The Impact of the Use of Kinesio Taping Method on the Reduction of Swelling in Patients After Orthognathic Surgery: A Pilot Study

Danuta Lietz-Kijak, Edward Kijak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak, Danuta Lietz-Kijak, Edward Kijak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak

Abstract

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.

Figures

Figure 1
Figure 1
The method of measuring the extent of swelling before the KT application.
Figure 2
Figure 2
Kinesiological tape stuck in order to reduce swelling.
Figure 3
Figure 3
Swelling reduction after KT applications.
Figure 4
Figure 4
A spectacular limitation of the extent of swelling following the application of the KT method; (A) patient before the physiotherapeutic KT therapy; (B) reduction of the extent of swelling after 10 days of therapy.

References

    1. Miguel JAM, Palomares NB, Feu D. Life-quality of orthognathic surgery patients: The search for anintegral diagnosis. Dental Press J Orthod. 2014;19(1):123–37.
    1. Bonanthaya K, Anantanarayanan P. Unfavourable outcomes in orthognathic surgery. Indian J Plast Surg. 2013;46(2):183–93.
    1. Pratt CA, Tippett H, Barnard JDW, Birnie DJ. Labial sensory function following sagittal split osteotomy. Br J Of Oral Maxillofac Surg. 1996;34:75–81.
    1. Khechoyan DY. Orthognathic surgery: General considerations. Semin Plast Surg. 2013;27(3):133–36.
    1. Otero JJ, Detriche O, Mommaerts MY. Fast-track orthognathic surgery: An evidence-based review. Ann Maxillofac Surg. 2017;7(2):166–75.
    1. Gandedkar NH, Chng Ch K, Winston T. Surgery-first orthognathic approach case series: Salient features and guidelines. J Orthod Sci. 2016;5(1):35–42.
    1. Sharma VK, Yadav K, Tandon P. An overview of surgery-first approach: Recent advances in orthognathic surgery. J Orthod Sci. 2015;4(1):9–12.
    1. Bell WH, Mannai C, Luhr HG. Art and science of the Le Fort I down fracture. Int J Adult Orthodon Orthognath Surg. 1988;3:23–52.
    1. Epker BN, Turvey T, Fish LC. Indications for simultaneous mobilization of the maxilla and mandible for the correction of dentofacial deformities. Oral Surg Oral Med Oral Pathol. 1982;54:369–81.
    1. Steel BJ, Cope MR. Unusual and rare complications of orthognathic surgery: A literature review. J Oral Maxillofac Surg. 2012;70:1678–91.
    1. Van Merkesteyn JPR, Zweers A, Corputty JEM. Neurosensory disturbances one year after bilateral sagittal split mandibular ramus osteotomy performed with separators. J Cranio-Maxillofac Surg. 2007;35:222–26.
    1. Eftekharian H, Zamiri B, Ahzan S, et al. Orthognathic surgery patients (maxillary impaction and setback plus mandibular advancement plus genioplasty) need more Intensive Care Unit (ICU) admission after surgery. J Dent (Shiraz) 2015;16(1 Suppl):43–49.
    1. Panula K, Finne K, Oikarinen K. Incidence of complications and poblems related to orthognatic surgery: A review of 655 patients. J Maxillofac Surg. 2001;59(10):1128–36.
    1. Yamauchi K, Takahashi T, Kaneuji T, et al. Risk factors for neurosensory disturbance after bilateral sagittal split osteotomy based on position of mandibular canal and morphology of mandibular angle. J Oral Maxillofac Surg. 2012;70:401–6.
    1. Tae-Min J, Yoon-Ho K, Seung-Il S. Anchor plate efficiency in postoperative orthodontic treatment following orthognathic surgeryvia minimal presurgical orthodontic treatment. Maxillofac Plast Reconstr Surg. 2014;36(4):154–60.
    1. Hye-Rim A, Young-Soo J, Kee-Joon L, Hyoung-Seon B. Evaluation of stability after pre-orthodontic orthognathic surgery using cone-beam computed tomography: A comparison with conventional treatment. Korean J Orthod. 2016;46(5):301–9.
