Bimaxillar Surgery, Kinesio Taping, Orthognathic Surgery, Pain, Pain Management, Quality of Life, Swelling
Conditions
Brief summary
The goal of this prospective clinical trial is to evaluate the additive therapeutic efficacy of Kinesio taping combined with routine post-surgical cryotherapy in reducing acute postoperative facial edema and pain in adult patients undergoing bimaxillary orthognathic surgery. The main questions it aims to answer are: Does the application of compression Kinesio taping significantly reduce post-surgical facial edema compared to standard postoperative care alone? Does Kinesio taping provide additional pain relief and functional recovery during the early acute postoperative phase when compared with standard compression taping? Researchers will compare patients receiving bilateral Kinesio taping alongside standard postoperative cryotherapy to a control group receiving standard postoperative cryotherapy alongside standard compression taping to see if Kinesio taping taping provides a superior or additive effect in decreasing edema and alleviating pain. Participants will: Undergo bimaxillary orthognathic surgery under a standardized surgical protocol. Receive routine postoperative cold/cryotherapy application as part of baseline care. Randomly, have Kinesio tape applied immediately postoperatively using a compression taping approach (intervention group) or receive standard rigid compression taping (control group). Undergo standardized facial swelling and pain assessments at pre-determined postoperative follow-up intervals.
Interventions
Participants allocated to the kinesiotaping group received bilateral facial taping using kinesiotaping with a standard width of 5 cm.
Participants allocated to the comparison group received bilateral rigid compression taping over the postoperative facial region.
Sponsors
Study design
Eligibility
Inclusion criteria
* Individuals older than 18 years of age. * Patients scheduled to undergo elective bimaxillary orthognathic surgery
Exclusion criteria
* Individuals receiving regular medication. * Individuals with a diagnosed mental disorder. * Individuals with coagulopathy. * Individuals with diabetes mellitus. * Individuals with a chronic infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | Immediately after surgery and post-op day 2 | Postoperative pain intensity was assessed using a 100-mm visual analog scale (VAS). The scale was anchored by "no pain" at one end and "the worst pain imaginable" at the other. Participants were instructed to mark the point on the line that best represented their current level of postoperative pain. The distance between the "no pain" anchor and the participant's mark was measured and converted to a score ranging from 0 to 100, with higher scores indicating greater pain intensity. |
| Facial edema | Immediately after surgery and post-op day 2 | Edema evaluation was performed using a standard flexible plastic tape measure (accuracy ±0.5 mm). Seven linear facial distances were recorded bilaterally and the sum of both sides was used for analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral health-related quality of life | Immediately after surgery and post-op day 2 | Oral health-related quality of life was evaluated using the Orthognathic Quality of Life Questionnaire (OQLQ). The OQLQ is a condition-specific questionnaire designed to assess the effects of dentofacial deformity and orthognathic treatment on patients' daily lives. |
Countries
Turkey (Türkiye)