Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/3000 |
Resumo: | Ankyloglossia is characterized by an abnormally short, thick or thin lingual frenulum, that can restrict tongue movements and negatively interfere with breastfeeding, decreasing the newborn’s ability to adequately suck and breastfeeding. The management of a newborn with a positive test for ankyloglossia must always consider if this condition interferes with breastfeeding and, for this reason, the importance of evaluating breastfeeding as a routine procedure. In the difficulty of breastfeeding to ankyloglossia, lingual frenectomy is recommended to release the lingual frenulum allowing the tongue to move and can be the first step in solving the problem. The objective of this study was to evaluate the release of the lingual frenulum, by means of lingual frenectomy, in newborns aged 0 to 3 months, who had ankyloglossia with surgical indication, performed by thermal instruments such as electrocautery and high-level diode laser. The study evaluated 57 participants, randomly divides into 2 groups, 23 from the electrocautery group and 34 from laser group. The condition of tongue movement was diagnosed through clinical evaluation and Bristol protocol (BTAT) suggested by the Ministry of Health of Brazil, in the moments before and 15 days after the surgical procedures, as well as the application of the EVA pain test for the nursing mothers simultaneously. Through the clinical examination and standardized photographs, it was possible to assess the condition of the tongue and observe the breastfeeding according to the UNICEF indication. There is still no consensus on the indications or surgical method for repair of ankyloglossia. Both surgical techniques used in this study were safe, effective, caused little bleeding a few postoperative complications. It is recommended to make the diagnosis and treatment of ankyloglossia in a transdisciplinary way to offer the best result to the patient, and it is essential that the surgeon has skill and in-depth knowledge of the surgical technique and the equipment used, in order to avoid accidents and complications in a region of noble structures. The use of high-level diode laser indicated for lingual frenectomy in the manner described in this study did not have the expected result, presenting postoperative healing with a high chance of relapse. |
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Bussadori, Sandra Kalilhttp://lattes.cnpq.br/4110914499694913Bussadori, Sandra Kalilhttp://lattes.cnpq.br/4110914499694913Motta, Lara Jansiskihttp://lattes.cnpq.br/6750462252900819Machado, Maria Aparecida Moreirahttp://lattes.cnpq.br/8591755904908251http://lattes.cnpq.br/9684070586659649Mazzoni, Adriana Cátia2022-07-26T19:37:06Z2022-04-28Mazzoni, Adriana Cátia. Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego. 2022. 101 f. Tese( Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/3000Ankyloglossia is characterized by an abnormally short, thick or thin lingual frenulum, that can restrict tongue movements and negatively interfere with breastfeeding, decreasing the newborn’s ability to adequately suck and breastfeeding. The management of a newborn with a positive test for ankyloglossia must always consider if this condition interferes with breastfeeding and, for this reason, the importance of evaluating breastfeeding as a routine procedure. In the difficulty of breastfeeding to ankyloglossia, lingual frenectomy is recommended to release the lingual frenulum allowing the tongue to move and can be the first step in solving the problem. The objective of this study was to evaluate the release of the lingual frenulum, by means of lingual frenectomy, in newborns aged 0 to 3 months, who had ankyloglossia with surgical indication, performed by thermal instruments such as electrocautery and high-level diode laser. The study evaluated 57 participants, randomly divides into 2 groups, 23 from the electrocautery group and 34 from laser group. The condition of tongue movement was diagnosed through clinical evaluation and Bristol protocol (BTAT) suggested by the Ministry of Health of Brazil, in the moments before and 15 days after the surgical procedures, as well as the application of the EVA pain test for the nursing mothers simultaneously. Through the clinical examination and standardized photographs, it was possible to assess the condition of the tongue and observe the breastfeeding according to the UNICEF indication. There is still no consensus on the indications or surgical method for repair of ankyloglossia. Both surgical techniques used in this study were safe, effective, caused little bleeding a few postoperative complications. It is recommended to make the diagnosis and treatment of ankyloglossia in a transdisciplinary way to offer the best result to the patient, and it is essential that the surgeon has skill and in-depth knowledge of the surgical technique and the equipment used, in order to avoid accidents and complications in a region of noble structures. The use of high-level diode laser indicated for lingual frenectomy in the manner described in this study did not have the expected result, presenting postoperative healing with a high chance of relapse.A anquiloglossia caracteriza-se por um frênulo lingual anormalmente curto, espesso ou delgado, que pode restringir os movimentos da língua e interferir negativamente na amamentação, diminuindo a habilidade do recém-nascido para fazer a pega, sucção e extração do leite materno adequadas. A conduta para um recém-nascido com teste positivo para anquiloglossia deve sempre considerar se essa condição interfere ou não na amamentação e por esta razão a importância da avaliação da mamada como procedimento de rotina. Na dificuldade da amamentação em decorrência da anquiloglossia, e quando a frenectomia lingual, é recomendada para liberar o freio lingual permitindo a movimentação da língua, pode ser a primeira etapa da solução do problema. O objetivo deste estudo foi avaliar a liberação do freio lingual, por meio da frenectomia lingual, de recém-nascidos de 0 a 3 meses de idade, que apresentavam anquiloglossia com indicação cirúrgica, executada por instrumentos térmicos como eletrocautério e o laser de diodo de alta potência. A condição da movimentação da língua foi diagnosticada por meio de avaliação clínica e do protocolo de Bristol BTAT, sugerido pelo Ministério da Saúde do Brasil, por meio de avaliação clínica e a aplicação do teste de dor EVA para as nutrizes simultaneamente, nos momentos pré e 15 dias após os procedimentos cirúrgicos. Por meio do exame clínico presencial e fotografias padronizadas foi possível avaliar a condição da língua e observação da mamada de acordo com a indicação da UNICEF. O estudo avaliou 57 participantes, divididos aleatoriamente em 2 grupos, sendo 23 do grupo eletrocautério e 34 do grupo laser. Ainda não existe um consenso sobre as indicações ou método cirúrgico para o reparo da anquiloglossia. Ambas as técnicas cirúrgicas utilizadas neste estudo apresentaram segurança, foram eficazes, promoveram pouco sangramento e poucas complicações pós-operatórias. O uso do laser diodo de alta potência indicado para frenectomia lingual apresentou cicatrização pós-operatória com grande chance de reicidiva.