Virtual and minimally traumatic surgery in bucomaxillofacial procedures: a concise systematic review

• Autor(a) principal: Ortega, Liliane Fernanda Luz
• Data de Publicação: 2022
• Outros Autores: Cicareli, Alvaro José, Kassis, Elias Naim, Manzini, Régis
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: MedNEXT Journal of Medical and Health Sciences
• Texto Completo: https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/193
• topic: Virtual surgery; Guided surgery; Minimally invasive surgery; Minimally traumatic surgery; Maxillofacial surgery

Introduction: In recent years, maxillary atrophy is an increasingly frequent clinical condition and the causes that lead to focal or generalized atrophy are multiple factors. Based on the histological concept in which living tissues are formed by cells joined by thin elastic tissue and with nerve fibrils, capillaries, lymphatic and blood vessels. The disruption of these cells by surgical trauma provides the release of enzymes that delay healing. For this reason, surgical trauma should be minimized. Objective: Aimed to perform a brief review of the main considerations of virtual and minimally traumatic surgery in the context of maxillofacial surgery. Methods: The model used for the review was PRISMA. We used databases such as Scielo, Lilacs, Google Scholar, PubMed. The Cochrane Instrument was used to assess the risk of bias of the included studies. Results and Conclusion: A total of 118 articles were found involving virtual and minimally invasive surgery in maxillofacial procedures. A total of 56 articles were fully evaluated and 28 were included in this study. the main considerations regarding minimally traumatic surgery are the attempt to minimize the professional's effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients. Thus, the maximum preservation of the integrity of the soft tissues adjacent to the prosthetic spaces and the preservation of the level of the ridge of the alveolar bone to achieve a minimization of surgical trauma must be sought.