Does injection of lidocaine with 1/100000 epinephrine immediately before lateral osteotomy reduce post-operative periorbital edema and ecchymosis in rhinoplasty?

ABSTRACT

Postoperative periorbital edema and ecchymosis are common after rhinoplasty. We studied the effect of local injection of Lidocaine/Adrenaline immediately before osteotomy on prevention of post-operative periorbital edema and ecchymosis in rhinoplasty. Thirty healthy candidates for rhinoplasty were enrolled in the self-controlled clinical trial study. Lidocaine/Adrenaline solution injected randomly to one side just prior to the lateral osteotomy. The opposite side used as a control. The degree of edema/ecchymosis on both sides was compared on the 1st, 2nd and 7th day postoperatively. Mean of severity of edema, 24 hours after operation was 3in both sides, [Mann-whitney U; p=0.829]. Mean of severity of edema, 48 hours after operation was 2 in both sides [Mann-whitney U; p=0.867] and it was 1 in both sides 7 days after operation [Mann-whitney U; p=0.756].There was no significant difference between two sides. Mean of severity of ecchymosis, 24 hours after operation was 3 in both sides [Mann-whitney U; p=0.692]. Mean of severity of ecchymosis, 48 hours after operation was 2 in both sides [Mann-whitney U; p=0.655] and it was 1 in both sides 7 days after operation [Mann-whitney U; p=0.873]. There was no significant difference between two sides. local injection of Lidocaine/Adrenaline solution immediately before lateral osteotomy could not reduce postoperative edema and ecchymosis in rhinoplasty