جستجوی مقالات مرتبط با کلیدواژه « اکیموز » در نشریات گروه « پزشکی »

In rhinoplasty, bleeding reduces the surgeon's vision, so bleeding control is very important. Also, edema and ecchymosis are the most common side effects of rhinoplasty. Many drugs have been used to reduce edema and ecchymosis around the eyes after surgery, but they are not suitable for all patient groups due to some side effects. Administration of magnesium sulfate before or during surgery is approved which can stabilize hemodynamic parameters, especially by reducing blood pressure and heart rate. Labtalol is also a competitive blocker of alpha-1 and beta-adrenergic receptors, which reduces heart rate and blood pressure. The aim of this study was to compare the effect of intravenous magnesium sulfate and labetalol on bleeding during rhinoplasty and also edema and ecchymosis afterwards.

In this double-blind clinical trial, 60 rhinoplasty candidates were randomly assigned to receive either magnesium sulfate or labetalol. Magnesium sulfate infusion was done at 30-50mg/kg before induction of anesthesia and 10-20mg/kg/h during the surgery. Labetalol administration at 1mg/min was done during the surgery. We measured heart rate, bleeding rate, surgeon's satisfaction, postoperative complications, edema, and ecchymosis in both groups. The variables were analyzed in STATA V14 applying t-test, ANOVA, ANCOVA, and Chi-square.

In this study, 86.7% of patients were women. The average bleeding in the labetalol group (50.3±28.5cc) was less than that in the sulfate group (76.7±66.4cc) and this difference was on the borderline of significance (P≤0.05). The surgeon's satisfaction was significantly higher in the labetalol group (P<0.05). Edema (24 hours after the operation) and orthostatic hypotension were significantly lower in the sulfate group (P<0.05). There was no significant difference between the two groups in terms of average heart rate, sore throat, headache, respiratory depression, and ecchymosis rate (P>0.05).

According to this study, magnesium sulfate can be used in rhinoplasty to reduce edema and ecchymosis.

Due to the high volume of trauma patients, the total amount of pelvic X-rays performed is very high, which both imposes a high cost on the health care system and society, and exposes patients to side effects of X-rays. Therefore, the aim of this study was to assess the accuracy of clinical pelvic examination findings in identification of trauma patients in need of a pelvic X-ray (PXR).

In this prospective cross-sectional study, all multiple-trauma patients referring to the emergency department of Ayatollah Kashani Hospital in Shahrekord during September 2020 who underwent PXR were included. Clinical examination findings were recorded for all patients and the accuracy of these findings in determination of the need for performing PXR was evaluated.

131 patients with a mean age of 34.18±22.96 years were studied (75.6% male). 124 people (94.6%) had normal PXR and 7 people (5.4%) had abnormal PXR. The two groups were in the same condition in terms of age (p = 0.993), sex (p = 0.679), weight (p = 0.953), blood pressure (p = 0.848), heart rate per minute (p = 0.907), the number of breaths per minute (p = 0.996), the level of consciousness (p = 1.00) and the mechanism of trauma (p = 0.996). Sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios, and finally, the accuracy of clinical pelvic examination of trauma patients in determining the need for simple pelvic x-rays were 100%, 79.03%, 98.82%, 100%, 4.77, 0, and 98.87%, respectively.

According to the results of the present study, if the patient met at least one of the eight clinical criteria, the diagnosis of pelvic fracture was considered, indicating that this general criterion could easily succeed in identifying all fractures with 100% sensitivity and unnecessary PXR could easily be avoided in more than 70% of these patients.

post-operative edema and ecchymosis after rhinoplasty, is one of the common surgical complications and it seems the technique of osteotomy may affect severity of periorbital edema and ecchymosis. This study compared the effect of these two methods of osteotomy on periorbital edema and ecchymosis following rhinoplasty on patients referred to oral & maxillofacial surgery clinic, Ayatollah Kashani hospital of Isfahan at 2016.
In this clinical trial study, twenty patients were chosen for primary rhinoplasty and we performed internal osteotomy on the right side and external osteotomy on the left side randomly. Periorbital edema and ecchymosis scores were determined after 1, 3 and 7 days post-operative and the data were subjected to t-test analysis.
The difference of the edema scores was not significant between two approaches on the first post-operative day, while the differences was found to be significant on third (p=0.0001) and seventh (p=0.05) days between two techniques with the higher scores being reported for internal osteotomy. The difference of the ecchymosis scores was not significant between two approaches after 3 days post-operatively,(p>0.05) while the differences were significant on first (p=0.02) and seventh (p=0.05) days with the higher scores being reported for internal osteotomy.
Due to the lower scores of edema and ecchymosis and simplicity of the external osteotomy approach in comparison to the internal technique, the use of external osteotomy was suggested to decrease the incidence of edema and ecchymosis in the rhinoplasty surgery.

