The Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping

NCT02626585 | Completed

• 1 other identifier: BezmialemVU-BO-PRT
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to investigate the effectiveness of postrhinoplasty taping. The effectiveness was evaluated with Ultrasonography and skin envelope thickness was prospectively measured for analysis.

Conditions

Nasal Deformity; Edema; Rhinoplasty

Keywords

rhinoplasty; postrhinoplasty taping; edema; draping; postoperative edema; nasal skin thickness; supratip fullness; postoperative swelling

Outcome Measures

Primary Outcomes (1)

• Change in nasal skin thickness (for rhinion, radix, supratip and tip)

  measured with Ultrasonography

  preoperative, postoperative 1st, 3rd and 5th week, postoperative 6th month

Secondary Outcomes (1)

• Duration of Operation

  Intraoperative

Study Arms (3)

Control

NO INTERVENTION

Control group (n=20): Following removal of nasal cast on postoperative first week, no additional taping was applied to this group.

2-weeks of PRT

EXPERIMENTAL

2-weeks of PRT (n=17): Following removal of nasal cast on postoperative first week, 2 weeks of additional postrhinoplasty taping was applied to this group (form 1st to 3rd week).

Procedure: Postrhinoplasty taping

4-weeks of PRT

EXPERIMENTAL

4-weeks of PRT (n=20): Following removal of nasal cast on postoperative first week, 4 weeks of additional postrhinoplasty taping was applied to this group (form 1st to 5th week).

Procedure: Postrhinoplasty taping

Interventions

Postrhinoplasty taping PROCEDURE

Postrhinoplasty taping is commonly applied by rhinoplasty surgeons. Following rhinoplasty the nose is generally taped and a (thermoplastic) nasal cast is applied on top of this to make sure the final form of the nose is protected. Postoperatively, this cast is removed at some point. After this, some of the surgeons prefer to tape the nose with nasal tapes such as Micropore (3M) etc. Postrhinoplasty taping is the term used for this. The nose is (generally) taped horizontally with 1/2 inch wide tapes. This is done superiorly from radix to inferiorly to nasal tip. The idea is to compress the nose and to cover it. The duration of postrhinoplasty taping differs according to the preference of the surgeon and the patient

2-weeks of PRT; 4-weeks of PRT

Eligibility Criteria

• Age: 16 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• primary open approach rhinoplasty under general anesthesia
• bilateral lateral osteotomies

You may not qualify if:

• revision cases
• abnormal haemostatic parameters
• drug history of decongestant or cortisone

Sponsors & Collaborators

• Bezmialem Vakif University: lead

Study Sites (1)

Bezmialem Vakıf University

Istanbul, Turkey (Türkiye)

Location

Related Publications (7)

• Hafezi F, Naghibzadeh B, Nouhi A. Management of the thick-skinned nose: A more effective approach. Ann Otol Rhinol Laryngol. 2006 Jun;115(6):444-9. doi: 10.1177/000348940611500608.

  PMID: 16805376 BACKGROUND

• Guyuron B, DeLuca L, Lash R. Supratip deformity: a closer look. Plast Reconstr Surg. 2000 Mar;105(3):1140-51; discussion 1152-3. doi: 10.1097/00006534-200003000-00049.

  PMID: 10724276 BACKGROUND

• Rees TD. An aid to the treatment of supratip swelling after rhinoplasty. Laryngoscope. 1971 Feb;81(2):308-11. doi: 10.1288/00005537-197102000-00011. No abstract available.

  PMID: 5544202 BACKGROUND

• Hoefflin SM. Postoperative nighttime nasal taping to decrease swelling. Plast Reconstr Surg. 1989 Aug;84(2):375. doi: 10.1097/00006534-198908000-00057. No abstract available.

  PMID: 2748764 BACKGROUND

• Vega-Villasante P, Covarrubias H. A new splint for the nasal tip. Plast Reconstr Surg. 1995 Jul;96(1):189-93. doi: 10.1097/00006534-199507000-00029.

  PMID: 7604101 BACKGROUND

• Belek KA, Gruber RP. The beneficial effects of postrhinoplasty taping: fact or fiction? Aesthet Surg J. 2014 Jan 1;34(1):56-60. doi: 10.1177/1090820X13515879.

  PMID: 24396072 BACKGROUND

• Ozucer B, Yildirim YS, Veyseller B, Tugrul S, Eren SB, Aksoy F, Uysal O, Ozturan O. Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping: A Randomized Clinical Trial. JAMA Facial Plast Surg. 2016 May 1;18(3):157-63. doi: 10.1001/jamafacial.2015.1944.

  PMID: 26914594 DERIVED

MeSH Terms

Conditions

Edema

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Berke Ozucer, MD

  Bezmialem Vakif University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Otorhinolaryngologist

Study Record Dates

• First Submitted: December 7, 2015
• First Posted: December 10, 2015
• Study Start: August 1, 2014
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2015
• Last Updated: December 10, 2015

Record last verified: 2015-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)