Influence of the volume of surgical intervention on the severity of pain in patients after orthognathic surgery

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

BACKGROUND: The treatment of patients with jaw abnormalities involves orthognathic surgery, a consequence of which is postoperative pain. Considerable research is allocated to the study of pain and its management because pain affects the comfort of patients during rehabilitation. Currently, the factors that are responsible for the severity of postoperative pain syndrome remains debatable. Additionally, before surgical treatment, patients are concerned about the intensity of postoperative pain and its relationship with the extent of surgery. Owing to existing disagreements, primarily regarding the relationship between the volume of surgical intervention and the intensity of pain, conducting this study is critical.

AIM: To identify factors that directly influence postoperative pain experienced by patients.

MATERIALS AND METHODS: Pain intensity in patients on day 2 following orthognathic surgery was measured using visual analog scale (VAS).

RESULTS: During the study, patients after orthognathic surgery were divided into groups based on the extent of surgery, sex, age, and duration of surgery to compare their VAS pain intensity scores. No significant difference was found in the average VAS scores of patients’ pain intensity (p >0.05) between the groups.

CONCLUSION: The volume and duration of orthognathic surgery, age, and sex of the patients did not affect the intensity of pain.

全文:

受限制的访问

作者简介

Atsamaz Galazov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

编辑信件的主要联系方式.
Email: dr.Galazov@yandex.ru
ORCID iD: 0009-0006-0572-1204
SPIN 代码: 1101-2180
俄罗斯联邦, Moscow

Alexey Drobyshev

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: dr.drobyshev@gmail.com
ORCID iD: 0000-0002-1710-6923
SPIN 代码: 6683-8226

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow

Nikolay Redko

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: dr.redko@mail.ru
ORCID iD: 0000-0001-7807-9351
SPIN 代码: 6189-4835

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Moscow

Igor Klipa

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: dr.klipa@me.com
ORCID iD: 0000-0002-6067-7684
SPIN 代码: 5794-9363

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Moscow

Vladimir Mikhailyukov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: dr.mikhaylyukov@bk.ru
ORCID iD: 0009-0007-4736-4468
SPIN 代码: 9272-6756

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Moscow

Evgeniy Sviridov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: cmfsurgery@yandex.ru
ORCID iD: 0000-0002-9395-4158
SPIN 代码: 6456-6922

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Moscow

Tamara Azieva

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: azieva.dr@gmail.com
ORCID iD: 0009-0006-8722-3267
俄罗斯联邦, Moscow

Nailya Drobysheva

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: n.drobysheva@yandex.ru
ORCID iD: 0000-0002-5612-3451
SPIN 代码: 1246-5965

