Golkar Mohsen, Taheri Anita, Alam Mostafa, Asadi Yasin, Keyhan Seied Omid
School of Dentistry, AJA University of Medical Sciences, Tehran, Iran.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maxillofac Plast Reconstr Surg. 2023 Jun 19;45(1):22. doi: 10.1186/s40902-023-00385-7.
Several osteotomies are required for orthognathic surgery to reposition the jaws correctly. This study aimed to evaluate whether Kinesiotaping can reduce swelling, pain, and trismus following orthognathic surgery of the facial skull.
The present study consists of two phases. In the split-mouth phase, 16 skeletal class III patients underwent Bimax Orthognathic surgery, and Kinesiological tape (KT) was applied on one half of the face. In the prospective case-control phase, 30 patients were divided into two groups. Kinesio tape was applied on both sides of the face of the Kinesio group, and pressure dressing and ice therapy were used for the second group. The tape was parallel to the lower border of the mandible along its entire length, tangent to the labial commissure area on the studied side. The tape was placed in place for 5 days. Edema was evaluated by measuring the distance from the menton to the lower edge of the tragus. The maximum mouth-opening trismus was evaluated, and the VAS index was used to evaluate pain.
There was evidence of swelling reduction after KT; within the same study, differences between the left and right sides as well as for the same side were statistically significant (p < 0.001). As a result of tapping lymphatic Kinesio tape on the affected area, tension was reduced, and lymphatic circulation was restored. Blood and lymph microcirculation was improved, enabling the body to heal itself.
Kinesio tape reduced swelling after orthognathic surgery in a positive way. As a simple, non-traumatic, economical method, Kinesio taping seems promising.
正颌手术需要进行多次截骨术才能正确地重新定位颌骨。本研究旨在评估肌内效贴布能否减轻面颅骨正颌手术后的肿胀、疼痛和牙关紧闭。
本研究包括两个阶段。在分口阶段,16例III类骨骼患者接受了双颌正颌手术,肌内效贴布(KT)贴于一侧面部。在前瞻性病例对照阶段,30例患者分为两组。肌内效组在面部两侧均使用肌内效贴布,第二组使用加压包扎和冰敷治疗。贴布沿下颌骨下缘全长平行放置,与患侧口角区域相切。贴布放置5天。通过测量颏点到耳屏下缘的距离来评估水肿。评估最大张口受限情况,采用视觉模拟评分(VAS)指数评估疼痛。
有证据表明使用肌内效贴布后肿胀减轻;在同一研究中,左右两侧以及同侧之间的差异具有统计学意义(p < 0.001)。通过在患区轻拍淋巴肌内效贴布,张力降低,淋巴循环得以恢复。血液和淋巴微循环得到改善,使身体能够自我修复。
肌内效贴布以积极的方式减轻了正颌手术后的肿胀。作为一种简单、无创、经济的方法,肌内效贴布似乎很有前景。