Influence of Kinesiologic Tape on Post-operative Swelling After Orthognathic Surgery



Orthognathic surgery involves making several osteotomies that lead to varying degrees of post-operative swelling. The use of KT may be beneficial for postoperative treatment after head and neck surgery, accelerating drainage of tissue reaction or haemorrhages. The goal of this study was to find out if the application of KT prevents or improves swelling, pain and trismus after orthognathic surgery, improving patients’ postoperative quality of life.

Materials and Methods

In this double-blinded, randomized, control trial, 24 patients in whom bimaxillary orthognathic surgery was indicated, were included. Before surgery each patient alternatively was randomly included in the study group (treated with K-Taping® and corticosteroid) or in the control group (treated with corticosteroid). In the present study a MakerBot® Digitizer 3D™ was used to assess accurate volume measurements. All swelling measurements were expressed as total 3-D area of the landmarks (cm2 ) in T0 pre-operative, T1 fourth day after surgery.


The differences T0–T1 are highly significant (p < 0.01) between group 1 or study group (treated with K-taping®) and group 2 (control group).


The use of KT appears promising, because it is simple to carry out, less traumatic, economical, can be performed everywhere in the world, free from side effects on the body. Even when swelling persists, KT gives patients the impression of a minor swelling detracting them from their pain and morbidity. Further studies have to be performed to find out if KT can reduce or replace the need for additional medications such as the use of steroids.

This is a preview of subscription content, log in to check access.

Fig. 1
Fig. 2
Fig. 3
Fig. 4


  1. 1.

    Kim K, Brar P, Jakubowski J, Kaltman S, Lopez E (2009) The use of corticosteroids and nonsteroidal antiinflammatory medication for the management of pain and inflammation after third molar surgery: a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:630–640

    Article  PubMed  Google Scholar 

  2. 2.

    Aznar-Arasa L, Harutunian K, Figueiredo R, Valmaseda-Castellon E, Gay-Escoda C (2012) Effect of preoperative ibuprofen on pain and swelling after lower third molar removal: a randomized controlled trial. Int J Oral Maxillofac Surg 41:1005–1009

    Article  CAS  PubMed  Google Scholar 

  3. 3.

    Thoren H, Snall J, Kormi E, Numminen L, Fah R, Iizuka T et al (2009) Does perioperative glucocorticosteroid treatment correlate with disturbance in surgical wound healing after treatment of facial fractures? A retrospective study. J Oral Maxillofac Surg 67:1884–1888

    Article  PubMed  Google Scholar 

  4. 4.

    Knepil GJ, Loukota RA (2010) Outcomes of prophylactic antibiotics following surgery for zygomatic bone fractures. J Craniomaxillofac Surg 38:131–133

    Article  PubMed  Google Scholar 

  5. 5.

    Al-Khateeb TH, Nusair Y (2008) Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars. Int J Oral Maxillofac Surg 37:264–268

    Article  CAS  PubMed  Google Scholar 

  6. 6.

    Markovic A, Todorovic L (2007) Effectiveness of dexamethasone and low-power laser in minimizing oedema after third molar surgery: a clinical trial. Int J Oral Maxillofac Surg 36:226–229

    Article  CAS  PubMed  Google Scholar 

  7. 7.

    Rana M, Gellrich NC, von See C, Weiskopf C, Gerressen M, Ghassemi A et al (2013) 3D evaluation of postoperative swelling in treatment of bilateral mandibular fractures using 2 different cooling therapy methods: a randomized observer blind prospective study. J Craniomaxillofac Surg 41(1):17–23

    Article  Google Scholar 

  8. 8.

    Szolnoky G, Szendi-Horvath K, Seres L, Boda K, Kemeny L (2007) Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology 40:138–142

    CAS  PubMed  Google Scholar 

  9. 9.

    Williams S, Whatman C, Hume PA, Sheerin K (2012) Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med 42:153–164

    Article  PubMed  Google Scholar 

  10. 10.

    Chou YH, Li SH, Liao SF, Tang HW (2012) Case report: manual lymphatic drainage and kinesio taping in the secondary malignant breast cancer-related lymphedema in an arm with arteriovenous (A-V) fistula for hemodialysis. Am J Hosp Palliat Care, PMID: 22879520

  11. 11.

