Orthognathic Surgery, Postoperative Edema, Postoperative Pain, Trismus
Conditions
Keywords
Hilotherapy, Kinesio Taping, Orthognathic Surgery, Postoperative Complications, Postoperative Recovery
Brief summary
This prospective randomized controlled trial aims to compare the effects of kinesio taping and hilotherapy on postoperative edema, pain, and trismus in patients undergoing bimaxillary orthognathic surgery.
Detailed description
Orthognathic surgery frequently causes postoperative edema, pain, and trismus. The study compares two adjunctive therapies: kinesio taping and hilotherapy. Forty-four patients without systemic disease, undergoing Le Fort I + BSSRO, will be randomly assigned to two groups. Group 1 will receive kinesio taping for 5 days. Group 2 will undergo hilotherapy for 48 hours. Pain (VAS), trismus (mouth opening), and edema (measured by both tape and 3D scanner) will be assessed at multiple postoperative time points. The goal is to determine the more effective intervention for postoperative recovery.
Interventions
Elastic kinesio tape applied postoperatively to the facial region and left in place for 5 days.
A polyurethane facial mask delivering continuous +17°C water cooling for 48 hours post-surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled to undergo bimaxillary orthognathic surgery (Le Fort I + BSSRO) * Age between 18 and 50 years * No systemic disease * Voluntary participation with signed informed consent
Exclusion criteria
* Presence of systemic disease or immunosuppressive medication * Known allergy to kinesio tape * Inability to attend follow-up appointments * Facial anatomical deformities preventing measurement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Facial Edema | Baseline (Post-op 1.hour) and Post-op Days 1, 2, 5, 10, and 30 | Facial edema will be measured using both linear tape-based anthropometric measurements and 3D facial scanning at specified time points. Measurements will include tragus-to-ala, tragus-to-pogonion, and other standard facial distances. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pain Score (VAS) | Baseline(Post-op 1.hour) and Post-op Days 1, 2, 5, 10, and 30 | | Pain will be assessed using a 10-point Visual Analog Scale (VAS), with 0 indicating no pain and 10 indicating the worst imaginable pain. |
| Change in Trismus (Maximum Mouth Opening) | Baseline(Post-op 1.hour) and Post-op Days 1, 2, 5, 10, and 30 | Trismus will be assessed by measuring maximum interincisal distance using a millimeter ruler. |
Countries
Turkey (Türkiye)