High-power diode laser in the circumvestibular incision for le Fort I osteotomy in orthognathic surgery: a prospective case series study

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dc.creatorFilipe Jaeger
dc.creatorGustavo Marques Chiavaioli
dc.creatorGuilherme Lacerda de Toledo
dc.creatorBelini Freire-Maia
dc.creatorMarcio Bruno Figueiredo Amaral
dc.creatorRicardo Alves de Mesquita
dc.date.accessioned2024-10-18T19:12:01Z
dc.date.accessioned2025-09-08T23:15:56Z
dc.date.available2024-10-18T19:12:01Z
dc.date.issued2017-09-26
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1007/s10103-017-2333-4
dc.identifier.issn1435-604X
dc.identifier.urihttps://hdl.handle.net/1843/77515
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofLasers in Medical Science
dc.rightsAcesso Restrito
dc.subjectLasers, semiconductor
dc.subjectOrthognathic surgery
dc.subjectSurgical wound
dc.subjectOsteotomy, le fort
dc.subjectEdema
dc.subjectPain
dc.subjectHemorrhage
dc.subject.otherDiode laser
dc.subject.otherHigh-power laser
dc.subject.otherOrthognathic surgery
dc.subject.otherSurgery
dc.titleHigh-power diode laser in the circumvestibular incision for le Fort I osteotomy in orthognathic surgery: a prospective case series study
dc.typeArtigo de periódico
local.citation.epage56
local.citation.issue1
local.citation.spage51
local.citation.volume33
local.description.resumoThe incisions during orthognathic surgery are classically performed with conventional scalpel or electrocautery. Considering that the high-power diode laser surgery may provide advantages when compared to conventional incision techniques, the current study aimed to present a prospective case series of patients submitted to circumvestibular incision for Le Fort I osteotomy. Ten patients with dentofacial deformities who underwent to rapid assisted maxillary expansion or bimaxillary orthognathic surgery were enrolled in the study. All incisions were performed by a single surgeon using an 808-nm diode laser, with an optical fiber of 600 μm, at a power of 2.5 W, in a continuous-wave mode. The performance of the incision was evaluated by incision velocity, bleeding, edema, secondary infection, clinical healing, and pain. The velocity of the incision ranged from 0.10 to 0.20 mm/s (mean 0.13 ± 0.03 mm/s). Considering bleeding during the soft tissue incision, all surgeries were classified as absent bleeding. All patients presented a clinical healing of the surgical wound in a period that range from 3 to 5 weeks and experienced swelling during the follow-up period. On average, approximately 50% of the swelling had resolved after the third postoperative week, and 28.8% of swelling remained after 2 months after the surgery. The pain decreased after 2 and 3 days, and 90.0% of the patients reported no pain after 7 postoperative days. High-power diode laser is effective and safety during circumvestibular incisions for Le Fort I osteotomy in orthognathic surgery decreasing bleeding, surgery time, pain, and edema after orthognathic surgery.
local.identifier.orcidhttps://orcid.org/0000-0003-2893-4457
local.identifier.orcidhttps://orcid.org/0000-0002-2261-1940
local.identifier.orcidhttps://orcid.org/0000-0003-4482-6536
local.identifier.orcidhttps://orcid.org/0000-0003-3207-4007
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://link.springer.com/article/10.1007/s10103-017-2333-4

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