Early recovery after surgery protocol in orthognathic surgery: a randomized, blind clinical study

Abstract

A randomized, blind and prospective clinical trial was conducted to compare two clinical rehabilitation protocols in patients submitted to orthognathic surgery, during the first 60 days after surgery. Pain, edema, mandibular movement, masticatory efficiency and quality of life were evaluated. Nineteen (19) patients were separated into control and experimental groups. The control group consisted of 10 patients followed by oral and maxillofacial surgeons and submitted to a rehabilitation protocol that involved active and passive mouth opening exercises. The experimental group had 9 patients and followed the surgeons' protocol, in addition to an Early Recovery After Surgery (ERAS) protocol performed by speech therapists, and involving specific motricity exercises and lymphatic drainage. The Student's t-test was applied to compare the results, and the Fisher's exact test of independence, to analyze the quality of life and the masticatory efficiency variables. The statistical significance was set at 5% (p < 0.05) for all the tests. The results showed that the ERAS protocol made a positive difference in pain perception in the first 14 days. However, it did not improve the other variables. Although many variables showed no significant difference, it was concluded that the surgeons can delegate patient rehabilitation to qualified professionals, so that they can optimize their postoperative clinical time.

Optimizing Orthognathic and Maxillofacial Surgery Outcomes: Integration of Surgery First Approach (SFA), Early Recovery after Surgery (ERAS), CAD/ CAM and Extended Reality (XR) in the Metaverse to Minimize Overnight Hospitalization

“…Thus, their findings underscored the safety and efficacy of the ERAS protocols, not just for orthognathic surgery, but also suggested their considerable relevance for other maxillofacial surgeries. Oliveira [5] conducted a randomized, blind, and prospective clinical trial comparing two rehabilitation protocols for patients undergoing orthognathic surgery. The study, which focused on the initial 60 days post-surgery, evaluated variables such as pain, edema, mandibular movement, masticatory efficiency, and quality of life.…”

Pesquisa e Extensão: Abordagem Interdisciplinar

“…A forma como o culto ao corpo tornou-se observada pode ocasionar serias complicações para a saúde das pessoas e é nessa realidade que várias imposições são acarretadas sobre visão da imagem corporal e saúde de mulheres portadoras de vitiligo, pois para estas, já se torna comum apresentar falhas em seu nível de aceitação e ainda para o aumento do agravo, muitas dessas mulheres são julgadas "diferentes" quanto ao comparado sobre os modelos corporais ainda impostos, dificultando ainda mais o mecanismo de aceitação e autocuidado com a doença (ALBUQUERQUE;OLIVEIRA, 2021).…”