Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
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/246 |
Resumo: | Introduction: Orthognathic Surgery (OS) aims to correct deformities of the bones of the maxilla and mandible. In this scenario, fat grafting is a powerful tool for corrections and also for facial aesthetic improvement together or after OS. The benefits of fat grafting during orthognathic surgery; to maximize aesthetic results, minimize swelling and optimize wound healing. Objective: To analyze the main clinical studies on the benefits and risks of facial fat grafting in orthognathic surgery, to know the current state of the art. Methods: It followed a systematic literature review model on the main clinical findings of orthognathic surgery and fat grafting, according to the rules of PRISMA. The research was carried out from January 2021 to May 2021 and developed based on Google Scholar, Scopus, PubMed, Ovid, Scielo, and Cochrane Library. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: 123 studies were analyzed, with only 52 medium and high-quality studies selected, according to GRADE rules, and with risks of bias that do not compromise scientific development, based on the Cochrane instrument. Studies have shown that OS aims to establish harmonious facial esthetics, excellent functional occlusion, and improved airway conditions. As an important adjunct to OS, fat grafting is becoming more and more common due to its anti-inflammatory role and effects on facial swelling. High patient satisfaction with the results. Postoperative swelling resolved at week 12 in the fat graft group and persistent edema. The edema decrease over time, with almost complete resolution within 1 year, improvement in facial morphology, function, quality, and skin texture in most of their patients. The use of assisted lipo transfers containing mesenchymal stem cells derived from adipose tissue, enables improvement in skin quality, smoothing of wrinkles, pore size, and attenuation of pigmentation and resolution of scars. Furthermore, enrichment of the lipoaspirate with stem cells derived from adipose tissue increases graft retention. Conclusion: Most of the studies analyzed in this review study showed that fat grafting in orthognathic surgery is a safe and effective tool to improve wound healing, improve aesthetic results, present an anti-inflammatory effect and reduce edema. |
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Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic reviewOrthognathic surgeryLipograftingFat graftingFacial symmetryAestheticsIntroduction: Orthognathic Surgery (OS) aims to correct deformities of the bones of the maxilla and mandible. In this scenario, fat grafting is a powerful tool for corrections and also for facial aesthetic improvement together or after OS. The benefits of fat grafting during orthognathic surgery; to maximize aesthetic results, minimize swelling and optimize wound healing. Objective: To analyze the main clinical studies on the benefits and risks of facial fat grafting in orthognathic surgery, to know the current state of the art. Methods: It followed a systematic literature review model on the main clinical findings of orthognathic surgery and fat grafting, according to the rules of PRISMA. The research was carried out from January 2021 to May 2021 and developed based on Google Scholar, Scopus, PubMed, Ovid, Scielo, and Cochrane Library. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: 123 studies were analyzed, with only 52 medium and high-quality studies selected, according to GRADE rules, and with risks of bias that do not compromise scientific development, based on the Cochrane instrument. Studies have shown that OS aims to establish harmonious facial esthetics, excellent functional occlusion, and improved airway conditions. As an important adjunct to OS, fat grafting is becoming more and more common due to its anti-inflammatory role and effects on facial swelling. High patient satisfaction with the results. Postoperative swelling resolved at week 12 in the fat graft group and persistent edema. The edema decrease over time, with almost complete resolution within 1 year, improvement in facial morphology, function, quality, and skin texture in most of their patients. The use of assisted lipo transfers containing mesenchymal stem cells derived from adipose tissue, enables improvement in skin quality, smoothing of wrinkles, pore size, and attenuation of pigmentation and resolution of scars. Furthermore, enrichment of the lipoaspirate with stem cells derived from adipose tissue increases graft retention. Conclusion: Most of the studies analyzed in this review study showed that fat grafting in orthognathic surgery is a safe and effective tool to improve wound healing, improve aesthetic results, present an anti-inflammatory effect and reduce edema.MetaScience Press2023-01-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/24610.54448/mdnt23S102MedNEXT Journal of Medical and Health Sciences; Vol. 4 No. S1 (2023): MedNEXT - Supplement 1 - February 2023MedNEXT Journal of Medical and Health Sciences; v. 4 n. S1 (2023): MedNEXT - Supplement 1 - February 20232763-567810.54448/mdnt23S1reponame:MedNEXT Journal of Medical and Health Sciencesinstname:Faculdade de Medicina em São José do Rio Preto (Faceres)instacron:FACERESenghttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/246/234Copyright (c) 2023 Priscilla Janaína de Lima Borelli Bovo, Marcelo Henrique Batista Santos, Henrique Esteves Magalhães, Luciano Rodrigues Neves, Elias Naim Kassis, Igor Mariotto Benetihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBovo, Priscilla Janaína de Lima BorelliSantos, Marcelo Henrique BatistaMagalhães, Henrique EstevesNeves, Luciano RodriguesKassis, Elias NaimBeneti, Igor Mariotto2024-01-23T15:25:15Zoai:ojs2.mednext.zotarellifilhoscientificworks.com:article/246Revistahttps://mednext.zotarellifilhoscientificworks.com/index.php/mednextPUBhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/oaimednextjmhs@zotarellifilhoscientificworks.com2763-56782763-5678opendoar:2024-01-23T15:25:15MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres)false |
