Lymphatic Drainage Massage and Melatonin in Post-Orthognathic Surgery Pain and Edema

The Effect of Lymphatic Drainage Massage and Melatonin on Pain and Edema After Orthognathic Surgery.

Lymphatic drainage massage is one of the most essential techniques for reducing edema. It is a very gentle, monotonous, slow, rhythmic massage applied to the skin's surface. This technique accelerates the flow of lymphatic fluid, minimizing swelling and providing relief. Frequently used after orthognathic surgery, lymphatic drainage massage helps reduce edema, enhancing patients' postoperative comfort.

Melatonin, a hormone produced by the pineal gland, is a neurochemical substance that functions in harmony with the body's natural rhythm. In addition to its presence in the brain, melatonin can also be found in the retina, bone marrow, intestines, skin, and various blood cells. Conditions such as insomnia or jet lag may benefit from melatonin supplements. Beyond its role in improving sleep quality, melatonin also contributes to regulating the immune system, body temperature, blood pressure, and cortisol hormone levels.

Another important function of melatonin is its powerful free radical-scavenging ability. It can neutralize both reactive oxygen species and reactive nitrogen species. Due to its strong antioxidant properties, several studies have investigated its effects on pain and edema. Research has shown that preoperative and postoperative melatonin administration can reduce postoperative pain and accelerate sensory recovery through its antioxidant effects.

Inclusion Criteria:

1. Patients with dentofacial deformities who are planned to undergo orthognathic surgery
2. Patients who have not previously undergone orthognathic surgery
3. Patients with no systemic diseases

Exclusion Criteria:

1. Presence of systemic diseases affecting general health
2. Presence of malignant disease in the head and neck region
3. Patients who have previously undergone orthognathic surgery
4. Patients with any bleeding disorders
5. Patients with cardiovascular disease who are under anticoagulant or antiplatelet therapy