    1. Proffit WR, White RP., Jr Who needs surgical-orthodontic treatment? Int J Adult Orthodon Orthognath Surg. 1990;5:81–89.
    1. Sang-Hoon K, Moon-Key K, Sang-In A, Ji-Yeon L. The effect of orthognathic surgery on the lip lines while smiling in skeletal class III patients with facial asymmetry. Maxillofac Plast Reconstr Surg. 2016;38(1):18.
    1. Park N, Posnick JC. Accuracy of analytic model planning in bimaxillary surgery. Int J Oral Maxillofac Surg. 2013;42:807–13.
    1. Eslamipour F, Najimi A, Tadayonfard A, Azamian Z. Impact of orthognathic surgery on quality of life in patients with dentofacial deformities. Int J Dent. 2017;2017:4103905.
    1. Guyton A. Textbook of medical physiology. 10th ed. Philadelphia: WB Saunders Co; 2000. pp. 552–55.
    1. van der Meer WJ, Dijkstra PU, Visser A, et al. Reliability and validity of measurements of facial swelling with a stereophotogrammetry optical three-dimensional scanner. Br J Oral Maxillofac Surg. 2014;52:922–27.
    1. Ow A, Cheung LK. Skeletal stability and complications of bilateral sagittal split osteotomies and mandibular distraction osteogenesis: An evidence-based review. J Oral Maxillofac Surg. 2009;67(11):2344–53.
    1. Brun-Buisson C. The epidemiology of systemic inflammatory response. Intensive Care Medicine. 2000;26:864–74.
    1. Berne RM, Levy MN, Koeppen BM, Stanton BA. Physiology. 5th ed. New York: Elsevier Inc; 2004.
    1. Messer EJ, Keller JJ. The use of intraoral dexamethasone after extraction of mandibular third molars. Oral Surg Oral Med Oral Pathol. 1975;40:594–98.
    1. Beirne OR, Hollander B. The effect of methylprednisolone on pain, trismus, and swelling after removal of third molars. Oral Surg Oral Med Oral Pathol. 1986;61:134–38.
    1. Hupp JR. Wound repair. In: Peterson LJ, Ellis E, Hupp JR, Tucker MR, editors. Contemporary oral and maxillofacial Surgery. 3rd ed. St Louis: Mosby; 1998. pp. 58–60.
    1. Alexander RE, Throndson RT. A review of perioperative corticosteroid use in dentoalveolar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:406–15.
    1. Shevel E, Koepp WG, Butow KW. A subjective assessment of pain and swelling following the surgical removal of impacted third molar teeth using different surgical techniques. SADJ. 2001;56:238–41.
    1. Pedersen A. Decadronphosphate in the relief of complaints after third molar surgery. Int J Oral Surg. 1985;14:235–40.
    1. Van Gool AV, Ten Bosch JJ, Boering G. Clinical consequences of complaints and complications after removal of the mandibular third molar. Int J Oral Surg. 1977;6:29–37.
    1. Kau CH, Cronin AJ, Richmond S. A three-dimensional evaluation of postoperative swelling following orthognathic surgery at 6 months. Plast Reconstr Surg. 2007;119:2192–99.
    1. Sinko K, Jagsch R, Drog C, et al. Facial esthetics and the assignment of personality traits before and after orthognathic surgery rated on video clips. PLoS One. 2018;13(2):e0191718.
    1. Rana M, Gellrich NC, von See C, et al. 3D evaluation of postoperative swelling in treatment of bilateral mandibular fractures using 2 different cooling therapy methods: A randomized observer blind prospective study. J Cranio-Maxillofac Surg. 2013;41:e17–23.
    1. Dan AEB, Thygesen TH, Pinholt EM. Corticosteroid administration in oral and orthognathic surgery: A systematic review of the literature and meta-analysis. J Oral Maxillofac Surg. 2010;68:2207–20.
    1. Weber CR, Griffin JM. Evaluation of dexamethasone for reducing postoperative edema and inflammatory resonse after orthognatic surgery. J Oral Maxillofac Surg. 1994;52(1):35–39.
