RU2810269C1 - Method of applying kinesiological bandage to patients after orthognathic surgery - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention can be used when applying a kinesiological bandage to patients after orthognathic surgery. After 48 hours of surgery, the skin on which a bandage is applied is degreased, namely the areas of the middle and lower areas of the face, as well as the area of the back of the neck, in particular the area of the trapezius muscle, with a 70% solution of ethyl alcohol. Next, a postoperative bandage made in the form of separate kinesiological tapes is applied to these areas, with individual selection of the size of the tapes for each patient. Kinesiology tapes are applied as follows. Both the right and left sides of the face are taped using two separate strips of tape on each side. To carry out kinesio taping with the first tape, one end is applied to the area of the subclavian fossa, and the second is cut into 5 equal parts, with the first part fixed in the pillow area, the second in the area of the corner of the eye, the third in the infraorbital region, the fourth at the base of the large alar cartilage of the nose along the nasolabial fold, the fifth to the fossa of the corner of the mouth. Parts of the tape partially cover the swollen areas of the middle and lower areas of the face in the place of greatest swelling, with a stretching tension of the tape of 10%. To carry out kinesio taping with a second tape, which is fixed along the trapezius muscle, the common end is fixed in the area of the outer surface of the shoulder, and the second is cut into 2 equal parts, fixed at 45° along the descending and transverse part of the trapezius muscle, with tape tensile tension of 10%. All taping applications are performed using tape size 50×0.5 mm.

EFFECT: method ensures the prevention of the occurrence and progression of postoperative edema in the postoperative area of the lower jaw.

1 cl, 4 dwg, 2 ex

Description

The problem of postoperative edema is one of the most pressing in modern medicine and the recovery process is no less important than the therapy process. Modern medicine knows various ways to alleviate a patient’s condition after surgery, including various methods of applying pressure bandages.

There is a known method of applying a postoperative kinesiological bandage, which includes applying kinesiological tapes to the skin in the form of separate bandages (https://www.tandfonline.com/doi/abs/10.1080/08869634.2021.2009994?journalCode=ycra20).

The disadvantage of this method is the impossibility of influencing key areas of the face during surgical interventions, due to insufficient coverage of the maxillofacial area during taping.

There is also a known method for applying a pressure postoperative kinesiological bandage, which includes applying bandages made in the form of separate kinesiological tapes to the skin (US 10517767 B2, 12/31/2019).

The disadvantage of this method is the impossibility of using this method for application to the maxillofacial area, due to the shape and size of the kinesiological tapes used.

The technical result of the invention is to prevent the occurrence and progression of postoperative edema in the postoperative area of the maxillofacial area.

The method is carried out as follows.

48 hours after surgery, the skin on which the bandage is applied is degreased, namely the area of the middle and lower zones of the face, as well as the area of the back of the neck, in particular the area of the trapezius muscle, with a 70% solution of ethyl alcohol.

Next, a postoperative bandage made in the form of separate kinesiological tapes is applied to these areas, with individual selection of the size of the tapes for each patient. Kinesiology tapes are applied as follows.

Both the right and left sides of the face are taped using two separate strips of tape on each side (Fig. 1).

To carry out kinesiotaping, the first tape is applied to one end in the area of the subclavian fossa, and the second is cut into 5 equal parts, while the first part is fixed in the pillow area, the second in the area of the corner of the eye, the third in the infraorbital region, the fourth at the base of the large alar cartilage nose along the nasolabial fold, fifth to the fossa of the corner of the mouth. Parts of the tape partially cover the swollen areas of the middle and lower areas of the face in the place of greatest swelling, with a stretching tension of the tape of 10%. To carry out kinesio taping with the second tape, which is fixed along the trapezius muscle, the common end is fixed in the area of the outer surface of the shoulder, and the second is cut into 2 equal parts, fixed at 45° along the descending and transverse part of the trapezius muscle, with a tensile tension of the tape of 10%. This manipulation will be performed on both sides. All taping applications are performed using tape with dimensions of 50×0.5 mm. Using this method, 34 patients were bandaged in a clinical setting after surgical interventions in the maxillofacial area.

Example 1.

