Tratamento das sequelas dos traumas no terço médio e superior da face: uma revisão integrativa.
Introduction: Facial traumas have a high incidence and prevalence in Brazil, so that, given their multifactorial etiology, they present different degrees of complexity and morbidity. Generally, such patients tend to present facial deformities even after the initial surgical treatment, which generate...
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| Formato: | bachelorThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/49639 |
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| Resumo: | Introduction: Facial traumas have a high incidence and prevalence in Brazil, so that, given their multifactorial etiology, they present different degrees of complexity and morbidity. Generally, such patients tend to present facial deformities even after the initial surgical treatment, which generates an aesthetic-functional compromise and makes the corrective treatment of these sequelae extremely challenging. Objective: To identify and discuss the treatment of sequelae of high-energy trauma in the middle and upper third of the face. Methodology: Bibliographic research of the integrative review type in the PUBMED, SCOPUS and WEB OF SCIENCE databases, using the descriptors “Therapeutics”; “Postoperative Complications”; “Facial Injuries”; “Maxillofacial Surgery”, “Sequels”, “Sequelae” (boolean operators “AND” or “OR”), and “Mandible” (operator “NOT”). Results: This integrative review included a total of 08 articles published between 2017 and 2022. The main sequelae found in the middle and upper third of the face were: malocclusion, sensorineural disorders, asymmetries, scarring and correction of defects due to tissue loss. Treatment ranged from more conservative approaches, such as laser/photobiomodulation therapy and the use of temporary filling materials, to more invasive and complex surgical therapies (facial transplantation), according to the type of sequel, degree of deformity(s), anatomical structures involved and impact on aesthetics and function. Sequelae can be prevented, minimized or with more precise and predictable corrections when a careful initial analysis is used, a multidisciplinary team and new technologies focused on the area, these involving, above all, adequate imaging exams, surgical planning software (VSP), computer-assisted surgery and 3D technology (CAD/CAM). The crucial limiting factor for the adoption of such measures is the high cost. Conclusion: Identifying the best management of sequelae resulting from high-energy trauma in the middle and upper third of the face remains a challenge. Considering that many variables are involved, it was not possible to establish the treatment time or the ideal therapeutic approach for such injuries. Furthermore, the bibliographic research of this review confirmed the hypothesis that there are few recent works dealing with the subject and suggests that, given the importance of the subject, new studies should be carried out. |
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