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Oral and Maxillofacial Surgery

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01-03-2020 | Edema | Review Article

Rehabilitation strategies in maxillofacial trauma: systematic review and meta-analysis

Authors: Karoline Weber dos Santos, Rafaela Soares Rech, Eliana Márcia Da Ros Wendland, Juliana Balbinot Hilgert

Published in: Oral and Maxillofacial Surgery | Issue 1/2020

Abstract

Purpose

This study aims to investigate rehabilitation strategies to reduce trismus, pain, and edema in patients with maxillofacial trauma.

Methods

An electronic search in main databases was performed, including studies published until November 2017. Clinical trials aiming to investigate therapeutic techniques to improve mandibular range of motion and to reduce pain and edema compared to other treatments were included.

Results

Nine studies were included in the review with different therapy modalities: photobiomodulation, kinesiologic tape, hilotherapy, jaw exercises, and TENS. Only five studies had available data to be included in a meta-analysis. There were no differences between any of the proposed strategies and its controls to prevent trismus. Individuals treated with hilotherapy presented less pain compared to controls. Kinesiologic tape or hilotherapy reduced edema when compared to controls daily until postoperative day 3.

Conclusions

There is diversity among the proposed rehabilitation techniques, and types of fractures and there are few numbers of included participants in each study. The results obtained in this review do not promote evidence to guide the use of non-drug rehabilitation techniques in patients with maxillofacial trauma after surgical intervention.

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Melione LPR, Mello-Jorge MHP (2008) Unified National Health System costs in São José dos Campos, São Paulo State, Brazil, for hospital admissions due to external causes. Cad Saúde Pública 24(8):1814–1824. https://doi.org/10.1590/S0102-311X2008000800010 CrossRefPubMed

Mijiti A, Ling W, Tuerdi M, Maimaiti A, Tuerxun J, Tao YZ, Saimaiti A, Moming A (2014) Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: A 5-year retrospective study. J Craniomaxillofac Surg 42(3):227–233. https://doi.org/10.1016/j.jcms.2013.05.005 CrossRefPubMed

Ellis E 3rd. (2014) An algorithm for the treatment of noncondylar mandibular fractures. J Oral Maxillofac Surg 72(5):939–949. https://doi.org/10.1016/j.joms.2013.11.026 CrossRefPubMed

Choi KY, Yang JD, Chung HY, Cho BC (2012) Current concepts in the mandibular condyle fracture management part II: open reduction versus closed reduction. Arch Plast Surg 39(4):301–308. https://doi.org/10.5999/aps.2012.39.4.301 CrossRefPubMedPubMedCentral

Ellis E 3rd. (2009) Management of fractures through the angle of the mandible. Oral Maxillofac Surg Clin North Am 21(2):163–174. https://doi.org/10.1016/j.coms.2008.12.004 CrossRefPubMed

Jensen T, Jensen J, Nørholt SE, Dahl M, Lenk-Hansen L, Svensson P (2006) Open reduction and rigid internal fixation of mandibular condylar fractures by an intraoral approach: a long-term follow-up study of 15 patients. J Oral Maxillofac Surg 64(12):1771–1779. https://doi.org/10.1016/j.joms.2005.12.069 CrossRefPubMed

Silva AP, Sassi FC, Andrade CRF (2016) Oral-motor and electromyographic characterization of patients submitted to open and closed reductions of mandibular condyle fracture. Codas 28(5):558–566. https://doi.org/10.1590/2317-1782/20162015186 CrossRefPubMed

Gasperini G, Rodrigues de Siqueira IC, Rezende Costa L (2014) Does low-level laser therapy decrease swelling and pain resulting from orthognathic surgery? Int J Oral Maxillofac Surg 43(7):868–873. https://doi.org/10.1016/j.ijom.2014.02.015 CrossRefPubMed

Vega LG (2011) Reoperative mandibular trauma: management of posttraumatic mandibular deformities. Oral Maxillofac Surg Clin North Am 23:47–61. https://doi.org/10.1016/j.coms.2010.12.003 CrossRefPubMed

10.

Seifi M, Ebadifar A, Kabiri S, Badiee MR, Abdolazimi Z, Amdjadi P (2017) Comparative effectiveness of low level laser therapy and transcutaneous electric nerve stimulation on temporomandibular joint disorders. J Lasers Med Sci 8(Suppl 1):S27–S31. https://doi.org/10.15171/jlms.2017.s6 CrossRefPubMedPubMedCentral

11.

Flay BR (1986) Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Prev Med 15(5):451–474. https://doi.org/10.1016/0091-7435(86)90024-1 CrossRefPubMed

12.

Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. The Cochrane Collaboration, 2011 [on-line]. Available at www.cochrane-handbook.org .

13.

