Development of swelling following orthognathic surgery at various cooling temperatures by means of hilotherapy-a clinical, prospective, monocentric, single-blinded, randomised study

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Adrian El-KarmiLars Bonitz

Abstract

An alternative cooling method in oral and maxillofacial surgery is post-operative cooling with hilotherapy. It has not yet been clarified how the development of pain and swelling progresses post-operatively at different cooling temperatures. The aim of this study was the post-operative comparison of cooling temperatures of 18 °C and 22 °C. The parameters of this trial were swelling and the post-operative development of pain levels. In addition, the need for analgesics and patient satisfaction were documented. This study included 36 patients, divided into two groups among whom a mono-one or bignathic osteotomy or genioplasty in orthognathic surgery was indicated. After the intervention, hilotherapy was employed directly instead of the conventional cooling method with moist compresses. The post-operative check of swelling during and after hilotherapy was performed using a 3D optical scanner (FaceSCAN3D®). This examination was repeated on post-operative days 1, 2, 3, 7, 14, 30 and 90. In this process, the final examination on day 90 served as a reference value in respect of swelling and pain. Group 1 (18 °C, 18 patients) showed an increase in post-operative swelling on the 1st post-operative day of 62.22 ± 36.29 ml. The maximum wa...Continue Reading

Citations

Jul 1, 2020·The Journal of Craniofacial Surgery·Thiago de Santana SantosPaulo Ricardo Saquete Martins-Filho
Aug 16, 2021·Journal of Bodywork and Movement Therapies·Ingrid Hultenheim Klintberg, Maria Eh Larsson

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