Injecting steroids vs oral steroids

nasal-turbinatesMost of us give our patients oral steroids such as prednisone or methylprednisolone.  Convenience, compliance, and side effects are the reasons we might consider injecting over oral administration.  60 mg of Kenalog seems to give patients a good measure of relief with very little side effects.  There is also no question of compliance with this.  The site of injection seems to matter very little, however, as we see with our tip rhinoplasty patients local atrophy is real and might actually be a beneficial side effect if we consider the inferior turbinate.  Safety in regards to micro emboli need to be considered, however, this seems very unlikely with our improved techniques and visualization.