Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/41618 |
Resumo: | Introduction: Individuals born with cleft palate may face a number of challenges, including anatomical deformities, dental malocclusion, hearing impairment and speech disorder. Those who develop maxillary hypoplasia may receive osteogenic distraction or later orthognathic surgery, which can reposition the maxilla to a functional and esthetic position. This surgical advancement of the maxilla has been reported for over 30 years. According to the ideal protocol, the lip should be operated from 3 months of age, in a procedure known as cheiloplasty, while 12 months is the time determined for palatoplasty. Objective: To review in the literature what would be the advantages and disadvantages of an early approach to an osteogenic distraction to the detriment of a subsequent orthognathic surgery in cleft patients. Methodology: It was carried out in the period between 2006 and 2019 through the databases: Science direct and Pubmed. Results: A total of 95 articles were found, 26 duplicates were excluded and 69 were selected for the survey. Conclusion: We can see that both surgeries have their benefits performed at the right times during the patient's life, requiring multidisciplinary treatment with psychologists, doctors, speech therapists, among others. However, there is a bias of osteogenic surgery, as we do not always obtain an expected and objective result. |
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Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literaturaOrthognathic surgery vs. osteogenic distraction in cleft patients: literature reviewCirugía ortognática vs. distracción osteogénica en pacientes con fisura: revisión de la literaturaCirugía ortognáticaOsteogénesis por distracciónFisura del paladar.Cirurgia ortognáticaOsteogenese por distraçãoFissura palatina.Orthognathic surgeryOsteogenesis, distractionCleft palate.Introduction: Individuals born with cleft palate may face a number of challenges, including anatomical deformities, dental malocclusion, hearing impairment and speech disorder. Those who develop maxillary hypoplasia may receive osteogenic distraction or later orthognathic surgery, which can reposition the maxilla to a functional and esthetic position. This surgical advancement of the maxilla has been reported for over 30 years. According to the ideal protocol, the lip should be operated from 3 months of age, in a procedure known as cheiloplasty, while 12 months is the time determined for palatoplasty. Objective: To review in the literature what would be the advantages and disadvantages of an early approach to an osteogenic distraction to the detriment of a subsequent orthognathic surgery in cleft patients. Methodology: It was carried out in the period between 2006 and 2019 through the databases: Science direct and Pubmed. Results: A total of 95 articles were found, 26 duplicates were excluded and 69 were selected for the survey. Conclusion: We can see that both surgeries have their benefits performed at the right times during the patient's life, requiring multidisciplinary treatment with psychologists, doctors, speech therapists, among others. However, there is a bias of osteogenic surgery, as we do not always obtain an expected and objective result.Introducción: las personas que nacen con paladar hendido pueden enfrentar una serie de desafíos, que incluyen deformidades anatómicas, maloclusión dental, discapacidad auditiva y trastornos del habla. Aquellos que desarrollan hipoplasia maxilar pueden recibir distracción osteogénica o cirugía ortognática posterior, que puede reposicionar el maxilar a una posición funcional y estética. Este avance quirúrgico del maxilar ha sido reportado por más de 30 años. Según el protocolo ideal, el labio debe operarse a partir de los 3 meses de edad, en un procedimiento conocido como queiloplastia, mientras que 12 meses es el tiempo determinado para la palatoplastia. Objetivo: Revisar en la literatura cuáles serían las ventajas y desventajas de un abordaje temprano de una distracción osteogénica en detrimento de una cirugía ortognática posterior en pacientes fisurados. Metodología: Se realizó en el periodo comprendido entre 2006 y 2019 a través de las bases de datos: Science direct y Pubmed. Resultados: Se encontraron un total de 95 artículos, se excluyeron 26 duplicados y se seleccionaron 69 para la encuesta. Conclusión: Podemos ver que ambas cirugías tienen sus beneficios realizadas en los momentos adecuados durante la vida del paciente, requiriendo un tratamiento multidisciplinario con psicólogos, médicos, logopedas, entre otros. Sin embargo, existe un sesgo de la cirugía osteogénica, ya que no siempre obtenemos un resultado esperado y objetivo.Introdução: Indivíduos nascidos com fenda palatina podem enfrentar uma série de desafios, incluindo deformidades anatômicas, má oclusão dentária, deficiência auditiva e distúrbio da fala. Aqueles que desenvolvem hipoplasia maxilar podem receber distração osteogênica ou posteriormente cirurgia ortognática, que pode reposicionar a maxila para uma posição funcional e estética. Esse avanço cirúrgico da maxila tem sido relatado há mais de 30 anos. Pelo protocolo ideal, o lábio deve ser operado a partir dos 3 meses de idade, em procedimento conhecido como queiloplastia, enquanto 12 meses é o tempo determinado para a palatoplastia. Objetivo: Revisar na literatura quais seriam as vantagens e desvantagens de uma abordagem precoce de uma distração osteogênica em detrimento a uma posterior cirurgia ortognática em pacientes fissurados. Metodologia: Foi realizada no período compreendido entre 2006 a 2019 através