Document Detail

Corticosteroid use in cosmetic plastic surgery.
MedLine Citation:
PMID:  23985647     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Steroids have been used in cosmetic plastic surgery to reduce postoperative edema and ecchymosis. We performed a systematic review of the literature addressing postoperative steroid use after rhinoplasty. Due to a paucity of studies, a review of the literature was also performed for postoperative steroid use in rhytidectomy and body contouring surgery.
METHODS: An exhaustive literature search was performed using: MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PubMed. A total of 12 articles were chosen to be included in the rhinoplasty systematic review. Cohen's kappa for level of agreement between the two reviewers was 1.0. Data recorded from each of the studies included: author, year, sample size, age, follow-up, statistical analyses, eyelid/edema assessment, significant findings, p values, and steroid regimens. A general review of the current rhytidectomy and body contouring literature associated with corticosteroids was performed as well.
RESULTS: No statistically significant long-term reduction in postoperative edema or ecchymosis after rhinoplasty. Significant reductions were noted in the short term (<2 days). Review of the rhytidectomy literature described no significant decrease in postoperative edema or ecchymosis. Steroid use was noted to reduce postoperative nausea and vomiting when combined with other therapies in body contouring.
CONCLUSIONS: Steroid use is not warranted in the postoperative period and only reduces transient edema and ecchymosis. A significant benefit for steroid use after rhytidectomy is not evident as well. Steroid use may benefit in postoperative nausea and vomiting.
Benson J Pulikkottil; Phillip Dauwe; Lily Daniali; Rod J Rohrich
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  132     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-08-29     Completed Date:  2013-12-02     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  352e-60e     Citation Subset:  AIM; IM    
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MeSH Terms
Adrenal Cortex Hormones / therapeutic use*
Anti-Inflammatory Agents / therapeutic use*
Cosmetic Techniques
Ecchymosis / etiology,  prevention & control*
Edema / etiology,  prevention & control*
Postoperative Care / methods*
Postoperative Complications / prevention & control*
Treatment Outcome
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Inflammatory Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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