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Moscow

参考

  1. Drobyshev AYu, Dibirov TM, Mikhailyukov VM. Surgical methods of treating patients with asymmetrical deformities of the jaws. Moscow: Moscow State Medical and Dental University named after A.I. Evdokimov of the Ministry of Health of the Russian Federation; 2018. 34 p. (In Russ). EDN: YSHDAD
  2. Kurakin KA, Drobyshev AYu, Lonskaya EA, Kolchin SA. Zygoma osteotomy as a part of simultaneous operation to enhance estethic outcome in orthognatic patients. Annals of Plastic, Reconstructive and Aesthetic Surgery. 2016;(2):11–22. EDN: WXQMVP
  3. Drobyshev AYu, Kurakin KA, Latyshev AV, Lonskaya EA. Rowing chin osteotomy as part of orthognathic surgery. Review of a clinical case. Annals of Plastic, Reconstructive and Aesthetic Surgery. 2017;(4):11–18. EDN: HPOTNB
  4. Postnikov MA, Bairikov IM, Stolyarenko PYu, Malkina VD. Complex approach in diagnosis and treatment of patients with mesial gnathic occlusion. Medical Alphabet. 2018;2(8):51–56. EDN: XQFYAP
  5. Sviridov EG, Drobyshev AYu, Omarova PN, Khabibullina AA. Rationale for genioplasty as a stage of orthognathic surgery in patients with skeletal abnormalities and jaw deformities. Head and Neck. Russian Journal. 2019;(1):59–68. EDN: FODLZN doi: 10.25792/hn.2019.7.1.59-68
  6. Lord JM, Midwinter MJ, Chen YF, et al. The systemic immune response to trauma: an overview of pathophysiology and treatment. Lancet. 2014;384(9952):1455–1465. doi: 10.1016/S0140-6736(14)60687-5
  7. Novitsky VV. Pathophysiology: textbook in 2 volumes. 5th ed. Moscow: GEOTAR-Media; 2018;10:438–470. (In Russ).
  8. Semper-Hogg W, Fuessinger MA, Dirlewanger TW, et al. The influence of dexamethasone on postoperative swelling and neurosensory disturbances after orthognathic surgery: a randomized controlled clinical trial. Head Face Med. 2017;13(1):19. doi: 10.1186/s13005-017-0153-1
  9. Al-Khateeb TH, Nusair Y. Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars. Int J Oral Maxillofac Surg. 2008;37(3):264–268. doi: 10.1016/j.ijom.2007.11.011
  10. Van de Velde FEG, Ortega-Castrillon A, Thierens LAM, et al. The effect of manual lymphatic drainage on patient recovery after orthognathic surgery-A qualitative and 3-dimensional facial analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(5):478–485. doi: 10.1016/j.oooo.2020.05.017
  11. Abramovich SG. Physiotherapy of inflammation. Resort Medicine. 2021;(3):6–21. EDN: CKZDXK doi: 10.51871/2304-0343_2021_3_6
  12. Bonitz L, El-Karmi A, Linssen J, et al. A randomized, prospective trial to assess the safety and efficacy of hilotherapy in patients after orthognathic surgery. Oral Maxillofac Surg. 2021;25(4):525–532. doi: 10.1007/s10006-021-00948-w
  13. El-Karmi A, Hassfeld S, Bonitz L. Development of swelling following orthognathic surgery at various cooling temperatures by means of hilotherapy-a clinical, prospective, monocentric, single-blinded, randomised study. J Craniomaxillofac Surg. 2018;46(9):1401–1407. doi: 10.1016/j.jcms.2018.01.012
  14. Bobrinskaya IG, Drobyshev AYu., Spiridonova EA, et al. Estimation of the efficiency of ketonal in the treatment of pain syndrome at patients with acute trauma of maxillofacial area. Hirurg. 2011;(2):52–61. EDN: SGZYBF
  15. Kutyakov VA, Shadrina LB, Trufanova LV, et al. Nonsteroidal anti-inflammatory drugs: key mechanisms of action and neuroprotective potential. Experimental and Clinical Pharmacology. 2019;82(2):38–46. EDN: SEHXBC doi: 10.30906/0869-2092-2019-82-2-38-46
  16. Phillips C, Blakey G 3rd, Jaskolka M. Recovery after orthognathic surgery: short-term health-related quality of life outcomes. J Oral Maxillofac Surg. 2008;66(10):2110–2115. doi: 10.1016/j.joms.2008.06.080
  17. Finlay PM, Atkinson JM, Moos KF. Orthognathic surgery: patient expectations; psychological profile and satisfaction with outcome. Br J Oral Maxillofac Surg. 1995;33(1):9–14. doi: 10.1016/0266-4356(95)90078-0
  18. Santos TS, Osborne PR, Jacob ES, et al. Effects of water-circulating cooling mask on postoperative outcomes in orthognathic surgery and facial trauma. J Craniofac Surg. 2020;31(7):1981–1985. doi: 10.1097/SCS.0000000000006624
  19. Hsu HJ, Hsu KJ. Investigation of immediate postoperative pain following orthognathic surgery. Biomed Res Int. 2021;2021:9942808. doi: 10.1155/2021/9942808
  20. Al Asseri N, Swennen G. Minimally invasive orthognathic surgery: a systematic review. Int J Oral Maxillofac Surg. 2018;47(10):1299–1310. doi: 10.1016/j.ijom.2018.04.017
  21. van der Westhuijzen AJ, Becker PJ, Morkel J, Roelse JA. A randomized observer blind comparison of bilateral facial ice pack therapy with no ice therapy following third molar surgery. Int J Oral Maxillofac Surg. 2005;34(3):281–286. doi: 10.1016/j.ijom.2004.05.006
  22. Ho SS, Coel MN, Kagawa R, Richardson AB. The effects of ice on blood flow and bone metabolism in knees. Am J Sports Med. 1994;22(4):537–540. doi: 10.1177/036354659402200417
  23. Pérgola PE, Johnson JM, Kellogg DL Jr, Kosiba WA. Control of skin blood flow by whole body and local skin cooling in exercising humans. Am J Physiol. 1996;270(1 Pt 2):H208–H215. doi: 10.1152/ajpheart.1996.270.1.H208
  24. Hanci D, Üstün O, Yılmazer AB, et al. Evaluation of the efficacy of hilotherapy for postoperative edema, ecchymosis, and pain after rhinoplasty. J Oral Maxillofac Surg. 2020;78(9):1628.e1–1628.e5. doi: 10.1016/j.joms.2020.03.032
  25. Gerold KHE, Haers PE, Sailer HF. Adjuvante kryotherapie nach maxillofacialen operationen. Acta Med Dent Helv. 1998;3:93–99.
  26. Kiyak HA, McNeill RW, West RA, et al. Personality characteristics as predictors and sequelae of surgical and conventional orthodontics. Am J Orthod. 1986;89(5):383–392. doi: 10.1016/0002-9416(86)90069-2
  27. Slabkovsky RI, Drobysheva NS, Slabkovskaya AB, et al. Possibilities of psychological and psychiatric rehabilitation of adult patients after orthognatic surgery. Clinical Dentistry (Russia). 2021;24(2):65–71. EDN: JKMLAC doi: 10.37988/1811-153x_2021_2_65
  28. Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52–58. doi: 10.1093/bja/aet127

补充文件

附件文件
动作
1. JATS XML

版权所有 © Eco-Vector, 2024



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 86295 от 11.12.2023 г
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80635 от 15.03.2021 г
.



##common.cookie##