Ortognatik Cerrahi Sonrası Fizyoterapi ve Rehabilitasyon

Yıl 2025, Cilt: 5 Sayı: 2, 292 - 302, 29.08.2025

Alpin Değirmenci , Özden Özkal

https://doi.org/10.56061/fbujohs.1646549

Öz

Ortognatik cerrahide tedavi hedefleri, yüz dengesini sağlamak, estetiği artırmak, çiğneme fonksiyonunu ve oklüzyonu iyileştirerek bireylerin yaşam kalitelerini artırmaktır. Ağrı, ödem ve maksimal mandibular hareket açıklığındaki azalma cerrahi sonrası erken dönemde ortaya çıkan en önemli komplikasyonlardandır. Bu problemlerin yönetiminde medikal tedavi ile birlikte fizyoterapi ve rehabilitasyon yaklaşımları uygulanmaktadır. Cerrahi sonrası genel anestezinin komplikasyonları önlemek için erken dönemde hastanın mobilize edilmesi ve solunum egzersizlerinin fizyoterapi ve rehabilitasyon programına eklenmesi önemlidir. Cerrahi sonrası ağrı ve ödem yönetiminde elektroterapi modaliteleri, manuel lenf drenajı ve kinezyo bantlama teknikleri tedavi programında yer almaktadır. İlk haftadan sonra aktif eklem hareket açıklığı egzersizler ve fonksiyonel egzersizler programa eklenebilir. Birinci aydan sonra ise pasif eklem hareket açıklığı ve germe egzersizleri ile tedavi programına devam edilir. Yapılan cerrahinin tipi, ameliyat süresi, yoğun bakımda kalış süresi gibi faktörler tedavi planını ve başarısını etkileyebilir. Tedavi sürecinde, ağız, diş ve çene cerrahisi ile fizyoterapi ve rehabilitasyon disiplinlerinin birlikte çalışması ameliyat sonrası başarıyı olumlu yönde etkiler. Cerrahi sonrası, kişiye özel değerlendirme yapılarak fizyoterapi ve rehabilitasyon programının oluşturulması cerrahi sonrası bireylerin günlük yaşama dönüş süreçlerini hızlandırarak yaşam kalitelerini artırmaktadır

Anahtar Kelimeler

Ortognatik Cerrahi , maksillofasiyal cerrahi , fizyoterapi , rehabilitasyon

Etik Beyan

Etik kurul onayı gerekli değildir.

Destekleyen Kurum

yok

Teşekkür

yok

Physiotherapy and Rehabilitation After Orthognathic Surgery

Öz

The objectives of orthognathic surgery encompass achieving facial symmetry, enhancing aesthetics, optimizing masticatory function and occlusion, and elevating the quality of life. Pain, edema, and decreased maximal mandibular range of motion are the most important complications that occur early after surgery. Physiotherapy and rehabilitation approaches are combined with medical treatment to manage these problems. In order to prevent complications of general anesthesia after surgery, it is important to mobilize the patient early and add breathing exercises to the physiotherapy and rehabilitation program. Electrotherapy modalities, manual lymph drainage, and kinesio-taping techniques are included in the treatment program for postoperative pain and edema management. Active joint range of motion and functional exercises can be added to the program after the first week. After the first month, the treatment program continues with passive joint range of motion and stretching exercises. Factors such as the type of surgery performed, the duration of surgery, and the length of stay in intensive care can affect the treatment plan and its success. The collaboration of oral, dental, and maxillofacial surgery and physiotherapy and rehabilitation disciplines positively affects postoperative success during treatment. After surgery, a personalized assessment is made, and a physiotherapy and rehabilitation program is created, accelerating individuals' return to daily life after surgery and increasing their quality of life.

Anahtar Kelimeler

orthognathic surgery , maxillofacial surgery , physiotherapy , rehabilitation

Kaynakça

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