Independent Laboratory of Propaedeutic and Dental Physical Diagnostics, Faculty of Medicine and Dentistry, Pomeranian Medical University, Szczecin, Poland.
Scientific Laboratory of Dysfunction of the Masticatory System, Chair and Department of Prosthodontics, Faculty of Medicine and Dentistry, Pomeranian Medical University, Szczecin, Poland.
Med Sci Monit. 2018 Jun 4;24:3736-3743. doi: 10.12659/MSM.909915.
BACKGROUND Orthognathic surgery (OGS) is associated with extensive surgical intervention within the soft and hard tissues of the facial region of the skull leading to inflammatory reactions. The presence of postoperative swelling indicates the accumulation of exudate or transudate; both these fluids occur in surgery. Massive swelling is a significant problem, because the tension of tissues intensifies pain sensations. The aim of the study was to evaluate the effectiveness of the kinesio taping method (KT) in patients after orthognathic surgery in the area of the facial skull in terms of eliminating postoperative swelling. MATERIAL AND METHODS The study of the impact of kinesiology tape applied after orthognathic surgery to the craniofacial area on the elimination of swelling was performed in sixteen patients who suffered from this complication after bilateral sagittal split osteotomy. RESULTS The swelling was shown to be reduced after KT; within the same study the differences were statistically significant between the left and right sides and for the same side (p<0.05). The application of the lymphatic kinesio taping method led to the reduction of tension in the affected area and restoration of proper lymphatic circulation in the region covered by swelling. This allows for the improvement of the blood and lymph microcirculation and activation of self-healing processes. CONCLUSIONS The analysis of the impact of the practical use of the lymphatic KT on complications after orthognathic surgery revealed that it had a beneficial effect on the reduction of swelling. The use of the KT method seems promising because it is simple to carry out, not traumatic, economical and rarely causes undesirable allergies.
正颌手术(OGS)涉及到颅面区域的软组织和硬组织的广泛手术干预,从而导致炎症反应。术后肿胀的存在表明渗出物或漏出液的积聚;这两种液体在手术中都会出现。大量肿胀是一个严重的问题,因为组织的张力会加剧疼痛感觉。本研究的目的是评估运动贴扎(KT)方法在接受颅面正颌手术后患者中的有效性,以消除术后肿胀。
在 16 名接受双侧矢状劈开截骨术后出现这种并发症的患者中,研究了将运动贴扎应用于颅面区域后对消除肿胀的影响。
KT 后肿胀得到了减轻;在同一研究中,左右两侧以及同一侧之间的差异均具有统计学意义(p<0.05)。应用淋巴运动贴扎方法可减轻受影响区域的张力,并恢复肿胀区域内适当的淋巴循环。这有助于改善血液和淋巴微循环,并激活自我修复过程。
分析实用的淋巴 KT 对正颌手术后并发症的影响发现,它对减轻肿胀有有益的影响。KT 方法的使用似乎很有前途,因为它简单易行、无创、经济实惠,很少引起不良过敏反应。