Prevalence and increasing trend in presence of breast mass in women, necessity of removing them, importance of breast’s appearance, post-surgery complications and based on the theory that using solutions to fill the cavity left after the lump removal operation could be beneficial and the fact that saline solution lacks any specific chemical properties, this study was carried out. The research aimed to study and compare the effects of the method in which saline solution is used to fill the cavity and the method in which no saline solution is used.
Clinical trials on the patients with benign breast mass were used as the research method. The patients were randomly divided into two groups, the control and the treatment group. The lump-removal surgery was conducted by a surgeon and his senior assistant using the standard method and sutures with the same material. The effects of saline solution and the lack of it were determined and statistically analyzed. This determination was based on post-operation bleeding, ecchymosis, stretching of the skin and patient satisfaction.
Eighty patients were randomly divided into two groups of 40 and designated the control and treatment group. The amount of bleeding was found to be 30% in the control group and 2.5% in treatment group (the group in which the cavity was filled with saline solution) three days after the surgery (pConclusion and recommendations: It seems that using saline solution after removing benign breast mass is a useful method.

The aim of this study was to minimize edema and ecchymosis following rhinoplasty through a closed drainage system to address concealed hemorrhage. This study was designed as a prospective، double blinded، randomized contr-olled study. Fifty one patients who underwent septorhinoplasty were included in this study and divided in two groups. In group A، a closed drainage system was applied in the most dependent posterior septal area following septal harvesting. Concealed bloody secretions were drained out of mouth in a vacutaner tube during three concecutive post operative days. In control group، group B، exactly the same classic rhinoplasty opera-tion by the same surgeon was done as for study group except omitting the closed drainage system. Degree of supra-tip and eyelid edema was evaluated on post operative days through photographic and software image analysis. Edema and ecchymosis rating of eyelids and ecchymosis of paranasal and cheek area done based on photographic analysis by independent plastic surgeons using a defined grading system. Eyelid ecchymosis was reduced significantly on post operative day 14 in the study group (P=0. 03). Ecchymosis of paranasal and check was reduced considerably likewise on days 7 and 14 in group A using Mann-Whitney test (P=0. 03). There was no significant deference regarding supra tip edema on post operative days. The same hold true for the eyelids edema. Significant decrement observed in eyelids ecchymosis on day 14 and para-nasal and cheek ecchymosis on postoperative days 7 and 14 in study group. There were no positive effects regarding supra tip and eyelid edema reduction using closed drainage system to evacuate concealed haemorrhage in posterior septum space. There could be different etio-pathologies for two common morbidities following rhinoplasty that should be addressed separately.

Rhinoplasty is one of the most popular plastic surgery in the world. Edema and ecchymosis are two expected consequences after any planned injuries such as surgery that extend recovery time and cause to distress for the patients and their families. Several drugs (e.g. corticosteroid and tranexamic acid) and herbal extracts (e.g. arnica) are suggested for resolving this problem but there is no comparison between them yet. This study was undertaken to compare the potential benefits of dexamethasone with tranexamic acid on postoperative edema and ecchymosis after rhinoplasty. Determination of dexamethasone and tranexamic acid efficacy on edema and ecchymosis after rhinoplasty. This was a clinical trial cross sectional double blind study. Seventy rhinoplasty candidates were randomized in two groups. In addition to routine management and cold compress after operation, one group received dexamethasone and another group received tranexamic acid injection for both groups 1 dose of drug before and 3 doses per 8 hours after rhinoplasty.. For measurement of edema and ecchymosis, we took digital photos from patients’ face third day of postoperation. Then three colleagues who were blinded to assigned groups, scored edema and ecchymosis level with using 0-4 point standard scale. The α < 0.05 is considered significant statistically. Nineteen men and fifty one women were enrolled. On postoperative day 3, there was no significant difference in the rating of preorbital ecchymosis among two intervention groups (p<0.15). Also there was no significant difference for the edema rating among two intervention groups (p<0.12). According to our results, no significant difference in postoperative edema and ecchymosis was detected among two groups. In regard to similar efficacy of both drugs to decrease edema and ecchymosis after rhinoplasty, we must select one of them according to the other effects of drugs.

Despite their medical side-effects, corticosteroids have been suggested for reducing the postoperative edema and bruising associated with rhinoplasty. More surveys are still under process in this regard. The current study was designed to assess the effects of corticosteroid on reducing both edema and echymosis as the side-effects in closed rhinoplasty. These two side-effects prolong the postoperative recovery of the patients. The project is a multiple time series design of causal experimental type. 30 patients undergoing septorhinoplasty operations were randomly divided into 3 groups each of which consisted of 10 cases. The study was conducted during a six-month period. The first group received no dexamethason, the second group received single dose of dexamethasone while the third group received 3 doses of dexamethasone. The two variables studied were the dose and time of administration. By comparing standard photography which was taken before and after the operation, three blinded panelists rated the extent of echymosis, and the severity of the edema. The extent of edema and the severity of echymosis were different among the three groups. In group 3, which was prescribed the 3-dose steroid, the severity of edema and the extent of echymosis were much lower in comparison with the other two groups. Also the effect of dexamethason in relation to echymosis was statistically meaningful in the sixth post operative day. Dexameyhason in the prescribed dose is effective in reducing both periorbital ecchymosis and edema in closed rhinoplasty with osteotomies which leads to the patient's satisfaction in postoperative period. This effect is long lasting and depends on the dose and time of prescription.