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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實施手工理療活動作為支持先天性叮咬和顳下頜關節畸形手術治療的重要因素 – 病例報告

Szymon Tyszkiewicz, Marta Tyndorf, Krzysztof Dowgierd

S. Tyszkiewicz, M. Tyndorf, K. Dowgierd – Implementation of manual physiotherapeutic activities as an important element of supporting surgical treatment in congenital malformations of the bite and temporomandibular joints – case report. Fizjoterapia Polska 2019; 19(3); 38-45

摘要
简介:用于治疗先天性颅面缺损的外科手术可能会导致口颔系统功能受损的并发症,这些缺陷为多方面的问题,在不同阶段的治疗过程中必须有颔面外科专家、显微外科医生、正牙医生、语言治疗师及物理治疗师等参与。
研究目的。本研究目的在确认物理治疗对接受咀嚼系统疾病患者的口颔系统运动恢复上的有效性。
材料和方法:针对颞下颔关节假体进行了双颔骨成形术的颞下颔关节先天性强直患者所进行的报告中提出使用物理疗程的分析。
结果:超过半年来来所使用的物理疗法带来成果,水肿降低且达到预期的外展范围,另外疼痛减轻且吞咽能力恢复。持续的疗程能让效果维持,然而工作强度降低时效果将中断。为了提高并稳定效果,计划对患者进行微移植(电缆式神经移植术)及正畸治疗(牙尖吻合及正中牙合),与语言治疗师和物理治疗师的配合也将继续进行。
结论。支持性物理治疗应作为颅骨面部手术后患者治疗的要素之一,无论其成因为何,是否是受伤、天生缺陷或正颔手术造成。

关键词:
关节成形术、强直、牙科理疗、颞下颔关节

 

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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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