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

Atsamaz T. Galazov , Alexey Yu. Drobyshev , Nikolay A. Redko , Igor A. Klipa , Vladimir M. Mikhailyukov , Evgeniy G. Sviridov , Tamara R. Azieva , Nailya S. Drobysheva

Russian Journal of Dentistry ›› 2023, Vol. 27 ›› Issue (6) : 511 -519.

PDF
Russian Journal of Dentistry ›› 2023, Vol. 27 ›› Issue (6) : 511 -519. DOI: 10.17816/dent595717
Clinical Investigation
research-article

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

Author information +
History +
PDF

Abstract

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.

Keywords

VAS pain / postoperative pain / orthognathic surgery / BSSO / Le Fort I / patient rehabilitation

Cite this article

Download citation ▾
Atsamaz T. Galazov, Alexey Yu. Drobyshev, Nikolay A. Redko, Igor A. Klipa, Vladimir M. Mikhailyukov, Evgeniy G. Sviridov, Tamara R. Azieva, Nailya S. Drobysheva. Influence of the volume of surgical intervention on the severity of pain in patients after orthognathic surgery. Russian Journal of Dentistry, 2023, 27(6): 511-519 DOI:10.17816/dent595717

登录浏览全文

4963

注册一个新账户 忘记密码

References

[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]

Дробышев А.Ю., Дибиров Т.М., Михайлюков В.М. Хирургические методы лечения пациентов с ассиметричными деформациями челюстей. Москва : Московский государственный медико-стоматологический университет имени А.И. Евдокимова Министерства здравоохранения Российской Федерации, 2018. 34 с. EDN: YSHDAD

[3]

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

[4]

Куракин К.А., Дробышев А.Ю., Лонская Е.А., Колчин С.А. Проведение симультанных операций для улучшения эстетических результатов комбинированного лечения // Анналы пластической, реконструктивной и эстетической хирургии. 2016. № 2. С. 11–22. EDN: WXQMVP

[5]

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

[6]

Дробышев А.Ю., Куракин К.А., Латышев А.В., Лонская Е.А. Эстетическая значимость гениопластики в комбинированном лечении пациентов с макрогенией // Анналы пластической, реконструктивной и эстетической хирургии. 2017. № 4. С. 11–18. EDN: HPOTNB

[7]

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

[8]

Постников М.А., Байриков И.М., Столяренко П.Ю., Малкина В.Д. Комплексный подход в диагностике и лечении пациентов с мезиальной окклюзией гнатической формы // Медицинский алфавит. 2018. Т. 2, № 8. С. 51–56. EDN: XQFYAP

[9]

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

[10]

Свиридов Е.Г., Дробышев А.Ю., Омарова П.Н., Хабибуллина А.А. Обоснование проведения гениопластики как этапа ортогнатической операции у пациентов со скелетными аномалиями и деформациями челюстей // Head and Neck/Голова и шея. Российское издание. Журнал Общероссийской общественной организации Федерация специалистов по лечению заболеваний головы и шеи. 2019. № 1. С. 59–68. EDN: FODLZN doi: 10.25792/hn.2019.7.1.59-68

[11]

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

[12]

Lord J.M., Midwinter M.J., Chen Y.F., et al. The systemic immune response to trauma: an overview of pathophysiology and treatment // Lancet. 2014. Vol. 384, N 9952. P. 1455–1465. doi: 10.1016/S0140-6736(14)60687-5

[13]

Novitsky VV. Pathophysiology: textbook in 2 volumes. 5th ed. Moscow: GEOTAR-Media; 2018;10:438–470. (In Russ).

[14]

Новицкий В.В. Патофизиология : учебник в 2 т. 5-е изд. / под ред. В.В. Новицкого, О.И. Уразова. Москва : ГЭОТАР-Медиа, 2018. Т. 1. Глава 10. С. 438–470.

[15]

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

[16]

Semper-Hogg W., Fuessinger M.A., Dirlewanger T.W., et al. The influence of dexamethasone on postoperative swelling and neurosensory disturbances after orthognathic surgery: a randomized controlled clinical trial // Head Face Med. 2017. Vol. 13, N 1. P. 19. doi: 10.1186/s13005-017-0153-1

[17]

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

[18]

Al-Khateeb T.H., 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. Vol. 37, N 3. P. 264–268. doi: 10.1016/j.ijom.2007.11.011

[19]

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

[20]

Van de Velde F.E.G., Ortega-Castrillon A., Thierens L.A., 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. Vol. 130, N 5. P. 478–485. doi: 10.1016/j.oooo.2020.05.017

[21]

Abramovich SG. Physiotherapy of inflammation. Resort Medicine. 2021;(3):6–21. EDN: CKZDXK doi: 10.51871/2304-0343_2021_3_6

[22]

Абрамович С.Г. Физиотерапия воспаления // Курортная медицина. 2021. № 3. С. 6–21. EDN: CKZDXK doi: 10.51871/2304-0343_2021_3_6

[23]

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

[24]

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. Vol. 25, N 4. P. 525–532. doi: 10.1007/s10006-021-00948-w

