Postoperative Orthognathic Surgery Edema Assessment With and Without Manual Lymphatic Drainage

Yaedú, Renato Yassutaka Faria; Mello, Marina de Almeida Barbosa; Tucunduva, Rosana Adami; Silveira, Juliana Specian Zabotini da; Takahashi, M; Valente, A. C. B.

doi:10.1097/scs.0000000000003850

Cited by 25 publications

(37 citation statements)

References 26 publications

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“…Manual lymphatic drainage for the treatment of oedema after maxillofacial surgery does not seem as popular as in other fields of surgery. There are, however, publications that could show its benefit [24][25][26], and one ongoing trial is evaluating its clinical relevance [27]. Two studiesnot included in this review due to the lack of control group in one and the lack of detailed information from a conference abstract in the other-state a benefit of kinesiotape application after penile surgery [28,29], emphasizing the advantageous versatility of the technique that is adaptable to various anatomic regions.…”

Section: The Broader Contextmentioning

confidence: 99%

Kinesiotaping for postoperative oedema – what is the evidence? A systematic review

Hörmann

Vach

Jakob

et al. 2020

BMC Sports Sci Med Rehabil

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Background: Postoperative oedema is a common condition affecting wound healing and function. Traditionally, manual lymphatic drainage is employed to reduce swelling. Kinesiotaping might be an alternative resource-sparing approach. This article explores current evidence for the effectiveness of kinesiotaping for the reduction of oedema in the postoperative setting. Methods: A systematic literature search was performed on the basis of five databases (Pubmed, CINAHL, Embase, Cochrane Library, and Clinicaltrials.gov) for studies published between January 2000 and October 2019. Only prospective controlled trials were included. Case studies, uncontrolled case series, studies on oedema caused by other etiologies than by surgery, as well as studies on malignant disease related oedema (especially breast cancer related oedema) were excluded. Articles were screened by title, abstract, and full text and the references were searched for further publications on the topic. A narrative and quantitative (using STATA) analysis was performed.Results: One thousand two hundred sixty-three articles were screened, twelve were included in the analysis. All studies evaluated either oedema after extremity surgery or maxillofacial interventions, and showed relevant methodological flaws. Only three studies employed an active comparator. Of the twelve included studies ten found positive evidence for kinesiotape application for the reduction of swelling and beneficial effects on secondary outcome parameters such as pain and patient satisfaction. The available trials were heterogenic in pathology and all were compromised by a high risk of bias.Conclusion: There is some evidence for the efficacy of kinesiotaping for the treatment of postoperative oedema. This evidence is, however, not yet convincing given the limitations of the published trials. Methodologically sound comparison to standard of care or an active comparator is indispensable for an evaluation of effectiveness. In addition, assessments of patient comfort and cost-benefit analyses are necessary to evaluate the potential relevance of this novel technique in daily practice.Systematic review registration number: International prospective register of systematic reviews (PROSPERO) ID 114129).

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Section: The Broader Contextmentioning

confidence: 99%

Kinesiotaping for postoperative oedema – what is the evidence? A systematic review

Hörmann

Vach

Jakob

et al. 2020

BMC Sports Sci Med Rehabil

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“…The MLD had proven efficacy in the postoperative period of third molar extraction, alveolar bone graft, and orthognathic surgery [90][91][92]. In a clinical trial with a split mouth model, third molar extraction was performed by adding MLD on one side only in the postoperative period.…”

Section: Manual Lymphatic Drainage (Mdl)mentioning

confidence: 99%

“…It was also observed that the maximum edema was lower in the patients who received the MLD. Thus, MLD is able to promote the control of edema when applied during its development period and also to accelerate the process of regression of swelling in the postoperative period [91,94].…”

Section: Manual Lymphatic Drainage (Mdl)mentioning

confidence: 99%

“…However, even in this study, MLD was not effective in relation to pain perception. The authors attribute this to two factors: the application of a placebo, which may have interfered in patients' perception of pain and the fact that the patients did not develop severe edema, and therefore, the pain or discomfort related to the edema may have been lower, as well as the perception of relief in the group that received the MLD [91].…”

Section: Manual Lymphatic Drainage (Mdl)mentioning

confidence: 99%

“…Although the benefits of MLD in the postoperative period of oral and maxillofacial surgeries have been studied, there is still no agreement as to when the application of MLD should begin. However, it is known that the peak of edema in maxillofacial surgeries occurs between 48 and 72 hours after surgery, and therefore, the beginning of MLD before this period seems to anticipate the peak of edema and regression, causing the amount of edema at the peak being lower [91,94].…”

Section: Manual Lymphatic Drainage (Mdl)mentioning

confidence: 99%

See 2 more Smart Citations

Edema Management in Oral and Maxillofacial Surgery

Yaedú¹,

Mello²,

Silveira³

et al. 2022

Inflammation in the 21st Century

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This chapter will discuss the expected edema and intercurrences in maxillofacial surgery, which involves important anatomical structures, such as the upper airways. It will also discuss important issues such as intrinsic and extrinsic enhancers of edema and the main consequences of a severe edema setting according to physiological, functional, and psychosocial points of view. Edema assessment and measurement is still performed subjectively in the clinical routine. However, for the accomplishment of studies, more objective forms are being tested, but still not very successful for clinical applicability. It is known that the best way to deal with edema is prevention; so in elective surgeries, much is discussed about the best management forms. This way, besides edema prevention, it is important not to cause unwanted reactions for the patient or in the performed procedure. Therefore, it will also be debated about preoperative medications and their consequences. Another point discussed involves main treatments for the underdeveloping edema and the one already installed, such as manual lymphatic drainage therapy, a treatment that is well known and used in other specialties, but is still very little widespread among maxillofacial surgeons.

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Conditions Toward Minimally Invasive (MI) Orthognathic Surgery

Weinberg,

de O. Andriola,

Swennen

2023

Minimally Invasive (MI) Orthognathic Surgery

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Postoperative Orthognathic Surgery Edema Assessment With and Without Manual Lymphatic Drainage

Abstract: Manual lymphatic drainage was effective in reducing facial measurements in orthognathic surgery postoperatory. When considering patient's pain and swelling perception, no difference was found between groups.

Cited by 25 publications

References 26 publications

Kinesiotaping for postoperative oedema – what is the evidence? A systematic review

Kinesiotaping for postoperative oedema – what is the evidence? A systematic review

Edema Management in Oral and Maxillofacial Surgery

Conditions Toward Minimally Invasive (MI) Orthognathic Surgery

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