Efficacy of tranexamic acid on side effects of rhinoplasty: A randomized double-blind study

Efficacy of tranexamic acid on side effects of rhinoplasty: A randomized double-blind study


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دانشگاه علوم پزشکی تبریز
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نویسندگان: محمدعلی قویمی , کوروش طاهری طالش , سیده آرزو قریشی زاده , علی زرندی

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نشریه: 19866 , - , 45 , 2017

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نویسنده ثبت کننده مقاله محمدعلی قویمی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده دندانپزشکی
کد مقاله 61681
عنوان فارسی مقاله Efficacy of tranexamic acid on side effects of rhinoplasty: A randomized double-blind study
عنوان لاتین مقاله Efficacy of tranexamic acid on side effects of rhinoplasty: A randomized double-blind study
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت https://apps.webofknowledge.com/Search.do?product=WOS&SID=S1z1eaB92yxukN4pEYZ&search_mode=GeneralSearch&prID=a0e09e00-1835-4685-

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Introduction: The aim of this randomized double-blind study was to evaluate the efficacy of Tranexamic acid (TXA) on intraoperative bleeding, postoperative eyelid edema, and postoperative periorbital ecchymosis in rhinoplasty. Materials and methods: Sixty rhinoplasty patients who needed hump reduction and lateral osteotomy were included and then randomly assigned into two groups. In the intervention group (n = 30), 10 mg/kg of TXA was administered prior to the operation and in the control group, the patients were given 20 mL of normal saline. Intraoperative bleeding was evaluated by gravimetric method and pre and postoperative hemoglobin and hematocrit levels were determined. Eyelid edema and periorbital ecchymosis were evaluated using 0-4 points scoring system. Surgeon satisfaction was measured by asking questions of the surgeon. Data were analyzed by SPSS 20.0 (P < 0.05). Results: In total, 10 participants were excluded from the research, and 50 patients were included in the study. Mean (SD) of intraoperative bleeding was 213 (65) mL and 254 (55) mL in the intervention and control group, respectively, based on the clinical methods (P = 0.013). Level of hemoglobin was 266.69 in the control group versus 241.25 in the TXA group, indicating that this effect on the intraoperative bleeding was not significant (P = 0.1). Hematocrit differences before and after operation were significant (P = 0.03) (247.06 mL in TXA vs. 279.2 mL in the control group). TXA had a statistically significant effect on the eyelid edema (P = 0.03), periorbital ecchymosis (P = 0.04), and surgeon satisfaction (P = 0.03). Conclusion: Administration of 10 mm/kg TXA had a significant effect in decreasing the intraoperative bleeding rate, eyelid edema, and periorbital ecchymosis in the rhinoplasty with minimal side effects. (C) 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

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نویسنده نفر چندم مقاله
محمدعلی قویمیاول
کوروش طاهری طالشدوم
سیده آرزو قریشی زادهسوم
علی زرندیپنجم

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