{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:21Z","timestamp":1790927661282,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery & Aesthetic Medicine"],"abstract":"\n Background:<\/jats:title>\n Pain, periorbital edema, and ecchymosis are common after rhinoplasty. Intraoperative ice pack application may reduce these sequelae.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To compare 5- and 10-min intraoperative ice pack application with no intraoperative cooling after rhinoplasty.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n Thirty-three patients undergoing primary reduction rhinoplasty were randomized to 5-min ice pack application (Group A,\n n<\/jats:italic>\n = 11), 10-min ice pack application (Group B,\n n<\/jats:italic>\n = 11), or no intraoperative ice pack application (Group C,\n n<\/jats:italic>\n = 11). Periorbital edema (0\u20134), ecchymosis (0\u20135), and pain (0\u201310 VAS) were assessed on postoperative days 1, 3, and 7.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Pain scores were lower in both ice pack application groups than in the control group on postoperative days 1 (Group A: 4.46 \u00b1 0.72; Group B: 3.96 \u00b1 0.85; Group C: 5.46 \u00b1 0.93;\n p<\/jats:italic>\n = 0.003) and 3 (Group A: 3.82 \u00b1 0.56; Group B: 3.41 \u00b1 0.86; Group C: 5.09 \u00b1 0.63;\n p<\/jats:italic>\n < 0.001). Edema did not differ among groups on days 1 or 3 but was lower in Groups A and B on day 7 (Group A: 0.09 \u00b1 0.25; Group B: 0.09 \u00b1 0.29; Group C: 0.36 \u00b1 0.47;\n p<\/jats:italic>\n = 0.019). Ecchymosis did not differ among groups at any time point.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Intraoperative ice pack application was associated with lower pain scores after rhinoplasty. No significant reduction in ecchymosis was observed, and the effect on edema was limited.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26893614261490686","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:41:40Z","timestamp":1790595700000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Intraoperative Ice Pack Application on Postoperative Pain, Edema, and Ecchymosis in Rhinoplasty: A Randomized Controlled Trial"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8973-3590","authenticated-orcid":false,"given":"Uzdan","family":"Uz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u0131van\u00e7","family":"G\u00fcnhan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6rkem","family":"Eskiizmir","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabri","family":"Mutlu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"StatPearls. Rhinoplasty","author":"Hohman MH","year":"2026","unstructured":"1.Hohman MH, , Fichman M, , Buena ITP. StatPearls. Rhinoplasty. StatPearls Publishing: Treasure Island, FL; 2026."},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1617444"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-024-04105-y"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811400377"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2014.96.5.395a"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2023.10.003"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28519"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002101"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2533-2651"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2024.01.018"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S525146"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181a14d3d"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.04.053"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino15.177"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4535-6"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSN.0000000000000536"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2020.03.032"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew466"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-016-0775-3"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24883"}],"container-title":["Facial Plastic Surgery & Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614261490686","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26893614261490686","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614261490686","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:17:12Z","timestamp":1790925432000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26893614261490686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":20,"alternative-id":["10.1177\/26893614261490686"],"URL":"https:\/\/doi.org\/10.1177\/26893614261490686","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"article-number":"26893614261490686"}}