    1. Nauck M, Karakiulakis G, Perruchoud AP, et al. Corticosteroids inhibit the expression of the vascular endothelial growth factor gene in human vascular smooth muscle cells. Eur J Pharmacol. 1998;341:309–15.
    1. Edelman JL, Lutz D, Castro MR. Corticosteroids inhibit VEGF-induced vascular leakage in a rabbit model of blood retinal and blood aqueous barrier breakdown. Exp Eye Res. 2005;80:249–58.
    1. Koedam JA, Smink JJ, Van Buul-Offers SC. Glucocorticoids inhibit vascular endothelial growth factor expression in growth plate chondrocytes. Mol Cell Endocrinol. 2002;197:35–44.
    1. Widar F, Kashani H, Alsén B, et al. The effects of steroids in preventing facial oedema, pain, and neurosensory disturbances after bilateral sagittal split osteotomy: A randomized controlled trial. Int J Oral Maxillofac Surg. 2015;44:252–58.
    1. Schaberg SJ, Stuller CB, Edwards SM. Effect of methylprednisolone on swelling after orthognathic surgery. J Oral Maxillofac Surg. 1984;42:356–61.
    1. Munro I, Boyd J, Wainwright D. Effect of steroids in maxillofacial surgery. Ann Plast Surg. 1986;17:440–44.
    1. Boonsiriseth K, Latt MM, Kiattavorncharoen S, et al. Dexamethasone injection into the pterygomandibular space in lower third molar surgery. Int J Oral Maxillofac Surg. 2017;46:899–904.
    1. Dereci O, Tuzuner-Oncul AM, Kocer G, et al. Efficacy of immediate postoperative intramasseteric dexamethasone injection on postoperative swelling after mandibular impacted third molar surgery: A preliminary split-mouth study. J Pak Med Assoc. 2016;66:320–23.
    1. Bergeron SG, Kardash KJ, Huk OL, et al. Perioperative dexamethasone does not affect functional outcome in total hip arthroplasty. Clin Orthop Relat Res. 2009;467:1463–67.
    1. Esen E, Taşar F, Akhan O. Determination of the anti-inflammatory effects of methylprednisolone on the sequelae of third molar surgery. J Oral Maxillofac Surg. 1999;57(10):1201–6.
    1. Kim K, Brar P, Jakubowski J, et al. The use of corticosteroids and nonsteroidal antiinflammatory medication for the management of pain and inflammation after third molar surgery: A review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:630–40.
    1. Aznar-Arasa L, Harutunian K, Figueiredo R, et al. Effect of preoperative ibuprofen on pain and swelling after lower third molar removal: A randomized controlled trial. Int J Oral Maxillofac Surg. 2012;41:1005–9.
    1. Troullos ES, Hargreaves KM, Butler DP, Dionne RA. Comparison of nonsteroidal anti-inflammatory drugs, ibuprofen and flurbiprofen, with methylprednisolone and placebo for acute pain, swelling, and trismus. J Oral Maxillofac Surg. 1990;48:945–52.
    1. Thoren H, Snall J, Kormi E, et al. Does perioperative glucocorticosteroid treatment correlate with disturbance in surgical wound healing after treatment of facial fractures? A retrospective study. J Oral Maxillofac Surg. 2009;67:1884–88.
    1. Knepil GJ, Loukota RA. Outcomes of prophylactic antibiotics following surgery for zygomatic bone fractures. J Craniomaxillofac Surg. 2010;38:131–33.
    1. Al-Khateeb TH, Nusair Y. Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars. Int J Oral Maxillofac Surg. 2008;37:264–68.
    1. Markovic A, Todorovic L. Effectiveness of dexamethasone and low-power laser in minimizing oedema after third molar surgery: A clinical trial. Int J Oral Maxillofac Surg. 2007;36:226–29.
    1. Szolnoky G, Szendi-Horvath K, Seres L, et al. Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology. 2007;40:138–42.
    1. Kase K, Hashimoto T, Tomoki O. Development of kinesio taping perfect manual. Kinesio Taping Association. :1996.
    1. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the kinesio taping method. Tokyo: Ken Ikai Co., Ltd.; 2003.
