Effect of early hyperbaric oxygen therapy on postoperative complications of augmentation rhinoplasty with HA injection

GAO Zeyu; MA Lei; CAO Min; ZHANG Juan; WU Manlin; ZHU Shuping

doi:10.3969/j.issn.1671-6450.2018.02.017

Abstract：Objective To investigate the effect of early hyperbaric oxygen therapy on postoperative complications of augmentation rhinoplasty with hyaluronic acid (HA).Methods Thirty-nine cases with postoperative complications of HA rhinoplasty in hospital from February 2012 to February 2017 were selected,and they were divided into the observation group (n =20) and the control group (n =19) according to the treatment methods.The control group was given routine treatment,while the observation group was given early hyperbaric oxygen treatment on the basis treatment of the control group.The 2 groups were treated for 21 days;the clinical effect facial ecchymosis area,visual acuity and patient satisfaction of two groups before and after treatment were observed.Results The total effective rate of the observation group was 85.00％,and the satisfaction rate was 90.00％,which was higher than 63.16％ and 68.42％ of the control group (x2 =4.562,x2 =5.054,P =0.039,P =0.031);After treatment of 7d,14d and 21d,the facial ecchymosis area of the observation group were (3.78 ±1.13) cm2,(2.62 ± 1.32) cm2 and (1.21 ± 0.99) cm2 respectively,which were significantly less than those of the control group (t=-2.119,t=-2.656,t=-4.064;P =0.043,P=0.034,P=0.021);There was no significant difference in patients with central retinal artery occlusion between the observation group and the control group after treatment of 7 d,14 d,21 d (Z=-2.011,Z=-2.034,Z=-2.011;P=0.431,P=0.452,P=0.431).Conclusion Early hyperbaric oxygen therapy on postoperative complications of augmentation rhinoplasty with HA injection has a good effect,it can significantly improve the symptoms of facial ecchymosis caused by facial vascular embolism,and is worthy of popularization.