Nasal Deformity Clinical Trial
Official title:
Effect of Costal Harvesting Technique on Postoperative Donor-site Morbidity: Does Muscle Sparing Technique Cause Less Postoperative Pain ? A Clinical Trial
The purpose of this study was to investigate the effect of 'muscle sparing technique' while
harvesting costal/rib cartilage on postoperative donor-site morbidity -namely postoperative
pain. Although authors report 'muscle sparing technique' cause less pain its not
investigated in an evidence-based-medicine perspective. Therefore the investigators are
planning a controlled, prospective clinical trial to compare the conventional method and
'muscle sparing technique'.
Effect of Costal Harvesting Technique on Postoperative Donor-site Morbidity: Does Muscle
Sparing Technique Cause Less Postoperative Pain ? A Clinical Trial
Revision rhinoplasty patients requiring costal cartilage were enrolled in the study. All
costal cartilage harvestings were full-thickness and they were carried out by a
single-surgeon (Berke Ozucer). Patients were randomly assigned either to 'Conservative
Muscle-cuttingHarvesting Technique' or 'Muscle-sparing Harvesting Technique'.
Surgical technique costal cartilage harvesting in both groups were identical expect this:
M-Cutting group : Following skin incision with No.15 blade; all layers including the
subcutaneous fat, muscle fascia and muscles covering the cartilage were cut with Monopolar
electrocautery at (25 watts).
M-Sparing group: : Following skin incision with No.15 blade; all layers including the
subcutaneous fat, muscle fascia and muscles covering the cartilage were passed with blunt
dissection. Muscle fibers were dissected parallel to their positioning.
Postoperative pain was evaluated with a Visual Analogue Scale. Participants were questioned
regarding their donor-site pain and asked to score their pain 0 (minimum and 10 (maximum).
Passive state and pain while active was evaluated separately. This evaluation was carried
out at 6th postoperative hour, first, second, third postoperative-days, first postoperative
week, on 15th ,30th and 45th day postoperatively. Also postoperative need for analgesics
were also noted for the first three days.
Muscle-cutting and muscle-sparing groups were analysed for mean ± Standard deviation values.
These values were compared statistically to assess whether muscle-sparing technique has a
significant effect on reduced postoperative pain.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02626585 -
The Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping
|
N/A |