Effect of Total Intravenous Anesthesia and Inhalation Anesthesia on Edema and Ecchymosis in Rhinoplasty: A Prospective Randomized Clinical Trial.

Background: Postoperative edema and ecchymosis are frequently observed in rhinoplasty patients. Total intravenous anesthesia and inhalation anesthesia are 2 of the common types of general anesthesia used for rhinoplasty surgery and affect circulation and coagulation. The aim of this study was to investigate the edema and ecchymosis effects of total intravenous anesthesia and inhalation anesthesia in patients undergoing rhinoplasty. Methods: A total of 52 patients undergoing rhinoplasty surgery were enrolled. The patients were divided into 2 groups: total intravenous anesthesia (group T, n = 26) and inhalation anesthesia (group S, n = 26). All patients were photographed by a blinded observer on postoperative days 1, 2, and 7 and were evaluated on a scale ranging from 0 to 4 by 3 independent observers for periorbital edema and ecchymosis. Blood samples were taken from the patients preoperatively and at the second postoperative hour. At the end of the study, edema and ecchymosis of the patients, coagulation, and blood parameters were compared according to the anesthesia type. Results: When rhinoplasty patients in group T and group S were evaluated according to edema and ecchymosis on postoperative days 1, 2, and 7, no statistically significant difference was found (P > .05). There was no difference between the groups in terms of coagulation and blood parameters (P > .05). Conclusion: No difference between total intravenous anesthesia or inhalation anesthesia according to edema and ecchymosis can be seen in the postoperative period in rhinoplasty patients. [ABSTRACT FROM AUTHOR]