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下颌骨体/颏旁骨折切开复位内固定术后使用肌内效贴布与主动引流对术后肿胀影响的比较评估:一项临床研究

Comparative Evaluation of Use of Kinesiologic Tape and Active Drain in Post-operative Swelling After Open Reduction and Internal Fixation of Mandibular Body/Parasymphysis Fractures: A Clinical Study.

作者信息

Sakhariya Samkit V, Waknis Pushkar P, Kale Luke, Setiya Sneha, Tidke Sanika S

机构信息

Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra 411018 India.

Department of Oral and Maxillofacial Surgery, Sinhgad Dental College, Pune, Maharashtra India.

出版信息

J Maxillofac Oral Surg. 2025 Apr;24(2):381-386. doi: 10.1007/s12663-024-02246-w. Epub 2024 Jun 17.

Abstract

AIM

In maxillofacial surgery, open reduction and internal fixation has been a standard therapy for mandibular fractures. This surgical technique is frequently accompanied with discomfort, edema and postoperative morbidity, which have detrimental impact on patient's quality of life. Therefore, such patients required additional methods for better management of discomfort and edema. Goal of this study was to compare how Kinesiology Tape performed following open reduction and internal fixation of mandibular unilateral isolated body/parasymphysis factures compared to an active drain in terms of postoperative edema.

MATERIALS AND METHODS

To address the research purpose, investigators designed and implemented parallel-group, randomized clinical trial. Patients were prospectively assigned for treatment of mandibular body/parasymphysis fractures and randomly allocated to receive treatment with drain no.10 placement or Kinesiology Tape application. Both drain and Kinesiology Tape were applied directly after surgery and maintained for three days postoperatively. Facial swelling was quantified using a 5-line measurement at six specific time points.

RESULTS

Study included 26 patients (12 female and 14 male; mean age, 32 years). Application of Kinesiology Tape after surgery for mandibular fracture had a statistically significant influence on tissue reaction resulting in decreasing incidence of swelling.

CONCLUSION

The use of Kinesiology Tape seems encouraging, since it is easy to execute, least traumatic, noninvasive, affordable, adaptable across the world, and has no negative effects on body, thus improving patients' quality of life.: CTRI/2023/03/050691.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12663-024-02246-w.

摘要

目的

在颌面外科手术中,切开复位内固定术一直是下颌骨骨折的标准治疗方法。这种手术技术常常伴随着不适、水肿和术后并发症,对患者的生活质量产生不利影响。因此,这类患者需要额外的方法来更好地管理不适和水肿。本研究的目的是比较在切开复位内固定下颌骨单侧孤立体部/颏部骨折后,肌内效贴布与主动引流在术后水肿方面的表现。

材料与方法

为了实现研究目的,研究者设计并实施了平行组随机临床试验。患者被前瞻性地分配接受下颌骨体部/颏部骨折的治疗,并随机分为接受10号引流管放置治疗或肌内效贴布应用治疗两组。引流管和肌内效贴布均在手术后立即应用,并在术后维持三天。在六个特定时间点使用五线测量法对面部肿胀进行量化。

结果

研究纳入了26例患者(12例女性和14例男性;平均年龄32岁)。下颌骨骨折手术后应用肌内效贴布对组织反应有统计学意义上的显著影响,导致肿胀发生率降低。

结论

肌内效贴布的使用似乎令人鼓舞,因为它易于实施、创伤最小、无创、价格低廉、在全球范围内适用且对身体无负面影响,从而提高了患者的生活质量。:CTRI/2023/03/050691。

补充信息

在线版本包含可在10.1007/s12663-024-02246-w获取的补充材料。

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