Tag: Marcin Kozakiewicz

The assessment of the early rehabilitation’s impact on the level of disorders occurring and the process of reinnervation, on the example of facial twigs of the motor nerve in patients with craniofacial injuries

Szymon Tyszkiewicz, Patrycja Ujma, Dominik Szczeciński, Klaudia Szczygieł, Marcin Kozakiewicz


Szymon Tyszkiewicz, Patrycja Ujma, Dominik Szczeciński, Klaudia Szczygieł, Marcin Kozakiewicz – The assessment of the early rehabilitation’s impact on the level of disorders occurring and the process of reinnervation, on the example of facial twigs of the motor nerve in patients with craniofacial injuries. Fizjoterapia Polska 2022; 22(4); 128-141

DOI: https://doi.org/10.56984/8ZG1A6t5I

Abstract
Introduction. Lymphoedema of the skull’s facial part is one of the main complications observed in a patient after surgical treatment of disorders of this area. Another noticeable and frequently reported complication by the patient is irregularities in facial expression muscles’ work. A relationship between them and reducing edema performed in patients in the first days after surgery will reduce the noted disturbances in motor branches’ function.
Aim. To investigate the impact of early swelling reduction on the extent of nervous system disorders and its reinnervation rate.
Materials and methods. Patients of the Maxillofacial Surgery Clinic of the University Clinical Hospital of the Military Medical Academy in Łódź were enrolled in the study. The study was conducted on 60 people who underwent maxillofacial surgery procedures from February to December 2019. Lymphatic drainage and dynamic taping were used to reduce patients’ edema. Forty-five people were divided into three equal groups. Fifteen patients constituted the comparative group. The research tools were a survey created following the author’s idea, linear measurements for measuring edema, and the Pietruski scale for assessing the state of reinnervation imaged by mimic muscle motility. On the first day after surgery, patients were examined four times, then on the third and seventh day after surgery, and finally four months after surgery.
Results. The use of anti-edema therapy noticeably (from 2-5 points on the Pietruski scale) reduces the disturbances in facial expression muscles’ function. The difference has been visible already on the third day after surgery. Regarding the patient’s pain, the lack of manual lymphatic system development resulted in pain sensations remaining in each of the three tests performed. The occurrence of edema, pain level, and level of facial expression muscle disorders were similar between groups and made the following research objective in terms of observed relationships.
Conclusions. The level of disturbances in the area of the mobility of expressive facial muscles (based on Pietruski scale) indicates that the implementation of anti edematous therapy, and thus the reduction of excess lymph, already in the first days after surgery provides a reduction of disorders of conduction of efferent impulses of motor fibers, appearing already in the first days after surgery. Increased drainage rate also accelerates the reinnervation process, shortens it by several weeks, and reduces pain symptoms.

Key words:
reinnervation, facial nerve, lymphatic oedema, dental physiotherapy

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Fractures of the condylarprocess of the mandible – the use of comprehensive manual therapy in the reduction of postoperative complications

Szymon Tyszkiewicz, Dominik Szczeciński, Anna Lichnowska, Marta Tyndorf, Marcin Kozakiewicz


Szymon Tyszkiewicz, Dominik Szczeciński, Anna Lichnowska, Marta Tyndorf, Marcin Kozakiewicz – Fractures of the condylarprocess of the mandible – the use of comprehensive manual therapy in the reduction of postoperative complications. Fizjoterapia Polska 2022; 22(3); 80-87

Abstract
Condyloid process fractures are a serious injury to the temporomandibular joints, and the surgical supply of tissues intensifies the occurrence of certain disorders.
These Rehabilitation performed was proposed as a result of complications following surgical reconstruction of broken condyloid process of the mandible. The rate and amount of edema reduction were assessed. Changes in the movement of temporomandibular joints and complex movement of the cervical spine were measured. The rate and extent of reinnervation and the level of pain were controlled.
Mobility of joints and functional abilities of the surrounding systems have significantly improved. The function of the facial nerve has been restored to a small sensory-motor disorder.

