The Effect of the Number of Steps on Edema and Ecchymosis Due to Rhinoplasty Surgery

Edema and ecchymosis occurring in the eyes and face after rhinoplasty surgery greatly reduce the quality of life of patients. Many studies have been conducted in the literature to reduce this edema and ecchymosis. However, there is currently no successful method in the literature. Our aim in our study is to mobilize patients early after surgery and to investigate the effect of the number of steps they take after surgery on edema and attachment. For this purpose, 5 cohort groups will be created from patients who underwent rhinoplasty surgery by the same doctor. Patients will be randomly assigned to groups. The study was planned as a prospective, non-randomized, controlled study with parallel groups. Consecutive patients undergoing primary open septorhinoplasty were allocated to one of five predefined postoperative management groups in a fixed sequential rotation according to the order of surgery. Allocation was sequential and non-random. Outcome assessment was performed by an independent assessor blinded to group allocation.

Group A: patients who have a step counter and whom we do not motivate to walk Group B: control group patients with and without step counters Group C: patients who have a step counter and whom we motivate to take at least 5000 steps Group D: patients with step counters, whom we motivated to take at least 10000 steps Group E: patients who have a step counter, who do not motivate us to walk, and who will apply ice only on the 1st day after surgery

Criteria for inclusion in the study: Having primary septorhinoplasty surgery under general anesthesia, being between the ages of 18-40, being the surgery patient of 1 researcher doctors (Dr. Salih Aydın).

Criteria for inclusion in the study: revision septorhinoplasty surgery, patients with a chronic diagnosed disease such as diabetes, surgeries performed with conventional osteotomy, and surgeries without osteotomy. Measurements made with smartwatches other than the Xiaomi Band 5

The information of the patients participating in the study will be recorded on the forms. In this form: age, gender, accompanying diseases, smoking, drug use, occupation, doctor performing the surgery, duration of surgery (between intubation and extubation), end time of the surgery, the time he started walking on the first day, the number of steps taken on the first day and for 9 days. The daily step count (new day recordings will start at midnight) will be recorded. Patients will be asked to take facial photographs in the morning and evening. These photographs will be evaluated and noted using the edema-ecchymosis scale by a blind investigator. "Xiaomi Mi Band 5 smart bracelet" will be used to determine the number of steps taken. These wristbands will be given to the patients by the doctor performing the surgery and will be taken back at the end of the study. In light of the data obtained, the effect of early postoperative mobilization and the number of steps on edema and ecchymosis will be revealed.