DOI:

10.37988/1811-153X_2024_2_106

Controlled local hypothermia in the complex treatment of patients with congenital anomalies of jaw development

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Authors

  • V.V. Korshunov 1, postgraduate at the Maxillofacial surgery Department
    ORCID: 0000-0001-6497-0637
  • Y. Lei 1, postgraduate at the Maxillofacial surgery Department
  • I.V. Cherkesov 1, PhD in Medical Sciences, associate professor of the Plastic surgery Department
    ORCID: 0000-0002-4336-4459
  • V.M. Grynin 1, PhD in Medical Sciences, professor of the Maxillofacial surgery Department
    ORCID: 0000-0002-2280-8559
  • S.Yu. Ivanov 1, 2, Russian Academy of Science corresponding member, PhD in Medical Sciences, full professor of the Maxillofacial surgery Department; full professor of the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0001-5458-0192
  • A.A. Muraev 2, PhD in Medical Sciences, professor of the Maxillofacial surgery and surgical dentistry Department
    ORCID: 0000-0003-3982-5512
  • A.O. Mikiya 1, clinical resident at the Maxillofacial surgery Department
    ORCID: 0009-0002-0791-1061
  • 1 Sechenov University, 119991, Moscow, Russia
  • 2 RUDN University, 117198, Moscow, Russia

Abstract

Today, operations on the bones of the facial skeleton are associated with such postoperative phenomena as: swelling, pain, trismus of the masticatory muscles and impaired sensitivity in the zone of the 2nd and 3rd branches of the trigeminal nerve. Many scientific works have noted the beneficial effects of cold compresses on the postoperative area, and the anatomical and topographical feature of the maxillary facial area makes it difficult to assess facial edema. One of the promising methods of patient rehabilitation is controlled local hypothermia using a hardware method, and the structural measurement of facial edema is optical scanning. This study aimed to evaluate the 3D optical scanner and the Vitermo device after orthognathic surgery. Postoperative swelling was treated with either conventional cold packs or custom-made face masks and a ViTermo circulation system. In each control group, pain, complaints, swelling, trismus of masticatory muscles, sensory disturbance in the 2nd and 3rd branches of the trigeminal nerve, length of hospital stay, and patient satisfaction were noted. The use of the Vitermo cooling device significantly reduced postoperative swelling and improved patient recovery.

Key words:

orthognathic surgery, 3D optical scanner, rehabilitation, physiotherapy

For Citation

[1]
Korshunov V.V., Lei Y., Cherkesov I.V., Grynin V.M., Ivanov S.Yu., Muraev A.A., Mikiya A.O. Controlled local hypothermia in the complex treatment of patients with congenital anomalies of jaw development. Clinical Dentistry (Russia).  2024; 27 (2): 106—110. DOI: 10.37988/1811-153X_2024_2_106

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Received

September 26, 2023

Accepted

April 17, 2024

Published on

June 28, 2024