Objective
The aim of this study was to investigate the effect of manual lymphatic drainage (MLD)
on postoperative facial swelling and pain.
Study Design
A randomized, single-center, prospective, 2-arm clinical trial with blinded endpoint
assessment was set up. Patients were enrolled from the Maxillofacial Department of
the Ghent University Hospital (Belgium) between January 2015 and March 2018. Both
the intervention group (n = 13) and the control group (n = 13) received the same postoperative
care; in addition, the intervention group underwent 6 sessions of MLD after orthognathic
surgery. Three-dimensional facial scans were performed and questionnaires administered
on postoperative days 3, 7, 14, 30, 90, and 180. A linear mixed model was performed,
and statistical significance was assumed at the 5% level.
Results
In total, 26 patients (mean age 29 years; range 16–57 years) were included for statistical
analysis. A faster decrease in swelling in the intervention group was observed on
3-dimensional scans. Furthermore, patients receiving MLD reported reduction in swelling
and pain within the first month after surgery. However, no statistically significant
difference could be detected in these observations (P > .05).
Conclusions
Within the limitations of this study, no statistically significant difference could
be found between patients treated with or without MLD after orthognathic surgery with
regard to swelling and pain.
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Article info
Publication history
Published online: July 15, 2020
Accepted:
May 25,
2020
Received in revised form:
April 7,
2020
Received:
February 25,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