Lauriti L, de Cerqueira Luz JG, Agnelli Mesquita-Ferrari R, Fernandes KPS, Deana AM, Tempestini Horliana ACR, Costa-Santos L, Brugnera Junior A, Bussadori SK (2018) Evaluation of the effect of phototherapy in patients with mandibular fracture on mandibular dynamics, pain, edema, and bite force: a pilot study. Photomed Laser Surg 36(1):24–30. https://doi.org/10.1089/pho.2017.4334 CrossRefPubMed

14.

Ristow O, Pautke C, Victoria K, Koerdt S, Schwärzler K, Hahnefeld L, Hohlweg-Majert B (2014) Influence of kinesiologic tape on postoperative swelling, pain and trismus after zygomatico-orbital fractures. J Craniomaxillofac Surg 42(5):469–476. https://doi.org/10.1016/j.jcms.2013.05.043 CrossRefPubMed

15.

Modabber A, Rana M, Ghassemi A, Gerressen M, Gellrich NC, Hölzle F, Rana M (2013) Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study. Trials 14:238. https://doi.org/10.1186/1745-6215-14-238 CrossRefPubMedPubMedCentral

16.

Ristow O, Hohlweg-Majert B, Kehl V, Koerdt S, Hahnefeld L, Pautke C (2013) Does elastic therapeutic tape reduce postoperative swelling, pain, and trismus after open reduction and internal fixation of mandibular fractures? J Oral Maxillofac Surg 71(8):1387–1396. https://doi.org/10.1016/j.joms.2013.03.020 CrossRefPubMed

17.

Rana M, Gellrich NC, von See C, Weiskopf C, Gerressen M, Ghassemi A, Modabber A (2013) 3D evaluation of postoperative swelling in treatment of bilateral mandibular fractures using 2 different cooling therapy methods: a randomized observer blind prospective study. J Craniomaxillofac Surg 41(1):e17–e23. https://doi.org/10.1016/j.jcms.2012.04.002 CrossRefPubMed

18.

Feng Z, Chen R, Zhang Y, Yang M, Lin Y, Tian W, Liu LJ (2009) Outcome of postsurgical sequential functional exercise of jaw fracture. Craniofac Surg 20(1):46–48. https://doi.org/10.1097/SCS.0b013e3181945e22 CrossRef

19.

Fagade OO, Oginni FO, Obilade TO (2005) Comparative study of the therapeutic effect of a systemic analgesic and transcutaneous electrical nerve stimulation (TENS) on post-IMF trismus and pain in Nigerian patients. Niger Postgrad Med J 12(2):97–101PubMed

20.

Ferraresi C, Hamblin MR, Parizotto NA (2012) Low-level laser (light) therapy (LLLT) on muscle tissue: performance, fatigue and repair benefited by the power of light. Photonics Lasers Med 1(4):267–286. https://doi.org/10.1515/plm-2012-0032 CrossRefPubMedPubMedCentral

21.

Aras MH, Güngörmüş M (2010) Placebo-controlled randomized clinical trial of the effect two different low-level laser therapies (LLLT)--intraoral and extraoral--on trismus and facial swelling following surgical extraction of the lower third molar. Lasers Med Sci 25(5):641–645. https://doi.org/10.1007/s10103-009-0684-1 CrossRefPubMed

22.

Santos MT, Diniz MB, Gouw-Soares SC, Lopes-Martins RA, Frigo L, Baeder FM (2016) Evaluation of low-level laser therapy in the treatment of masticatory muscles spasticity in children with cerebral palsy. J Biomed Opt 21(2):28001. https://doi.org/10.1117/1.JBO.21.2.028001 CrossRefPubMed

23.

Machado BC, Mazzetto MO, Da Silva MA, de Felício CM (2016) Effects of oral motor exercises and laser therapy on chronic temporomandibular disorders: a randomized study with follow-up. Lasers Med Sci 31(5):945–954. https://doi.org/10.1007/s10103-016-1935-6 CrossRefPubMed

24.

Marchionni AM, Medrado AP, Silva TM, Fracassi LD, Pinheiro AL, Reis SR (2010) Influence of laser (λ670 nm) and dexamethasone on the chronology of cutaneous repair. Photomed Laser Surg. 28(5):639–646. https://doi.org/10.1089/pho.2009.2587 CrossRefPubMed

Title: Rehabilitation strategies in maxillofacial trauma: systematic review and meta-analysis
Authors: Karoline Weber dos Santos
Rafaela Soares Rech
Eliana Márcia Da Ros Wendland
Juliana Balbinot Hilgert
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keywords: Edema
Maxillofacial Injuries
Published in: Oral and Maxillofacial Surgery / Issue 1/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-019-00808-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Rehabilitation strategies in maxillofacial trauma: systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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