Development of swelling following orthognathic surgery at various cooling temperatures by means of hilotherapy–a clinical, prospective, monocentric, single-blinded, randomised study

El-Karmi, Adrian; Haßfeld, Stefan; Bonitz, Lars

doi:10.1016/j.jcms.2018.01.012

Cited by 13 publications

(12 citation statements)

References 23 publications

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“…Cooling of the face is a commonly used procedure to increase patient comfort after maxillofacial surgeries. Rana et al [22] and Karmi et al [23] indicated that the cooling of the face was effective in reducing postoperative swelling and pain. On the other hand, laser treatment is also frequently used for the reduction of pain and swelling after surgery.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Evaluation of the Effects of Kinesio Taping on Postoperative Swelling and Pain after Surgically Assisted Rapid Palatal Expansion

Ulu

Gözlüklü²,

Kaya

et al. 2018

JOMR

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ObjectivesThe purpose of the present study was to evaluate the effects of kinesio taping on pain and swelling after surgically assisted rapid palatal expansion.Material and MethodsA total of 21 (12 male and 9 female) patients with transverse maxillary deficiency were enrolled in the study. Kinesio taping (KT) was applied unilaterally in each patient, whereby sides of the face with KT application were included into the (a) KT group and the other sides were included into the (b) non-KT group. Changes in facial volume were evaluated on digital images using the 3dMD Face System. Pain scores were assessed at postoperative days 1, 2, 3, 4, 5, 6, and 7 using the visual analog scale (VAS). Two-way repeated measures analysis of variance and Mann Whitney U test were used for statistical analyses. ResultsSwelling was significantly lower in the KT group compared to the non-KT group from T0 to T1 (36.42 [SD 19.71] mm3 vs. 183.84 [SD 49.33] mm3) and was significantly greater in the non-KT group compared to the KT group from T0 to T2 (70.88 [SD 15.73] mm3 vs. 21.46 [SD 13.39] mm3) (P < 0.001 for both). The VAS scores were significantly lower in the KT group compared to the non-KT group at all time points (P < 0.05).ConclusionsThe application of kinesio taping after maxillofacial surgery reduced the pain and swelling in the postoperative period. Kinesio taping can be used as an alternative to other methods that are used for the reduction of postoperative complaints.

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Section: Discussionmentioning

confidence: 99%

Three-Dimensional Evaluation of the Effects of Kinesio Taping on Postoperative Swelling and Pain after Surgically Assisted Rapid Palatal Expansion

Ulu

Gözlüklü²,

Kaya

et al. 2018

JOMR

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“…Local swelling, hyperemia, hyperthermia, pain, and altered function are well-known consequences of tissue injuries [1]. Reduction of all of these leads to the enhanced healing process, decreasing of pain, and improved post-injury or postoperative quality of life [2][3][4][5][6][7]. The swelling reaches its maximum after approximately 48 to 72 h after the operation [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Reduction of all of these leads to the enhanced healing process, decreasing of pain, and improved post-injury or postoperative quality of life [2][3][4][5][6][7]. The swelling reaches its maximum after approximately 48 to 72 h after the operation [7,8]. In this period, it is essential to provide adequate pain medication (non-steroidal antirheumatic drugs-NSAIDs [9], corticosteroids [10], or enzymatic drugs [11]) and is highly suggested to provide supportive local therapy, like manual lymph drainage [12], cooling with wet tissues or cryotherapy [2,7,13,14].…”

Section: Introductionmentioning

confidence: 99%

“…This is reached by anatomically shaped sleeves for many body regions, including the face, in which tempered water is circulated. The setup allows temperature ranges from +10 to +35°C [7]. Hilotherapy is the term used in the literature for cryotherapy by using Hilotherm® devices [7,25,[27][28][29].…”

Section: Introductionmentioning

confidence: 99%

“…Cryotherapy reduces the release of inflammatory mediators and enzymatic activity in the local tissue; thus, it leads to a decrease of hematoma and edema formation, too [ 23 ]. In oral and maxillofacial surgery, cryotherapy has become a proven supportive therapy after the removal of third molars [ 3 , 8 , 10 , 14 , 23 , 24 ], traumas [ 25 , 26 ], or after orthognathic surgery [ 5 , 7 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

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A randomized, prospective trial to assess the safety and efficacy of hilotherapy in patients after orthognathic surgery

Bonitz

El-Karmi

Linssen

et al. 2021

Oral Maxillofac Surg

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Purpose A post-operative cooling method in oral and maxillofacial surgery is the cooling with hilotherapy. The aim of this study was the post-operative comparison of cooling temperatures of 18°C and 22°C. The parameters of this trial were swelling and the post-operative pain levels. Methods This study included 156 patients, divided into two groups among whom a mono-one, bignathic osteotomy or genioplasty was indicated. The post-operative assessment of swelling was performed using a 3D optical scanner. This examination was repeated on post-operative days 1, 2, 3, 7, 14, 30, and 90. The examination on day 90 served as a reference value in respect of swelling and pain. Results Group 1 (18°C, 78 patients) showed an increase in post-operative swelling on the 1st post-OP day of 52.06 ± 35.41ml. The maximum was reached on the 2nd post-OP day with 75.82 ± 38.97ml. On the 30th post-OP day, residual swelling measured 11.60 ± 12.62ml. Group 2 (22 °C, 78 patients) showed an increase in postoperative swelling on the 1st post-OP day of 76.07 ± 63.15ml. The maximum was reached on the 2nd post-OP day with 106.97 ± 69.63 ml. On the 30th post-OP day, residual swelling measured 14.36 ± 32.26ml. The differences between the two groups and between different visits were statistically significant. Conclusion The study results indicate less residual swelling in group 1 on the 30th post-OP day, possible based on the lower cooling temperature. The post-operative pain exhibits a comparable level of pain intensity between the two groups. In overall terms, a subjectively more agreeable treatment was observed in group 1.

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Effectiveness of different protocols to reduce postoperative pain following orthognathic surgery: A systematic review and meta-analysis

Alyahya¹,

Aldubayan²,

Swennen³

et al. 2022

British Journal of Oral and Maxillofacial Surgery

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Development of swelling following orthognathic surgery at various cooling temperatures by means of hilotherapy–a clinical, prospective, monocentric, single-blinded, randomised study

Cited by 13 publications

References 23 publications

Three-Dimensional Evaluation of the Effects of Kinesio Taping on Postoperative Swelling and Pain after Surgically Assisted Rapid Palatal Expansion

Three-Dimensional Evaluation of the Effects of Kinesio Taping on Postoperative Swelling and Pain after Surgically Assisted Rapid Palatal Expansion

A randomized, prospective trial to assess the safety and efficacy of hilotherapy in patients after orthognathic surgery

Effectiveness of different protocols to reduce postoperative pain following orthognathic surgery: A systematic review and meta-analysis

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