Patient V., 20 years old, was admitted to the department of maxillofacial surgery with a diagnosis of: Combined deformation of the jaws, skeletal asymmetric deformation of the jaws. Mesial bite. III skeletal class according to Engle's classification.

Surgical intervention was performed in the following volume: “Bipillary orthognathic surgery by osteotomy of the upper and lower jaws.”

On the second day after surgery, the skin of the middle and lower areas of the face and the back of the neck, namely the area of the trapezius muscle, was degreased with a 70% solution of ethyl alcohol. Next, we applied kinesiological tapes. One end of the first tape, measuring 150×50×0.5 mm, was fixed in the area of the subclavian fossa, the second end was cut into 5 parts, these parts were individually fixed at certain points - from the supraclavicular fossa to the pillow area (100×1×0, 5 mm); from the supraclavicular to the fossa of the canthus (140×1×0.5 mm); from the supraclavicular fossa to the infraorbital region (140×1×0.5 mm); from the supraclavicular fossa of the base of the greater alar cartilage of the nose to the nasolabial fold (140×1×0.5 mm); from the supraclavicular fossa to the corner of the mouth (100×1×0.5 mm) (Fig. 3).

The second tape, measuring 50×0.5 and 170 mm long, was fixed in the area of the trapezius muscle, where one common end was fixed in the area of the outer surface of the shoulder, and the second was cut into 2 parts and fixed at 45° along the descending and transverse part of the trapezius muscle (Fig. 2, 4).

This manipulation was performed on both sides. Kinesio taping was carried out with a tensile tension on the tape of 10%.

Example 2.

Patient G., 37 years old, was admitted to the department of maxillofacial surgery with a diagnosis of: Combined deformation of the jaws, skeletal asymmetric deformation of the jaws. Distal bite. II skeletal class according to Engle's classification.

Surgical intervention was performed in the following volume: “Bipillary orthognathic surgery by osteotomy of the upper and lower jaws. Genioplasty."

On the second day of postoperative intervention, the skin of the middle, lower areas of the face and the back of the neck, and specifically the area of the trapezius muscle, was degreased with a 70% solution of ethyl alcohol. Next, we applied kinesiological tapes. One end of the first tape, measuring 50 × 0.5 x 170 mm long, was fixed in the area of the subclavian fossa, the second end was cut into 5 parts, these sections were individually glued at certain points - from the supraclavicular fossa to the pillow area (120 × 1 × 0.5 mm); from the supraclavicular fossa to the corner of the eye (150×1×0.5 mm); from the supraclavicular fossa to the infraorbital region (150×1×0.5 mm); from the supraclavicular fossa to the base of the greater alar cartilage of the nose along the nasolabial fold (150×1×0.5 mm); from the supraclavicular to the fossa of the corner of the mouth (120×1×0.5 mm).

The second tape, measuring 50×0.5, 170 mm long, was fixed in the area of the trapezius muscle, where one common end was fixed in the area of the outer surface of the shoulder, and the second was cut into 2 parts and fixed at 45° along the descending and transverse part of the trapezius muscle

This manipulation was performed on both sides. Kinesio taping was carried out with a tape stretching tension of 10%

Each patient was instructed to carry out their daily activities for 5 days without unnecessary patch care. This instruction was given twice with a break of 5 days.

By using this method of applying a kinesiological bandage, it is possible to prevent the formation and growth of postoperative edema after orthognathic surgery.

Claims (1)

A method of applying tapes to patients after orthognathic surgery, including applying tapes to the skin in the form of separate bandages, characterized in that on the second day after surgery, the skin in the middle and lower zones of the face, as well as in the back of the neck, is degreased 70 % ethyl alcohol solution, then tapes are applied, where both the right and left sides of the face are taped using two separate tapes on each side, with one end of the first tape applied to the area of the subclavian fossa, and the second cut into 5 equal parts, with the first part is fixed in the pillow area, the second in the corner of the eye, the third in the infraorbital region, the fourth at the base of the large alar cartilage of the nose along the nasolabial fold, the fifth to the fossa of the corner of the mouth, with a tape tension of 10%, the second tape is applied along the trapezius muscle, where one end is fixed in the area of the outer surface of the shoulder, and the second is cut into 2 parts and fixed at an angle of 45° along the descending and transverse part of the trapezius muscle, with a tape tension of 10%.