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2022-07-26T19:37:06Z No. of bitstreams: 1 Adriana Cátia Mazzoni.pdf: 1976818 bytes, checksum: b1cc728f43f6ef5e198393f8fb882400 (MD5)Made available in DSpace on 2022-07-26T19:37:06Z (GMT). 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dc.title.por.fl_str_mv |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
dc.title.alternative.eng.fl_str_mv |
Comparison of the effects of high-power diode laser and electrocautery for lingual frenectomy in infants: a blinded randomized controlled clinical trial |
title |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
spellingShingle |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego Mazzoni, Adriana Cátia anquiloglossia frenectomia laser eletrocautério amamentação ankyloglossia frenectomy laser electrocautery breastfeeding CIENCIAS DA SAUDE |
title_short |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
title_full |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
title_fullStr |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
title_full_unstemmed |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
title_sort |
Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego |
author |
Mazzoni, Adriana Cátia |
author_facet |
Mazzoni, Adriana Cátia |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bussadori, Sandra Kalil |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4110914499694913 |
dc.contributor.referee1.fl_str_mv |
Bussadori, Sandra Kalil |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/4110914499694913 |
dc.contributor.referee2.fl_str_mv |
Motta, Lara Jansiski |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6750462252900819 |
dc.contributor.referee3.fl_str_mv |
Machado, Maria Aparecida Moreira |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/8591755904908251 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9684070586659649 |
dc.contributor.author.fl_str_mv |
Mazzoni, Adriana Cátia |
contributor_str_mv |
Bussadori, Sandra Kalil Bussadori, Sandra Kalil Motta, Lara Jansiski Machado, Maria Aparecida Moreira |
dc.subject.por.fl_str_mv |
anquiloglossia frenectomia laser eletrocautério amamentação |
topic |
anquiloglossia frenectomia laser eletrocautério amamentação ankyloglossia frenectomy laser electrocautery breastfeeding CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
ankyloglossia frenectomy laser electrocautery breastfeeding |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Ankyloglossia is characterized by an abnormally short, thick or thin lingual frenulum, that can restrict tongue movements and negatively interfere with breastfeeding, decreasing the newborn’s ability to adequately suck and breastfeeding. The management of a newborn with a positive test for ankyloglossia must always consider if this condition interferes with breastfeeding and, for this reason, the importance of evaluating breastfeeding as a routine procedure. In the difficulty of breastfeeding to ankyloglossia, lingual frenectomy is recommended to release the lingual frenulum allowing the tongue to move and can be the first step in solving the problem. The objective of this study was to evaluate the release of the lingual frenulum, by means of lingual frenectomy, in newborns aged 0 to 3 months, who had ankyloglossia with surgical indication, performed by thermal instruments such as electrocautery and high-level diode laser. The study evaluated 57 participants, randomly divides into 2 groups, 23 from the electrocautery group and 34 from laser group. The condition of tongue movement was diagnosed through clinical evaluation and Bristol protocol (BTAT) suggested by the Ministry of Health of Brazil, in the moments before and 15 days after the surgical procedures, as well as the application of the EVA pain test for the nursing mothers simultaneously. Through the clinical examination and standardized photographs, it was possible to assess the condition of the tongue and observe the breastfeeding according to the UNICEF indication. There is still no consensus on the indications or surgical method for repair of ankyloglossia. Both surgical techniques used in this study were safe, effective, caused little bleeding a few postoperative complications. It is recommended to make the diagnosis and treatment of ankyloglossia in a transdisciplinary way to offer the best result to the patient, and it is essential that the surgeon has skill and in-depth knowledge of the surgical technique and the equipment used, in order to avoid accidents and complications in a region of noble structures. The use of high-level diode laser indicated for lingual frenectomy in the manner described in this study did not have the expected result, presenting postoperative healing with a high chance of relapse. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-07-26T19:37:06Z |
dc.date.issued.fl_str_mv |
2022-04-28 |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
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dc.identifier.citation.fl_str_mv |
Mazzoni, Adriana Cátia. Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego. 2022. 101 f. Tese( Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/3000 |
identifier_str_mv |
Mazzoni, Adriana Cátia. Avaliação dos efeitos do laser diodo de alta potência e do eletrocautério nas cirurgias de frenectomia lingual em lactentes- estudo clínico controlado randomizado cego. 2022. 101 f. Tese( Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/3000 |
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UNINOVE |
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Saúde |
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Universidade Nove de Julho |
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