Cosmetic

247) You are called to see one of your patients in the recovery room, 4 hours after a blepharoplasty procedure. After evaluation you suspect an orbital hematoma. Which of the following is the FIRST STEP in the treatment of this condition?

A. Open the surgical wound
B. Lateral canthotomy
C. Steroids and diuretics IV
D. Call an ophthalmologist
E. Orbital decompression




REFERENCES & ANSWER

Rankin B. S., Arden R. L., Crumley R. L.: Lower Eyelid Blepharoplasty, Chapter 18, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 204-206, 2002.

Crumley R. L., Torkian B. A., Karam A. M.: Lower Eyelid Blepharoplasty, Chapter 23, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third Edition (Ira Papel, editor) pp. 271-285, 2009

http://emedicine.medscape.com/article/838696-treatment




247) A         Open the surgical wound