Ignite Creation Date:
2024-05-06 @ 6:32 PM
Last Modification Date:
2024-10-26 @ 2:50 PM
Study NCT ID:
NCT05695794
Status:
RECRUITING
Last Update Posted:
2023-01-25
First Post:
2022-11-22
Brief Title:
The Effect of Different Bed Head Heights on Patients After Rhinoplasty
Sponsor:
Bartın Unıversity
Organization:
Bartın Unıversity
Study Overview
Official Title:
Evaluation of the Effect of Different Bed Head Heights After Rhinoplasty on Edema Ecchymosis Respiratory Function and Sleep Quality
Status:
RECRUITING
Status Verified Date:
2023-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will be conducted to evaluate the effect of different bed head heights thirty degrees and forty-five degrees given to patients after rhinoplasty surgery on periorbital edema periorbital ecchymosis respiratory function and sleep quality
Detailed Description:
The nose is morphologically a functional and aesthetic organ These two concepts are inseparable and interact with each other The nose is one of the structures most exposed to trauma especially on the face Rhinoplasty is one of the most common operations performed by plastic surgeons for functional correction or cosmetic purposes When we examine the history of nose surgeries we see that nose surgeries begin with reconstruction Reduction rhinoplasty emerged later and forms the basis of todays rhinoplasty The treatment of nasal trauma was first mentioned in the Edwin Smith Surgical Papyrus in 3000 BC BC In these papyri 48 patients were reported to have been treated surgically In the 5th century BC Hippocrates made detailed patient analysis in his work named Mochlicon and classified nasal injuries from simple fracture to complicated He discussed the reduction of nasal bones and their treatment with poultice Most historians reported that nasal reconstruction was first mentioned in Sanskrit writings in Ancient India In these writings it was reported that the noses of Hindu women were cut as punishment BC In the 6th century Sushruta performed the reconstruction of the nose using his own instruments He performed tissue transfer from forehead and cheek to nose He called it the Indian Method Sushruta mentioned the nasal reconstruction methods he developed in his book Samhita 1st century There are articles describing the nose reconstruction in the book called De Medicina which was written in Rome VII In the sculpture of the Byzantine Emperor in the 16th century it is depicted that there is a scar on his forehead It was accepted that this was a sign of nasal reconstruction With the Muslim conquest of India the nose reconstruction techniques applied in India started to be used in Muslim countries as well XIV Since the 19th century the development of nose surgery has accelerated in Europe XIV Since the 19th century the development of nose surgery has accelerated in Europe XV In the 19th century the Italian surgeon Branca introduced the Indian Method in nose surgery to Europe Brancas son Antonio on the other hand developed a new method in nose surgery and named it the Italian Method Nose surgeries have been performed with open technique for centuries It was Jacques Joseph who coined the term open rhinoplasty for the first time which he would later adopt in Millard and Gillies Joseph is the scientist who introduced techniques such as nasal dorsum reconstruction with bone grafting and cartilage suturing to rhinoplasty The first to describe the closed approach in rhinoplasty was John O Roe 1887 an American surgeon Later Weir presented the closed technique in 1892 and the German J Joseph in 1898 In the closed technique incisions are made through the nose and in the open technique a very small incision of approximately 2 millimeters in length is made in the columella of the nose the part visible from the outside of the middle support in addition to the incisions made through the nose If the nose wings need to be narrowed Additional incisions of approximately 5-6 millimeters can also be made so that they remain in the fold at the base of the nose wings As with all surgical interventions the comfort of the patient is important after rhinoplasty Factors affecting the comfort of the patient in the early period after rhinoplasty nausea vomiting bleeding periorbital edema periorbital ecchymosis nasal airway obstruction and pain Among these the factors that most affect the comfort of the patient are pain periorbital edema and periorbital ecchymosis Occurrence of periorbital edema and periorbital ecchymosis Even if it is a natural result of the procedure it is an undesirable result for patients who undergo this procedure with aesthetic demands Postoperative periorbital edema and periorbital ecchymosis cause a delay in patients return to daily life and adversely affect their social lives Depending on the degree of periorbital edema visual difficulties may also be experienced in the early postoperative period Periorbital ecchymosis occurs by extravasation from damaged vessels and can be positioned by the effect of gravity This may cause color change in the operation area and delays in returning to the patients normal social life Various agents such as corticosteroids arnica lidocaine adrenaline combination and Melilotus extract and cold application methods for different durations have been used to reduce periorbital edema and periorbital ecchymosis after rhinoplasty In line with these scanned literatures it was observed that studies on bed head height after rhinoplasty were limited and it was observed that there was no common decision on bed head heights given to patients in practiceFor these reasons it was decided to examine the effect of different bed head heights thirty degrees and forty-five degrees given to patients on periorbital edema periorbital ecchymosis and respiratory functions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None