Postrhinoplasty taping effective in thick-skinned patients
Postrhinoplasty taping was effective at compressing the skin envelope to the underlying framework and was significantly effective on thick-skinned patients, according to results published in JAMA Facial Plastic Surgery.
“Skin thickness plays an important role on the outcome of rhinoplasty, particularly in nasal tip refinement,” Berke Ozucer, MD, department of otorhinolaryngology, Gaziosmanpasa Taksim Research and Education Hospital, Istanbul, and colleagues wrote. “Patients with thick skin are considered poor candidates for rhinoplasty because nasal tip edema may require months to resolve, and desired sculpturing of the nose cannot always be achieved.”
The researchers studied 57 patients (33 males; mean age, 30 years) who were undergoing rhinoplasty from Aug. 1, 2014, to Jan. 31, 2015, at a tertiary reference center.
There were 17 patients randomly assigned to a 2-week postrhinoplasty taping (PRT) group, 20 assigned to a 4-week PRT group and 20 assigned to a control group undergoing no PRT after removal of external packing and cast removal. Ultrasonography measured baseline nasal thickness, while mean nasal skin thickness was calculated. During the allotted time, patients in the 2- and 4-week PRT cohorts underwent additional taping.
Data was analyzed between July 1 and Aug. 1, 2015. Patients were categorized as thin skinned or thick skinned.
PRT had a significant effect on supratip skin thickness (P = .01), with the benefit significantly increasing in the 4-week PRT cohort compared with the control group (P = .001). When the control group had a pairwise comparison of mean nasal skin thickness with the PRT groups, there was a significant effect in the 2-week PRT (P = .02) and 4-week PRT (P = .007) cohorts.
The tip region did not have a significant effect between the cohorts. There was no significant effect from PRT for the thin-skinned patients.
“Comparison among thick-skinned patients revealed a significant effect on the [mean nasal skin thickness] (P = .01) and the rhinion (P = .02) but not the tip (P = .06) and supratip (P = .07),” the researchers wrote.
“[PRT] helps the skin envelope to compress to the underlying cartilaginous framework and decrease postoperative swelling,” the researchers concluded. “[PRT] is particularly useful in thick-skinned patients and for reducing supratip fullness. This cheap and practical modality helps the rhinoplasty surgeon to control another anatomic element — the skin — during the postoperative period for better surgical outcomes.” – by Bruce Thiel
Disclosure: The researchers report no relevant financial disclosures.