Key words:
condyloid process, facial nerve, manual therapy, dental physiotherapy, postoperative disorders

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评估手法技术和动态编带在减少正颌外科手术治疗术后并发症方面的有效性

Szymon Tyszkiewicz, Marcin Kozakiewicz, Marta Tyndorf, Dorota Kościelniak

S. Tyszkiewicz, M. Kozakiewicz, M. Tyndorf, D. Kościelniak – Evaluation of the effectiveness of manual techniques and dynamic taping in the reduction of postoperative complications after surgical treatment of orthognathic defects. Fizjoterapia Polska 2019; 19(3); 146-157

摘要
目的。旨在评估手法治疗和机能系贴布对减少正颔外科手术后并发症的有效性。材料和方法。共50名年龄在16至39岁间进行正颔手术后康复的患者参与此研究，这些患者因组织挛缩、粘连和疤痕、颞下颔区和颈椎的关节活动障碍及面部淋巴水肿及神经传导障碍等术后并发症而住院，另有几名患者有额外的血淤斑。
结果。颞下颔关节和颈椎在所有检查面的平均大小和活动度均获改善，水肿明显减少，3个月后其平均为基值的8%。
结论。与对照组中的人的结果及与文献中所获得数据相较下，所进行的疗程显著影响取得的结果。手法治疗、肌能系贴布辅助等使颞下颔关节的关节活动、脊柱关节的活动性、淋巴系统功能、疼痛感觉、面部表情和面部感觉等都正常化。术中和术后因血肿、组织粘连和疤痕而受限制的结构受释放，恢复至不妨碍日常活动的正常状态，并提供恢复所有上述能力的可能性。

关键词：
正颔缺陷、牙科理疗、手法治疗、肌能系贴布

 

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Lymphatic kinesiology taping technique as the method of treatment against the swelling of a face after surgeries in the craniofacial area – preliminary report

Marta Tyndorf, Marcin Kozakiewicz, Jakub Winerowicz

M. Tyndorf, M. Kozakiewicz, J. Winerowicz – Lymphatic kinesiology taping technique as the method of treatment against the swelling of a face after surgeries in the craniofacial area – preliminary report. FP 2016;16(1);88-98

Abstract
The contemporary maxillofacial surgery aims not only to restore the functions of the stomatognathic system and the face, but also to restore their harmony and to improve aesthetics. Constantly increasing pace of life and the desire of patients to regain the full fitness as quickly as possible, make the therapeutic teams to always look for the new ways to reduce the time of rehabilitation, and this includes the ways to reduce the swelling. There are a number of methods to fight the lymphedema, but often not only they are not efficient enough, but also they raise the risk of several serious side effects. Therefore, the new methods for reducing the swelling are being searched for constantly, and one of them is the lymphatic kinesiology taping technique.
Objective. Evaluation of the impact of the lymphatic kinesiology taping technique on the dynamics of the facial swelling, in patients after surgeries due to injuries and defects of the craniofacial area.
Materials and Methods. In the study participated the patients of the Maxillofacial Surgery Clinic of the University Clinical Hospital of WAM-CSW in Łódź, who had been treated due to injuries and gnathic defects, during the period from 31.08.2013 to 30.06.2014. Based on randomization, there had been formed the test group of 22 persons and the control group of 19 persons. In the test group the lymphatic kinesiology taping technique had been applied, and then in both groups the facial swelling measurements were taken – on the 1st, 2nd, 5th and the 10th day after the surgery. The statistical analysis of the results had been made.
Results. The group of patients was predominantly male (68%), with the mean age of 34.2 years. A significant impact of the kinesiotaping on the dynamics of the postoperative edema formation had been demonstrated. The kinesiotaping resulted in the gradual reduction of the swelling, up to the 75% of improvement on the 10th day after the surgery, while in the control group the swelling initially escalated and its reduction was much less pronounced in the final phase of the research.
Conclusions. Lymphatic kinesiology taping technique has a positive impact on the reduction of the postoperative edema of the face, and it seems advisable to further study the effects of this treatment method on the rehabilitation of the patients, who have undergone a surgery in the craniofacial area.

Key words:
swelling, maxillofacial surgery, kinesiology taping, fracture, orthognathic surgery

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