Pulsed electromagnetic fields (PEMF) as a valid tool in orthognathic surgery to reduce post-operative pain and swelling: a prospective study.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-09-01 Epub Date: 2024-05-03 DOI:10.1007/s10006-024-01256-9

Marco Friscia, Vincenzo Abbate, Gianluca Renato De Fazio, Lorenzo Sani, Raffaele Spinelli, Stefania Troise, Paola Bonavolontà, Umberto Committeri, Luigi Califano, Giovanni Dell'Aversana Orabona

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Abstract

Purpose: PEMF (pulsed electromagnetic fields) founds application in several medical fields to accelerate bone wounds healing and to reduce inflammation. The aim of our study was to evaluate the effectiveness of PEMF in reducing postoperative swelling and pain in patients undergoing orthognathic surgery.

Methods: A prospective observational monocentric study was conducted on a sample of 30 patients undergone to orthognathic surgery in Maxillofacial Surgery Unit of University of Naples Federico II. The patients who followed these inclusion criteria were enrolled in the study: age ≥ 18 years, Class III malocclusion, Surgical procedure of Le Fort I osteotomy + Bilateral Sagittal Split Osteotomy (BSSO), Written informed consent. Patients were divided into two groups: Group SD) postoperative standard treatment with medical therapy and cryotherapy, Group SD + PEMF) postoperative standard therapy + PEMF. Each patient underwent a 3D facial scan, at one (1d) and four (4d) days after surgery to compare the swelling reduction. The pain score was assessed through VAS score and analgesics administration amount.

Results: In SD + PEMF group, the facial volume reduction between 1d and 4d scan was on average 56.2 ml (6.23%), while in SD group, it was 23.6 ml (2.63%). The difference between the two groups was 3.6% (p = 0.0168). VAS pain values were significantly higher in SD group compared to SD + PEMF group in the second day after surgery (P = 0.021) and in the total 4 days (P = 0.008).

Conclusions: Our data suggest that PEMF is valid tool to promote faster postoperative swelling and pain reduction in patients undergoing orthognathic surgery.

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将脉冲电磁场 (PEMF) 作为正颌外科手术中减轻术后疼痛和肿胀的有效工具：一项前瞻性研究。

目的：脉冲电磁场（PEMF）已在多个医疗领域得到应用，可加速骨创伤愈合并减轻炎症。我们的研究旨在评估 PEMF 在减轻正颌手术患者术后肿胀和疼痛方面的效果：我们对那不勒斯费德里科二世大学颌面外科的 30 名正畸手术患者进行了前瞻性单中心观察研究。符合以下纳入标准的患者被纳入研究：年龄≥18岁、III度错颌畸形、Le Fort I截骨术+双侧矢状劈开截骨术（BSSO）、书面知情同意书。患者分为两组：SD 组）术后标准治疗，包括药物治疗和冷冻治疗；SD + PEMF 组）术后标准治疗 + PEMF。每位患者分别在术后 1 天和 4 天接受 3D 面部扫描，以比较肿胀消退情况。疼痛评分通过 VAS 评分和镇痛剂用量进行评估：SD+PEMF组在术后1天和4天扫描时面部体积平均缩小了56.2毫升（6.23%），而SD组缩小了23.6毫升（2.63%）。两组之间的差异为 3.6%（P = 0.0168）。在术后第二天（P = 0.021）和总共四天（P = 0.008），标清组的 VAS 疼痛值明显高于标清 + PEMF 组：我们的数据表明，PEMF 是促进正颌手术患者术后快速消肿止痛的有效工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.20

自引率

5.60%

发文量

118

期刊介绍： Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).