Controlled local hypothermia in the complex treatment of patients with congenital anomalies of jaw development; [Контролируемая локальная гипотермия в комплексном лечении пациентов с врожденными аномалиями развития челюстей]

Annotation. Today, operations on the bones of the facial skeleton are associated with such postoperative phenomena as: swelling, pain, trismus of the masticatory muscles and impaired sensitivity in the zone of the 2nd and 3rd branches of the trigeminal nerve. Many scientific works have noted the beneficial effects of cold compresses on the postoperative area, and the anatomical and topographical feature of the maxillary facial area makes it difficult to assess facial edema. One of the promising methods of patient rehabilitation is controlled local hypothermia using a hardware method, and the structural measurement of facial edema is optical scanning. This study aimed to evaluate the 3D optical scanner and the Vitermo device after orthognathic surgery. Postoperative swelling was treated with either conventional cold packs or custom-made face masks and a ViTermo circulation system. In each control group, pain, complaints, swelling, trismus of masticatory muscles, sensory disturbance in the 2nd and 3rd branches of the trigeminal nerve, length of hospital stay, and patient satisfaction were noted. The use of the Vitermo cooling device significantly reduced postoperative swelling and improved patient recovery. © 2024 Clinical Dentistry LLC. All rights reserved.