    1. Tsai HJ, Hung HC, Yang JL, et al. Could Kinesio Tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer. 2009;17(11):1353–60.
    1. Finnerty S, Thomason S, Woods M. Audit of the use of Kinesiology Tape for breast edema. Journal of Lymphoedema. 2010;5(1):38–44.
    1. Kaya S. Effect of Kinesio Taping with compression garment on lower extremity volume in primary lymphedema: A case report. Fizyoterapi Rehabilitasyon. 2008;19(3):213.
    1. World Medical Association (WMA) World medical association declaration of Helsinki. Ethical principles for medical research involving human subjects. J Am Dent Assoc. 2013;310:2191–94.
    1. Mobilio N, Vecchiatini R, Vasquez M, et al. Effect of flap design and duration of surgery on acute postoperative symptoms and signs after extraction of lower third molars: A randomized prospective study. J Dent Res Dent Clin Dent Prospects. 2017;11(3):156–60.
    1. Assimes TL, Lessard ML. The use of perioperative corticosteroids in craniomaxillofacial surgery. Plast Reconstr Surg. 1999;103:313–21.
    1. Buyukkurt MC, Gungormus M, Kaya O. The effect of a single dose prednisolone with and without diclofenac on pain, trismus, and swelling after removal of mandibular third molars. J Oral Maxillofac Surg. 2006;64:1761–66.
    1. Grossi GB, Maiorana C, Garramone RA, et al. Effect of submucosal injection of dexamethasone on postoperative discomfort after third molar surgery: A prospective study. J Oral Maxillofac Surg. 2007;65:2218–26.
    1. Gassner R, Tuli T, Hachl O, et al. Cranio-maxillofacial trauma: A 10 year review of 9543 cases with 21,067 injuries. J Craniomaxillofac Surg. 2003;31:51–61.
    1. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: A meta-analysis of the evidence for its effectiveness. Sports Med. 2012;42:153–64.
    1. Breitenbach S. Schwangerschaft und Kinesio-Tape. Phys Ther. 2005;5:724–27.
    1. Tantawy SA, Kamel DM. The effect of kinesio taping with exercise compared with exercise alone on pain, range of motion, and disability of the shoulder in postmastectomy females: A randomized control trial. J Phys Ther Sci. 2016;28(12):3300–5.
    1. Choi J-H. Effects of kinesio taping and hot packs on premenstrual syndrome in females. J Phys Ther Sci. 2017;29(9):1514–17.
    1. Chen SM, Alexander R, Kai Lo S, Cook J. Effects of Functional Fascial Taping on pain and function in patients with non-specific low back pain: A pilto randomized controlled trial. Clin Rehabil. 2012;26:924–33.
    1. Added MA, Costa LO, Fukuda TY, et al. Efficacy of adding the kinesio taping method to guideline-endorsed convetional physiotherapy in patients with chronic nonspecific low back pain: A randomised controlled trial. BMC Musculoskelet Disord. 2013;14:301.
    1. Paoloni M, Bernetti A, Fratocchi G, et al. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehab Med. 2011;2(47):237–44.
    1. Krajczy M, Bogacz K, Luniewski J, Szczegielniak J. The influence of kinesio taping on the effects of physiotherapy in patients after laparoscopic cholecystectomy. ScientificWorldJournal. 2012;2012:948282.
    1. Semper-Hogg W, Fuessinger MA, Dirlewanger TW, et al. The influence of dexamethasone on postoperative swelling and neurosensory disturbances after orthognathic surgery: A randomized controlled clinical trial. Head Face Med. 2017;13:19.
    1. Osunde OD, Adebola RA, Omeje UK. Management of inflammatory complications in third molar surgery: A review of the literature. Afr Health Sci. 2011;11:530–37.
    1. Tozzi U, Santagata M, Sellitto A, Tartaro GP. Influence of kinesiologic tape on post-operative swelling after orthognathic surgery. J Maxillofac Oral Surg. 2016;15(1):52–58.

Source: PubMed

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

3
Předplatit