dc.title.none.fl_str_mv |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
title |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
spellingShingle |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review Bovo, Priscilla Janaína de Lima Borelli Orthognathic surgery Lipografting Fat grafting Facial symmetry Aesthetics |
title_short |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
title_full |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
title_fullStr |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
title_full_unstemmed |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
title_sort |
Use of fat graft to correct facial asymmetries in patients undergoing Orthognathic Surgery: the systematic review |
author |
Bovo, Priscilla Janaína de Lima Borelli |
author_facet |
Bovo, Priscilla Janaína de Lima Borelli Santos, Marcelo Henrique Batista Magalhães, Henrique Esteves Neves, Luciano Rodrigues Kassis, Elias Naim Beneti, Igor Mariotto |
author_role |
author |
author2 |
Santos, Marcelo Henrique Batista Magalhães, Henrique Esteves Neves, Luciano Rodrigues Kassis, Elias Naim Beneti, Igor Mariotto |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bovo, Priscilla Janaína de Lima Borelli Santos, Marcelo Henrique Batista Magalhães, Henrique Esteves Neves, Luciano Rodrigues Kassis, Elias Naim Beneti, Igor Mariotto |
dc.subject.por.fl_str_mv |
Orthognathic surgery Lipografting Fat grafting Facial symmetry Aesthetics |
topic |
Orthognathic surgery Lipografting Fat grafting Facial symmetry Aesthetics |
description |
Introduction: Orthognathic Surgery (OS) aims to correct deformities of the bones of the maxilla and mandible. In this scenario, fat grafting is a powerful tool for corrections and also for facial aesthetic improvement together or after OS. The benefits of fat grafting during orthognathic surgery; to maximize aesthetic results, minimize swelling and optimize wound healing. Objective: To analyze the main clinical studies on the benefits and risks of facial fat grafting in orthognathic surgery, to know the current state of the art. Methods: It followed a systematic literature review model on the main clinical findings of orthognathic surgery and fat grafting, according to the rules of PRISMA. The research was carried out from January 2021 to May 2021 and developed based on Google Scholar, Scopus, PubMed, Ovid, Scielo, and Cochrane Library. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: 123 studies were analyzed, with only 52 medium and high-quality studies selected, according to GRADE rules, and with risks of bias that do not compromise scientific development, based on the Cochrane instrument. Studies have shown that OS aims to establish harmonious facial esthetics, excellent functional occlusion, and improved airway conditions. As an important adjunct to OS, fat grafting is becoming more and more common due to its anti-inflammatory role and effects on facial swelling. High patient satisfaction with the results. Postoperative swelling resolved at week 12 in the fat graft group and persistent edema. The edema decrease over time, with almost complete resolution within 1 year, improvement in facial morphology, function, quality, and skin texture in most of their patients. The use of assisted lipo transfers containing mesenchymal stem cells derived from adipose tissue, enables improvement in skin quality, smoothing of wrinkles, pore size, and attenuation of pigmentation and resolution of scars. Furthermore, enrichment of the lipoaspirate with stem cells derived from adipose tissue increases graft retention. Conclusion: Most of the studies analyzed in this review study showed that fat grafting in orthognathic surgery is a safe and effective tool to improve wound healing, improve aesthetic results, present an anti-inflammatory effect and reduce edema. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/246 10.54448/mdnt23S102 |
url |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/246 |
identifier_str_mv |
10.54448/mdnt23S102 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/246/234 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MetaScience Press |
publisher.none.fl_str_mv |
MetaScience Press |
dc.source.none.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences; Vol. 4 No. S1 (2023): MedNEXT - Supplement 1 - February 2023 MedNEXT Journal of Medical and Health Sciences; v. 4 n. S1 (2023): MedNEXT - Supplement 1 - February 2023 2763-5678 10.54448/mdnt23S1 reponame:MedNEXT Journal of Medical and Health Sciences instname:Faculdade de Medicina em São José do Rio Preto (Faceres) instacron:FACERES |
instname_str |
Faculdade de Medicina em São José do Rio Preto (Faceres) |
instacron_str |
FACERES |
institution |
FACERES |
reponame_str |
MedNEXT Journal of Medical and Health Sciences |
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MedNEXT Journal of Medical and Health Sciences |
repository.name.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres) |
repository.mail.fl_str_mv |
mednextjmhs@zotarellifilhoscientificworks.com |
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