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TED A. COOK, MD; DIETER F. HOFFMAN, MD
Portland, Ore

Arch Otolaryngol Head Neck Surg. 1992;118(12):1365.

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To the Editor.—We thank Simons¹ for his review of the use of corticosteroids in rhinoplasty surgery. In his review he makes the point that the use of "steroids as routine adjunctive therapy in nasal surgery" remains a question for many physicians. We noted in our article that Lederer² et al in 1967 concluded that there was a distinct lack of clinical trials to prove the efficacy of corticosteroids in otolaryngologic disorders.

Simons points out that there is a significant concern over the use of injected steroids into the inferior turbinates during rhinoplasty surgery. We share his concern and his admonition to surgeons that we should do no harm. There is, however, no evidence of significant complications from short dose systemic corticosteroids in the healthy patient. This observation has been proven in multiple studies in multiple disciplines. Therefore, the problem is to prove that systemic corticosteroids are of . . . [Full Text PDF of this Article]

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