The influence of kinesiology tape on postoperative edema, pain, and trismus in zygomaticomaxillary fracture


Department of Oral and Maxillofacial Surgery, SDM Craniofacial Centre, A Constituent Unit of Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka, India


Background and Objectives: Maxillofacial surgery induces alarming facial swelling while treating complex orbital and zygomatic bone fractures for which corticosteroids have been used aggressively causing side effects. This study is aimed to evaluate the efficacy of Kinesiology Tape (KT) in isolated zygomaticomaxillary complex (ZMC) fractures in the reduction of postoperative swelling, pain, and trismus. Methods: This was a prospective study involving thirty patients with isolated ZMC fractures divided into two groups: test and control. Surgery was performed in accordance with the standardized protocol customized for the study. KT was used on the test group. The objective assessment of swelling involving six specific reference points making five lines and pre- and postoperative mouth opening was recorded. The subjective assessment of pain and efficacy of KT was checked at the time of discharge. Results: There was a significant reduction in swelling in the postoperative period in the study group as compared to the control. The study group showed minimum swelling, and the rate of resolving was faster. Subjectively 86.6% of the patients were very satisfied in the study group and did not find any disturbance to the use of KT or difficulty in the neck movement. No significant difference was recorded in trismus and pain in both the groups. Conclusions: The postoperative swelling was significantly lower with application of KT in ZMC fractures. No significant influence was seen on pain and trismus. The subjective assessment of the patients revealed that the mouth opening increased after surgery in the study group which may be due to placebo effect. KT could be a simple, inexpensive, noninvasive approach in management of postoperative morbidity which promises to improve the quality of life.


Coskun Benlidayi I, Salimov F, Kurkcu M, Guzel R. Kinesio taping 
for temporomandibular disorders: Single‑blind, randomized, controlled 
trial of effectiveness. J Back Musculoskelet Rehabil 2016;29:373‑80.
2. Al‑Khateeb TH, Nusair Y. Effect of the proteolytic enzyme serrapeptase 
on swelling, pain and trismus after surgical extraction of mandibular 
third molars. Int J Oral Maxillofac Surg 2008;37:264‑8.
3. Brignardello‑Petersen R, Carrasco‑Labra A, Araya I, Yanine N, 
Beyene J, Shah PS. Is adjuvant laser therapy effective for preventing 
pain, swelling, and trismus after surgical removal of impacted 
mandibular third molars? A systematic review and meta‑analysis. J Oral 
Maxillofac Surg 2012;70:1789‑801.
4. Chou YH, Li SH, Liao SF, Tang HW. 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 2013;30:503‑6.
5. Genc A, Cakarer S, Yalcin BK, Kilic BB, Isler SC, Keskin C. 
A comparative study of surgical drain placement and the use of 
Kinesiologic tape to reduce postoperative morbidity after third molar 
surgery. Clin Oral Investig 2019;23:345‑50.
6. González‑Iglesias J, Fernández‑de‑Las‑Peñas C, Cleland JA, 
Huijbregts P, Del Rosario Gutiérrez‑Vega M. 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 2009;39:515‑21.
7. Banerjee G, Briggs M, Johnson MI. Kinesiology taping as an adjunct 
for pain management: A review of literature and evidence. Indian J Pain 
8. Kafa N, Citaker S, Omeroglu S, Peker T, Coskun N, Diker S. Effects 
of Kinesiologic taping on epidermal‑dermal distance, pain, edema 
and inflammation after experimentally induced soft tissue trauma. 
Physiother Theory Pract 2015;31:556‑61.
9. Dutta A, Gopinath A, Reyazulla M, Ramesh K, Srivastava S, Agarwal S. 
Kinesiologic tape breaking the traditional pharmacologic management 
of postoperative morbidity. World J Dent 2015;6:199‑202.
10. Lietz‑Kijak D, Kijak E, Krajczy M, Bogacz K, Łuniewski J, 
Szczegielniak J. The impact of the use of Kinesio taping method on 
the reduction of swelling in patients after orthognathic surgery: A pilot 
study. Med Sci Monit 2018;24:3736‑43.
11. Morris D, Jones D, Ryan H, Ryan CG. The clinical effects of 
Kinesio® Tex taping: A systematic review. Physiother Theory Pract 
12. Ristow O, Hohlweg‑Majert B, Stürzenbaum S, Kehl V, Koerdt S, 
Hahnefeld L, et al. Therapeutic elastic tape reduces morbidity 
after wisdom teeth removal – A clinical trial. Clin Oral Investig 
13. Ristow O, Hohlweg‑Majert B, Stürzenbaum SR, Kehl V, Koerdt S, 
Hahnefeld L, et al. Therapeutic elastic tape reduces morbidity 
after wisdom teeth removal – A clinical trial. Clin Oral Investig 
14. Ristow O, Pautke C, Kehl V, Koerdt S, Schwärzler K, Hahnefeld L,
et al. Influence of Kinesiologic tape on postoperative swelling, pain 
and trismus after zygomatico‑orbital fractures. J Craniomaxillofac Surg 
15. Thorén H, Snäll J, Kormi E, Numminen L, Fäh R, Iizuka T, et al. Does 
perioperative glucocorticosteroid treatment correlate with disturbance 
in surgical wound healing after treatment of facial fractures? A 
retrospective study. J Oral Maxillofac Surg 2009;67:1884‑8.
16. Tozzi U, Santagata M, Sellitto A, Tartaro GP. Influence of Kinesiologic 
tape on post‑operative swelling after orthognathic surgery. J Maxillofac 
Oral Surg 2016;15:52‑8.
17. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the 
[Downloaded free from on Wednesday, September 7, 2022, IP:]
Krishnamurthy, et al.: The Influence of KT in Zygomaticomaxillary Fracture
208 Archives of Trauma Research ¦ Volume 10 ¦ Issue 4 ¦ October‑December 2021
Kinesio Taping Method. Albuquerque: Kinesio Taping Association; 
18. Yaedú RY, Mello MA, Tucunduva RA, da Silveira JS, Takahashi MP, 
Valente AC. Postoperative orthognathic surgery edema assessment 
with and without manual lymphatic drainage. J Craniofac Surg 
19. Andreasen JO, Jensen SS, Schwartz O, Hillerup Y. A systematic review 
of prophylactic antibiotics in the surgical treatment of maxillofacial 
fractures. J Oral Maxillofac Surg 2006;64:1664‑8.
20. Assimes TL, Lessard ML. The use of perioperative corticosteroids in 
craniomaxillofacial surgery. Plast Reconstr Surg 1999;103:313‑21.
21. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in 
treatment and prevention of sports injuries. Sports Med 2012;42:153‑64.
22. Aznar‑Arasa L, Harutunian K, Figueiredo R, Valmaseda‑Castellón E, 
Gay‑Escoda C. Effect of preoperative ibuprofen on pain and swelling 
after lower third molar removal: A randomized controlled trial. Int J 
Oral Maxillofac Surg 2012;41:1005‑9.
23. Tsai HJ, Hung HC, Yang JL, Huang CS, Tsauo JY. Could Kinesio 
tape replace the bandage in decongestive lymphatic therapy for 
breast‑cancer‑related lymphedema? A pilot study. Support Care Cancer 
24. Bjorn H, Lundqvist C, Hjelmstrom P. A photogrammetric method of 
measuring the volume of facial swellings. J Dent Res 1954;33:295‑308.
25. Buyukkurt MC, Gungormus M, Kaya O. 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