Evaluation the Efficacy of Hilotherm Cooling System in Reducing Postoperative Pain and Edema in Maxillofacial Traumatized Patients and Orthognathic Surgeries

Lateef, Thair Abdul; Al-Anee, Auday M.; Agha, Muntasser T Fattah

doi:10.1097/scs.0000000000004951

Cited by 11 publications

(5 citation statements)

References 18 publications

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“…Orthognathic surgery has become increasingly predictable; however, concerns remain about the postsurgical rehabilitation of patients, with a need to accelerate the recovery of oral function. Various approaches are under investigation to meet this challenge, including ultrasound [ 5 ], manual lymphatic drainage [ 26 ], and the localized application of cold [ 27 ]. This study examined the effectiveness of TENS to improve jaw opening and reduce pain and inflammation in patients after orthognathic surgery, based on evidence of its effectiveness in other comparable situations [ 8 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Use of Transcutaneous Electrical Nerve Stimulation (TENS) for the Recovery of Oral Function after Orthognathic Surgery

Cacho

Tordera

Colmenero

2022

JCM

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The oral functions of patients are markedly diminished immediately after orthognathic surgery, and novel approaches are needed to accelerate their recovery. The aim of this study was to examine the usefulness of weekly applications of transcutaneous electrical nerve stimulation (TENS) for this purpose, based on the evidence of its effectiveness in other types of patients with muscle alterations. Maximum jaw opening, bite force, pain, and facial inflammation were compared between patients receiving TENS and those receiving sham-TENS for 30 min at baseline and weekly over a four-week period after orthognathic surgery and were also compared between the before and after of each procedure. TENS was applied at 220 Hz, applying the maximum intensity tolerated by each individual patient. The TENS procedure was identical for all patients, but the device was not turned on in the sham-TENS group. Patients were blinded to their group membership. Results were analyzed separately in skeletal class II and III patients. Improvements in jaw opening and inflammation were significantly greater in the TENS than in the sham-TENS group, attributable to the muscle relaxation achieved with the procedure. Research is warranted on the benefits of a more frequent application of TENS.

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Section: Discussionmentioning

confidence: 99%

Use of Transcutaneous Electrical Nerve Stimulation (TENS) for the Recovery of Oral Function after Orthognathic Surgery

Cacho

Tordera

Colmenero

2022

JCM

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“…After the examination, analgesic ( p < 0,01) and antioedematous ( p < 0,01) effects were significantly better in the study group with the use of a cooling agent than in the control group not covered by the therapy. Additionally, patient satisfaction with the results of the postoperative treatment was noted [ 31 ]. The author's research in the group of patients covered by the local cryotherapy treatment also presented an analgesic effect, although, in the author's comparison, MLT yielded better results than CT.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of the Influence of Selected Physical Factors on the Level of Pain in the Course of Temporomandibular Joint Disorders

Kopacz

Ciosek

Gronwald

et al. 2020

Pain Research and Management

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Introduction. Temporomandibular joints (TMJs) play a very significant function in the activity of the locomotor system of the masticatory system. But they are often a source of pain, myopathy, myoarthropathy, and malfunction of their surrounding or internal structures. The treatment of a patient’s discomfort associated with masticatory system dysfunctions strongly depends on their cause. Aim of the Study. The objective of the study was to evaluate the impact of selected physical factors: LED light therapy with electromagnetic field and cryotherapy for the level of pain, in the treatment of patients suffering from temporomandibular disorders (TMDs). Materials and Methods. The study included 60 patients of both genders with diagnosed TMD in a clinical trial. The participants were randomly divided into two groups. Each group consisted of 30 people and was subjected to separate therapies in which LED light therapy with electromagnetic field (MLT) and cryotherapy (CT) were applied. Results. Having assessed the results of the author’s own research in terms of analgesic activity, determined on the VAS scale during the daily routine activity of the mandible and its individual movements, in general, each of the studied groups demonstrated a considerable decrease in the level of the patients’ perception of pain (<0.001). Having compared both the therapeutic methods used, a greater reduction in the level of perceived pain was achieved with MLT (p=0.002). The type of therapy used turned out to be the only significant factor for the magnitude of this reduction. Conclusions. Conclusions based on the results of our own research indicate that the selected methods of treatment demonstrate an analgesic effect in terms of the overall discomfort in the course of TMD, and that they may be an alternative pain relief thereby reducing the patient’s intake of painkillers.

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“…Many different evaluation methods for facial swelling have been recommended in published literature. Some scholars measured the linear distances on the face directly, 24,25 but the values were not comprehensive enough to demonstrate the overall swelling situation. Recently, 3D laser scanning was introduced to measure the surface changes in the soft tissue 26 .…”

Section: Discussionmentioning

confidence: 99%

Hyperbaric CO2 Cryotherapy for Managing Swelling After Mandibular Angle Ostectomy

Chen

Ma²,

Aung³

et al. 2020

Journal of Craniofacial Surgery

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Postoperative facial swelling after mandibular angle ostectomy is a concern for patients as it affects their quality of life. This study aimed to evaluate the effect of hyperbaric CO 2 cryotherapy in relieving postoperative swelling. Thirty-seven patients (mean age: 22.95 AE 3.49 years) who underwent bilateral mandibular angle ostectomy from April to October 2019, were included in this study. A split-mouth design was adopted and through a random sequence, either side of the face was designated as the experimental side. Both received routine nursing care, while the experimental side underwent an additional hyperbaric CO 2 cryotherapy treatment. The facial structure was recorded by a 3dimensional laser scanner pre-and postoperatively. Geomagic Studio was used for alignment, visualization, and quantification of the swelling. The largest deviation value on each side was adopted to assess the overall swelling. Parameters were compared using the paired t-test, and P<0.05 was considered statistically significant. No necrosis of the skin and adjacent structures or other complications occurred in these patients. After the first day of cryotherapy, the deviation in the experimental and the control groups was (8.40 AE 1.95) mm and (10.42 AE 2.03) mm, respectively. The next day, after cryotherapy, the value further reduced to (5.42 AE 1.36) mm and (8.24 AE 2.22) mm for the experimental and control groups, respectively. And the effect remained till the seventh day. No difference was observed in terms of volume of drainage. Hyperbaric CO 2 cryotherapy is safe and effective in relieving postoperative swelling and seems to be more effective than the traditional cold-pack treatment after mandibular angle ostectomy.

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Evaluation the Efficacy of Hilotherm Cooling System in Reducing Postoperative Pain and Edema in Maxillofacial Traumatized Patients and Orthognathic Surgeries

Cited by 11 publications

References 18 publications

Use of Transcutaneous Electrical Nerve Stimulation (TENS) for the Recovery of Oral Function after Orthognathic Surgery

Use of Transcutaneous Electrical Nerve Stimulation (TENS) for the Recovery of Oral Function after Orthognathic Surgery

Comparative Analysis of the Influence of Selected Physical Factors on the Level of Pain in the Course of Temporomandibular Joint Disorders

Hyperbaric CO2 Cryotherapy for Managing Swelling After Mandibular Angle Ostectomy

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