    Kase K, Hashimoto T, Tomoki O (1996) Development of kinesio taping perfect manual. Kinesio Taping Association

  12. 12.

    Kase K, Wallis J, Kase T (2003) Clinical therapeutic applications of the kinesio taping method, 2nd edn. Ken Ikai Co., Ltd, Tokyo

    Google Scholar 

  13. 13.

    Bjorn H, Lundqvist C, Hjelmstrom P (1954) A photogrammetric method of measuring the volume of facial swellings. J Dent Res 33:295–308

    Article  CAS  PubMed  Google Scholar 

  14. 14.

    Milles M, Desjardins PJ, Pawel HE (1985) The facial plethysmograph: a new instrument to measure facial swelling volumetrically. J Oral Maxillofac Surg 43:346–352

    Article  CAS  PubMed  Google Scholar 

  15. 15.

    Van Gool AV, Ten Bosch JJ, Boering G (1975) A photographic method of assessing swelling following third molar removal. Int J Oral Surg 4:121–129

    Article  PubMed  Google Scholar 

  16. 16.

    Calderoni DR, Guidi Mde C, Kharmandayan P, Nunes PH (2011) Seven-year institutional experience in the surgical treatment of orbito-zygomatic fractures. J Craniomaxillofac Surg 39:593–599

    Article  PubMed  Google Scholar 

  17. 17.

    Osunde OD, Adebola RA, Omeje UK (2011) Management of inflammatory complications in third molar surgery: a review of the literature. Afr Health Sci 11:530–537

    PubMed Central  CAS  PubMed  Google Scholar 

  18. 18.

    Assimes TL, Lessard ML (1999) The use of perioperative corticosteroids in craniomaxillofacial surgery. Plast Reconstr Surg 103:313–321

    Article  CAS  PubMed  Google Scholar 

  19. 19.

    Buyukkurt MC, Gungormus M, Kaya O (2006) The effect of a single dose prednisolone with and without diclofenac on pain, trismus, and swelling after removal of mandibular third molars. J Oral Maxillofac Surg 64:1761–1766

    Article  PubMed  Google Scholar 

  20. 20.

    Grossi GB, Maiorana C, Garramone RA, Borgonovo A, Beretta M, Farronato D et al (2007) Effect of submucosal injection of dexamethasone on postoperative discomfort after third molar surgery: a prospective study. J Oral Maxillofac Surg 65:2218–2226

    Article  PubMed  Google Scholar 

  21. 21.

    Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51–61

    Article  PubMed  Google Scholar 

  22. 22.

    Tsai HJ, Hung HC, Yang JL, Huang CS, Tsauo JY (2009) Could kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer 17:1353–1360

    Article  PubMed  Google Scholar 

  23. 23.

    Ristow O et al (2013) Influence of kinesiologic tape on postoperative swelling, pain and trismus after zygomatico-orbital fractures. J Craniomaxillofacial Surg 42(5):469–476

    Article  Google Scholar 

  24. 24.

    Shim JY, Lee HR, Lee DC (1993) The use of elastic adhesive tape to promote lymphatic flow in the rabbit hind leg. Yonsei Med 44:1045–1052

    Article  Google Scholar 

  25. 25.

    Gonzalez-Iglesias J, Fernandez-de-Las-Penas C, Cleland JA, Huijbregts P, Del Rosario Gutierrez-Vega M (2009) Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther 39:515–521

    Article  PubMed  Google Scholar 

  26. 26.

    Thelen MD, Dauber JA, Stoneman PD (2008) The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther 38:389–395

    Article  PubMed  Google Scholar 

Download references


There was no financial support for this study by any company.

Conflict of interest

We declare that we have no conflicts of interest.

Author information



Corresponding author

Correspondence to U. Tozzi.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Tozzi, U., Santagata, M., Sellitto, A. et al. Influence of Kinesiologic Tape on Post-operative Swelling After Orthognathic Surgery. J. Maxillofac. Oral Surg. 15, 52–58 (2016).

Download citation


  • Orthognathic surgery
  • Kinesiotape
  • Edema
  • Digitizer 3-D