Evaluation of postoperative morbidity in open versus closed septorhinoplasty

Tariq Zahid Khan; Sana Mehfooz; Tehmina Junaid; Rajesh Kumar Vasandani; Zeba Ahmed; Zehra Aqeel Nizami

Abstract
Objective: To compare post-operative facial pain, periorbital edema and ecchymosis in open and closed approach of septorhinoplasty in the tertiary care setup of Karachi.
Methodology: The study was done in the Department of ENT and Head & Neck Surgery, Dr. Ruth K. M. Pfau Civil Hospital Karachi, from January 2017 to June 2019. It included 50 patients, who had undergone septorhinoplasty through open (25 patients) and closed (25 patients) approach. Patients were assessed for post-operative facial pain, periorbital edema and ecchymosis 24 hours after surgery. For the assessment of pain, a visual analog score was used and scoring for eyelid edema and ecchymosis were made from 0-4, 0 being the lowest and 4 being the highest score demonstrating the severity.
Results: There was a significant clinical and statistical difference between both the groups in the scores of facial pain, periorbital edema and ecchymosis and the gender (p<0.05). However, no significant difference was found in terms of age (p>0.05).
Conclusion: Postoperative morbidity (facial pain, periorbital edema and ecchymosis) was less frequent after closed approach septorhinoplasty as compared to the open approach.

Key words: Edema, ecchymosis, septorhinoplasty.

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