Is Rigid Nasal Splinting Needed after Rhinoplasties? An 18-year Experience Using Surgical Tape

Vidal, Pedro; Berner, Juan Enrique

doi:10.1097/gox.0000000000001188

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…There was no increase in either percentage in the absence of external splints. In fact, our revision rate is also comparable to the study done by Vidal and Berner, 12 where the revision rate was 3.54% with no external nasal splinting use.…”

Section: Discussionsupporting

confidence: 89%

“…10,11 External nasal splints are widely used postrhinoplasty, despite the absence of any evidence in the literature supporting the use of rigid splints over nonrigid dressings. 12…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…10,11 External nasal splints are widely used postrhinoplasty, despite the absence of any evidence in the literature supporting the use of rigid splints over nonrigid dressings. 12 External nasal splinting postnasal fractures is controversial nowadays. 13 In fact, some authors argue that it is necessary regardless of the type of fracture, whereas others state that simple fractures can be managed with adhesive bands only.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, according to some authors, avoiding external nasal splints and using surgical tape prevent nasal compression and prevent the disadvantages of these splints without affecting the esthetic outcome. 12 Based on our experience, the use of Steri-Strips followed by a layer of surgical tape is a good alternative to external nasal splinting, because it can stabilize the nose and reduce edema while avoiding the cost, discomfort, and complications associated with rigid splinting. It also allows physicians to have a good control on the dressing, with the ability to reapply and adapt it 48 hours after the operation without affecting the esthetic outcome.…”

Section: Discussionmentioning

confidence: 99%

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Rhinoplasty and External Nasal Splinting: Is It Really a Must?

Challita

Shouman²,

Ghanime

2019

Plastic and Reconstructive Surgery - Global Open

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Background:Rhinoplasty is a common and challenging procedure. Lateral osteotomy is routinely performed in most cases. Most of the surgeons have the habit of applying external nasal splints to stabilize the nasal tissues and bone in their new position postrhinoplasty. These splints are widely used despite the absence of any evidence supporting this practice. Moreover, these splints have a lot of disadvantages, so we conducted this study to evaluate the cosmetic result in their absence.Patients and Methods:A retrospective cross-sectional study was performed. Medical records of 211 patients operated on for rhinoplasty by the same surgeon from 2015 to 2017 were reviewed. All patients were operated using open technique. After surgery, a Steri-Strips dressing with an overlying layer of surgical tape was applied to the nose without the use of an external nasal splint. Most of the patients were followed up for 18 months. Complication rates, revision rates, and nasal bone widths were recorded.Results:Complication rates and revision rates were as follows: skin infection 0.99%, skin necrosis 0.99%, and secondary revision 3.48%. Finally 79.60% of patients had a decrease in their nasal bone width postsurgery.Conclusion:Based on the present study, external nasal splinting postrhinoplasty should not be routinely used. Satisfactory cosmetic results can be obtained while avoiding the complications, cost, and bulky dressings associated with external splints.

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Section: Discussionsupporting

confidence: 89%

“…10,11 External nasal splints are widely used postrhinoplasty, despite the absence of any evidence in the literature supporting the use of rigid splints over nonrigid dressings. 12…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Rhinoplasty and External Nasal Splinting: Is It Really a Must?

Challita

Shouman²,

Ghanime

2019

Plastic and Reconstructive Surgery - Global Open

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Role of External Nasal Splinting Following Rhinoplasty: Is It Really Important? A Comprehensive Systematic Review of Literature

et al. 2023

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The Use of Postoperative Compression Garments in Plastic Surgery—Necessary or Not? A Practical Review

Ormseth,

Livermore,

Schoenbrunner

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Summary: This practical review critically evaluates the evidence behind the widespread use of postoperative compression therapy intended to improve surgical outcomes, such as reduced edema, ecchymosis, pain, and seroma formation. A literature search of PubMed was conducted to identify relevant studies concerning the use of compression garments after aesthetic surgery, including rhinoplasty, facelift, neck lift, mammoplasty, abdominoplasty, limb contouring, and others. Additionally, reconstructive and therapeutic procedures closely related in anatomy or technique to these cosmetic operations, such as breast reconstruction, mastectomy, and hernia repair, were also considered to provide further perspective. After study extraction, the volume, quality, and agreement of the evidence found was highly heterogenous depending on the context of specific operations and outcomes evaluated. The most well-supported indications for the use of postoperative compression garments are to mitigate edema and ecchymosis after rhinoplasty and to reduce postoperative pain after breast and abdominal procedures, although no effect on seroma rate was demonstrated. Any potential benefit must be balanced against the associated costs and possible complications of compression, including patient discomfort, increased venous stasis, and skin defects. Thus, we encourage surgeons to critically reassess their use of compression garments. In many settings, such as brachioplasty, there is limited high-quality evidence to inform best practice, and we urge the community to continue researching this important topic so that more definitive and comprehensive guidelines may be established.

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Is Rigid Nasal Splinting Needed after Rhinoplasties? An 18-year Experience Using Surgical Tape

Cited by 4 publications

References 4 publications

Rhinoplasty and External Nasal Splinting: Is It Really a Must?

Rhinoplasty and External Nasal Splinting: Is It Really a Must?

Role of External Nasal Splinting Following Rhinoplasty: Is It Really Important? A Comprehensive Systematic Review of Literature

The Use of Postoperative Compression Garments in Plastic Surgery—Necessary or Not? A Practical Review

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