ORIGINAL RESEARCH article
Front. Surg.
Sec. Otorhinolaryngology - Head and Neck Surgery
Clinical Study on the Effects of Different Cold Compress Methods and Durations on Postoperative Complications Following Mandibular Impacted Third Molar Extraction
Provisionally accepted
- Second Hospital of Hebei Medical University, Shijiazhuang, China
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Background: To optimize the postoperative cold compress protocol for mandibular impacted third molar extraction. Methods: Subjects were randomly divided into two major groups. The first group compared continuous versus intermittent cold compress application, while the second group evaluated the duration of cold compress therapy. Postoperative outcomes, including pain intensity, facial swelling, trismus, and wound hemorrhage, were systematically analyzed. Results: Continuous cold compress application within the first 6 hours postoperatively demonstrated superior efficacy over intermittent application in alleviating pain, reducing swelling, improving mouth opening, and minimizing hemorrhage incidence. Cold compress application during postoperative D1 significantly controlled hemorrhage and mitigated acute pain. Prolonged therapy to D3 further enhanced facial edema reduction and trismus resolution. Conclusions: A protocol of continuous cold compress application for 6 hours daily during the initial 3 postoperative days significantly reduces complications, offering optimal clinical outcomes.
Keywords: clinical first-hand data, cold compress methods, cold compress duration, mandibular impacted third molar extraction, Postoperative Complications
Received: 12 May 2025; Accepted: 06 Nov 2025.
Copyright: © 2025 Xie, Zhang, Du, Wang, Wang, Li and Qu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Pengfei Qu, qpf7598@163.com
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