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September 1991

Steroids and Rhinoplasty: A Double-blind Study

Author Affiliations

North Miami Beach, Fla

Arch Otolaryngol Head Neck Surg. 1991;117(9):994. doi:10.1001/archotol.1991.01870210066010

Within the body of the film's text, the following pronouncements are made: "Dr Goldman was the first rhinoplastic surgeon to use Meticorten to minimize hemorrhaging during surgery and to reduce surgical and postoperative edema and ecchymosis. After performing thousands of rhinoplasties, he has observed that the 'meti' steroid speeds healing and greatly shortens the recovery period—thus he has made it an integral part of his therapy. The patient dramatically illustrates these benefits."

The reshowing of this classic film never fails to elicit snickers and laughter from the audience when the narrator associates the patient's dramatic improvement in appearance and prompt recovery with the continued use of Meticorten (5 mg, four times a day) for a total of 10 days postoperatively.

Today, the benefits of steroids as routine adjunctive therapy in nasal surgery remain uncertain and questionable in the minds of many physicians. To what degree is a facial plastic surgeon's