients by the same radiologist and results were evaluated.
Seventeen women (40.5%) and 25 men (59.5%) were included in the study. Patients' ages ranged from 18 to 53 with an average age of 27.9. In study group, all injections sites showed thinning on the 40th day after surgery. These findings were statistically significant at B (rhinion), D (middle of supratip), and G (middle of the tip). In the control group, all injection sites except A (nasion) displayed thickening on the 40th day after surgery. These findings were statistically significant at B (rhinion), D (middle of supratip), H (left side of the tip), and J (left alar region).
Triamcinolone acetonide injections are effective in the prevention of edema and provide thinning of the post-rhinoplasty skin envelope.
本研究旨在通过超声测量观察曲安奈德注射对厚皮患者的影响，并将这些结果与未注射类固醇患者的术后鼻皮肤厚度进行比较。
对我院42例厚鼻皮肤隆鼻手术候选者进行前瞻性研究。测量并记录鼻子特定部位的皮肤厚度。术后第10天，对研究组21例患者的鼻尖上区进行曲安奈德注射。对照组不进行注射。术后40天，由同一位放射科医生对所有42例患者进行鼻超声测量，并对结果进行评估。
本研究纳入17名女性（40.5%）和25名男性（59.5%）。患者年龄在18至53岁之间，平均年龄为27.9岁。在研究组中，术后第40天所有注射部位均显示变薄。在B点（鼻根点）、D点（鼻尖上中部）和G点（鼻尖中部），这些结果具有统计学意义。在对照组中，除A点（鼻根）外，所有注射部位在术后第40天均显示增厚。在B点（鼻根点）、D点（鼻尖上中部）、H点（鼻尖左侧）和J点（左鼻翼区域），这些结果具有统计学意义。
曲安奈德注射在预防水肿方面有效，并能使隆鼻术后皮肤包膜变薄。