[25]

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

[26]

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. Vol. 46, N 9. P. 1401–1407. doi: 10.1016/j.jcms.2018.01.012

[27]

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

[28]

Бобринская И.Г., Дробышев А.Ю., Спиридонова Е.А., и др. Оценка эффективности кетонала в лечении болевого синдрома у больных с острой травмой челюстно-лицевой области // Хирург. 2011. № 2. С. 52–61. EDN: SGZYBF

[29]

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

[30]

Кутяков В.А., Шадрина Л.Б., Труфанова Л.В. Нестероидные противовоспалительные средства: ключевые механизмы действия и нейропротективный потенциал // Экспериментальная и клиническая фармакология. 2019. Т. 82, № 2. С. 38–46. doi: 10.30906/0869-2092-2019-82-2-38-46

[31]

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

[32]

Phillips C., Blakey G. 3rd, Jaskolka M. Recovery after orthognathic surgery: short-term health-related quality of life outcomes // J Oral Maxillofac Surg. 2008. Vol. 66, N 10. P. 2110–2115. doi: 10.1016/j.joms.2008.06.080

[33]

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

[34]

Finlay P.M., Atkinson J.M., Moos K.F. Orthognathic surgery: patient expectations; psychological profile and satisfaction with outcome // Br J Oral Maxillofac Surg. 1995. Vol. 33, N 1. P. 9–14. doi: 10.1016/0266-4356(95)90078-0

[35]

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

[36]

Santos T.S., Osborne P.R., Jacob E.S., et al. Effects of water-circulating cooling mask on postoperative outcomes in orthognathic surgery and facial trauma // J Craniofac Surg. 2020. Vol. 31, N 7. P. 1981–1985. doi: 10.1097/SCS.0000000000006624

[37]

Hsu HJ, Hsu KJ. Investigation of immediate postoperative pain following orthognathic surgery. Biomed Res Int. 2021;2021:9942808. doi: 10.1155/2021/9942808

[38]

Hsu H.J., Hsu K.J. Investigation of immediate postoperative pain following orthognathic surgery // Biomed Res Int. 2021. Vol. 2021. P. 9942808. doi: 10.1155/2021/9942808

[39]

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

[40]

AlAsseri N., Swennen G. Minimally invasive orthognathic surgery: a systematic review // Int J Oral Maxillofac Surg. 2018. Vol. 47, N 10. P. 1299–1310. doi: 10.1016/j.ijom.2018.04.017

[41]

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

[42]

van der Westhuijzen A.J., Becker P.J., Morkel J., Roelse J.A. 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. Vol. 34, N 3. P. 281–286. doi: 10.1016/j.ijom.2004.05.006

[43]

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

[44]

Ho S.S., Coel M.N., Kagawa R., Richardson A.B. The effects of ice on blood flow and bone metabolism in knees // Am J Sports Med. 1994. Vol. 22, N 4. P. 537–540. doi: 10.1177/036354659402200417

[45]

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

[46]

Pérgola P.E., Johnson J.M., Kellogg D.L. Jr, Kosiba W.A. Control of skin blood flow by whole body and local skin cooling in exercising humans // Am J Physiol. 1996. Vol. 270, N 1 Pt 2. P. H208–H215. doi: 10.1152/ajpheart.1996.270.1.H208

[47]

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

[48]

Hanci D., Üstün O., Yılmazer A.B., et al. Evaluation of the efficacy of hilotherapy for postoperative edema, ecchymosis, and pain after rhinoplasty // J Oral Maxillofac Surg. 2020. Vol. 78, N 9. P. 1628. doi: 10.1016/j.joms.2020.03.032

[49]

Gerold KHE, Haers PE, Sailer HF. Adjuvante kryotherapie nach maxillofacialen operationen. Acta Med Dent Helv. 1998;3:93–99.

[50]

Gerold K.H.E., Haers P.E., Sailer H.F. Adjuvante kryotherapie nach maxillofacialen operationen // Acta Med Dent Helv. 1998. Vol. 3. P. 93–99.

[51]

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

[52]

Kiyak H.A., McNeill R.W., West R.A., et al. Personality characteristics as predictors and sequelae of surgical and conventional orthodontics // Am J Orthod. 1986. Vol. 89, N 5. P. 383–392. doi: 10.1016/0002-9416(86)90069-2

[53]

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

[54]

Слабковский Р.И., Дробышева Н.С., Слабковская А.Б., и др. Возможности психолого-психиатрической реабилитации взрослых пациентов после ортогнатических операций // Клиническая стоматология. 2021. Т. 24, № 2. С. 65–71. EDN: JKMLAC doi: 10.37988/1811-153x_2021_2_65

[55]

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

[56]

Bartley E.J., Fillingim R.B. Sex differences in pain: a brief review of clinical and experimental findings // Br J Anaesth. 2013. Vol. 111, N 1. P. 52–58. doi: 10.1093/bja/aet127

RIGHTS & PERMISSIONS

Eco-Vector

AI Summary AI Mindmap
PDF

54

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/