Department of Oral, Maxillofacial and Plastic Facial Surgery, University Hospital of the RWTH Aachen, Aachen 52074, Germany.
Trials. 2013 Jul 29;14:238. doi: 10.1186/1745-6215-14-238.
Surgical treatment and complications in patients with zygomatic bone fractures can lead to a significant degree of tissue trauma resulting in common postoperative symptoms and types of pain, facial swelling and functional impairment. Beneficial effects of local cold treatment on postoperative swelling, edema, pain, inflammation, and hemorrhage, as well as the reduction of metabolism, bleeding and hematomas, have been described.The aim of this study was to compare postoperative cooling therapy applied through the use of cooling compresses with the water-circulating cooling face mask manufactured by Hilotherm in terms of beneficial impact on postoperative facial swelling, pain, eye motility, diplopia, neurological complaints and patient satisfaction.
Forty-two patients were selected for treatment of unilateral zygomatic bone fractures and were divided randomly to one of two treatments: either a Hilotherm cooling face mask or conventional cooling compresses. Cooling was initiated as soon as possible after surgery until postoperative day 3 and was applied continuously for 12 hours daily. Facial swelling was quantified through a three-dimensional optical scanning technique. Furthermore, pain, neurological complaints, eye motility, diplopia and patient satisfaction were observed for each patient.
Patients receiving a cooling therapy by Hilotherm demonstrated significantly less facial swelling, less pain, reduced limitation of eye motility and diplopia, fewer neurological complaints and were more satisfied compared to patients receiving conventional cooling therapy.
Hilotherapy is more efficient in managing postoperative swelling and pain after treatment of unilateral zygomatic bone fractures than conventional cooling.
German Clinical Trials Register ID: DRKS00004846.
颧骨骨折患者的手术治疗及并发症会导致组织创伤，从而引发常见的术后症状和疼痛类型，包括面部肿胀和功能障碍。局部冷疗对术后肿胀、水肿、疼痛、炎症和出血以及降低代谢、减少出血和血肿有有益的作用，已得到描述。本研究旨在比较应用冷却敷贴与 Hilotherm 循环水冷面罩对单侧颧骨骨折术后患者的面部肿胀、疼痛、眼球运动、复视、神经症状和患者满意度的影响。
选择 42 例单侧颧骨骨折患者，随机分为两组：Hilotherm 水冷面罩组或常规冷却敷贴组。术后尽早开始冷却治疗，持续 3 天，每天连续应用 12 小时。通过三维光学扫描技术量化面部肿胀。观察每位患者的疼痛、神经症状、眼球运动、复视和患者满意度。
与接受常规冷却治疗的患者相比，接受 Hilotherm 冷却治疗的患者面部肿胀程度更小，疼痛减轻，眼球运动和复视受限程度降低，神经症状减少，满意度更高。
与常规冷却相比，水冷面罩在单侧颧骨骨折治疗后管理术后肿胀和疼痛方面更有效。
德国临床试验注册处 ID：DRKS00004846。
