ABSTRACT
Purpose: The aim of this study to investigate the effect of
bromelain-arnica gel combination on periorbital edema and ecchymosis
seen after open septorhinoplasty.
Methods: Sixty patients who performed open septorhinoplasty
with osteotomies were included to the study. These patients were
allocated into two groups: in group 1, 30 patients as control and in
group 2, 30 patients as study group who were treated with topical
bromelain-arnica gel after surgery. Scoring of eyelid edema and
peroirbital ecchymosis were evaluated on the first, third and seventh
postoperative days using scale of 0 to 4 used by observers.
Results: We observed that the administration of topical
bromelain-arnica gel after surgery was effective clinically and
statistically in decreasing the score of both edema and ecchymosis in
open septorhinoplasty with ostetomies. In group 2 patients, periorbital
edema and ecchymosis scores were significantly lower compared to control
group (p < 0.05).
Conclusions: Our results support that topical administration of
bromelain and arnica gel combination provided both clinically and
statistically significant reduction in periorbital edema and ecchymosis
following septorhinoplasty.
Key Words: Septorhinoplasty, Edema, Ecchymosis, Arnica,
Bromelains