Effectiveness of adhesive taping to reduce pain, swelling and trismus after fracture mandible surgery

Abstract

Swelling, pain and trismus constitute the major post-operative morbidity after surgery for mandibular fractures. We assessed the role of kinesio taping in mitigating these. Two groups of 15 patients were compared; those who had such applied to the side of the fracture and a control group of those who did not. Pain, swelling and trismus were assessed pre-operatively, and on the second, third and fifth post-operative days, and found to be significantly less in the study group. This simple technique is therefore effective. It is a simple frugal intervention without any side effects.

Effectiveness of Elastic Therapeutic Tape in Reducing Edema, Pain and Trismus following Surgery for Facial Fractures: A Systematic Review and Meta-Analysis

“…The Review Manager software (RevMan version 5.4.1; The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen, Denmark, 2014) was used for meta-analysis and to create forest plots of the edema variable involving studies that described adequate mean and standard deviation values for the quantitative analysis [26,27]. The Mantel-Haenszel method was employed.…”

“…As this was not the case, however, a fixed-effects model was used. Heterogeneity was determined using the Q (X2) method, with a calculation of the I 2 value, which was used to analyze heterogeneity; an I 2 value higher than 75% (0-100%) was considered indicative of relevant heterogeneity [27]. Two of the articles included in the review were eligible for the quantitative analysis-both for the assessment of edema on the second and third days postoperatively compared to preoperative facial measurements.…”

“…After the analysis of the titles and abstracts, 25 articles were submitted to full-text analysis, 17 of which were excluded for being cases of maxillofacial surgery not related to facial trauma (13 cases of third molar surgery and 4 cases of orthognathic surgery). Thus, eight articles were included in the present systematic review [23,24,26,27,[29][30][31][32].…”

“…The age range was 18 to 75 years; age was not specified in one of the stud ies [31]. In terms of the region of the facial fracture, three studies only considered fracture of the mandible [23,27,30], three only considered fractures of the zygomatic-orbital com plex [26,29,31] and two addressed both types of fractures [24,32]. Only four studies used the same brand of kinesiological tape [23,24,29,31].…”

“…2021) [26] used 1000 mg hydrocortisone half an hour prior to anesthetic induction. Several medications were used in the postoperative period, such as 1000 mg [23,24,30] and 750 mg [27] paracetamol, 600 mg ibuprofen [23,24], 2000 mg/1000 mg ampicillin/sulbactam [23], 50 mg diclofenac [31,32], 1 g ceftriaxone [30] and 500 mg amoxicillin [27].…”