das bases de dados: Science direct e Pubmed. Resultados: Foram achados ao todo 95 artigos, excluídos 26 duplicados e selecionados 69 para o levantamento. Conclusão: Podemos perceber que ambas a cirurgia tem seus benefícios feitos em momentos corretos durante a vida do paciente, necessitam de tratamento multidisciplinar com psicólogos, médicos, fonoaudiólogos, entre outros. Entretanto, há um viés da cirurgia osteogênica, pois nem sempre obtemos um resultado esperado e objetivo, por esse motivo, novos estudos necessitam ser feitos para avaliar a relação cirurgia ortognática e distração osteogênica em pacientes fissurados.Research, Society and Development2023-05-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4161810.33448/rsd-v12i5.41618Research, Society and Development; Vol. 12 No. 5; e16712541618Research, Society and Development; Vol. 12 Núm. 5; e16712541618Research, Society and Development; v. 12 n. 5; e167125416182525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/41618/33815Copyright (c) 2023 Brunnah Rafaella Mapurunga Setúbal; Letícia Mendes da Rocha Lopes; Matheus Araújo Brito Santos Lopes; Giselle Maria Ferreira Lima Verde; Erik Neiva Ribeiro de Carvalho Reishttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSetúbal, Brunnah Rafaella Mapurunga Lopes, Letícia Mendes da Rocha Lopes, Matheus Araújo Brito Santos Verde, Giselle Maria Ferreira Lima Reis, Erik Neiva Ribeiro de Carvalho 2023-05-30T13:24:21Zoai:ojs.pkp.sfu.ca:article/41618Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2023-05-30T13:24:21Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura Orthognathic surgery vs. osteogenic distraction in cleft patients: literature review Cirugía ortognática vs. distracción osteogénica en pacientes con fisura: revisión de la literatura |
title |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura |
spellingShingle |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura Setúbal, Brunnah Rafaella Mapurunga Cirugía ortognática Osteogénesis por distracción Fisura del paladar. Cirurgia ortognática Osteogenese por distração Fissura palatina. Orthognathic surgery Osteogenesis, distraction Cleft palate. |
title_short |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura |
title_full |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura |
title_fullStr |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura |
title_full_unstemmed |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura |
title_sort |
Cirurgia ortognática vs distração osteogênica em pacientes fissurados: revisão da literatura |
author |
Setúbal, Brunnah Rafaella Mapurunga |
author_facet |
Setúbal, Brunnah Rafaella Mapurunga Lopes, Letícia Mendes da Rocha Lopes, Matheus Araújo Brito Santos Verde, Giselle Maria Ferreira Lima Reis, Erik Neiva Ribeiro de Carvalho |
author_role |
author |
author2 |
Lopes, Letícia Mendes da Rocha Lopes, Matheus Araújo Brito Santos Verde, Giselle Maria Ferreira Lima Reis, Erik Neiva Ribeiro de Carvalho |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Setúbal, Brunnah Rafaella Mapurunga Lopes, Letícia Mendes da Rocha Lopes, Matheus Araújo Brito Santos Verde, Giselle Maria Ferreira Lima Reis, Erik Neiva Ribeiro de Carvalho |
dc.subject.por.fl_str_mv |
Cirugía ortognática Osteogénesis por distracción Fisura del paladar. Cirurgia ortognática Osteogenese por distração Fissura palatina. Orthognathic surgery Osteogenesis, distraction Cleft palate. |
topic |
Cirugía ortognática Osteogénesis por distracción Fisura del paladar. Cirurgia ortognática Osteogenese por distração Fissura palatina. Orthognathic surgery Osteogenesis, distraction Cleft palate. |
description |
Introduction: Individuals born with cleft palate may face a number of challenges, including anatomical deformities, dental malocclusion, hearing impairment and speech disorder. Those who develop maxillary hypoplasia may receive osteogenic distraction or later orthognathic surgery, which can reposition the maxilla to a functional and esthetic position. This surgical advancement of the maxilla has been reported for over 30 years. According to the ideal protocol, the lip should be operated from 3 months of age, in a procedure known as cheiloplasty, while 12 months is the time determined for palatoplasty. Objective: To review in the literature what would be the advantages and disadvantages of an early approach to an osteogenic distraction to the detriment of a subsequent orthognathic surgery in cleft patients. Methodology: It was carried out in the period between 2006 and 2019 through the databases: Science direct and Pubmed. Results: A total of 95 articles were found, 26 duplicates were excluded and 69 were selected for the survey. Conclusion: We can see that both surgeries have their benefits performed at the right times during the patient's life, requiring multidisciplinary treatment with psychologists, doctors, speech therapists, among others. However, there is a bias of osteogenic surgery, as we do not always obtain an expected and objective result. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-05-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/41618 10.33448/rsd-v12i5.41618 |
url |
https://rsdjournal.org/index.php/rsd/article/view/41618 |
identifier_str_mv |
10.33448/rsd-v12i5.41618 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/41618/33815 |
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 |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 12 No. 5; e16712541618 Research, Society and Development; Vol. 12 Núm. 5; e16712541618 Research, Society and Development; v. 12 n. 5; e16712541618 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052624154918912 |