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A Double-blind Study

Dieter F. Hoffmann, MD; Ted A. Cook, MD; Vito C. Quatela, MD; Tom D. Wang, MD; Peter J. Brownrigg, MD; Robert E. Brummett, PhD

Arch Otolaryngol Head Neck Surg. 1991;117(9):990-993.

Abstract
• Many facial plastic surgeons use • operative steroids to reduce postoperative edema and morbidity. This use of steroids is based more on theory and anecdotal experience than on controlled studies. We studied 49 patients undergoing rhinoplasty in a randomized, double-blind fashion to evaluate the effects of perioperative and postoperative steroid use. We found significantly less postoperative eyelid and paranasal edema in those patients receiving steroids. In addition, trends toward less ecchymosis, less intranasal edema, and less discomfort in the patients receiving steroids were noted.

(Arch Otolaryngol Head Neck Surg. 1991;117:990-993)

Author Affiliations
From the Division of Facial Plastic Surgery, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland (Drs Hoffmann, Cook, and Brummett); the Department of Otolaryngology, the University of Rochester (NY) Medical Center (Dr Quatela); the Department of Otolaryngology—Head and Neck Surgery, the Mayo Graduate School of Medicine, Rochester, Minn (Dr Wang); and the Department of Otolaryngology—Head and Neck Surgery, University of Ottawa (Ontario) (Dr Brownrigg).

Footnotes
Accepted for publication March 13, 1991.

Read before the Fifth International Symposium of Facial Plastic and Reconstructive Surgery of the Head and Neck, Toronto, Ontario, June 26, 1989.

Reprint requests to Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 (Dr Cook).

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