Drenagem linfática manual no pós-operatório de enxerto ósseo alveolar: uma nova abordagem para a redução do edema facial

Abstract

DedicatóriaDedico este trabalho aos meus queridos pais, Otavio e Roseli, que são meus grandes amores, meus maiores tesouros, exemplos de vida e de amor incondicional. A eles coloco toda minha admiração.Espero um dia poder retribuir um pouquinho de todo amor, carinho, atenção e cuidados que sempre dedicam a mim. E aos meus queridos irmãos, Joaquim e Eduardo, pela amizade, companheirismo e afeto.Em especial aos meus avôs, Waldemar e Jeannette, Alice e Joaquim por todo carinho. Suas experiências, seus conselhos e seus ensinamentos de vida sempre acalmam meu coração.Ao meu querido Rafael, agradeço toda a compreensão, paciência e incentivo. Obrigada por fazer parte da minha vida, estar sempre presente e compartilhar meus sonhos. and routine group (n = 22, 15 men and 7 women). In the treatment group MLD standardized maneuvers were performed differently from those of the group routine. In both groups evaluation of facial swelling was performed by measuring the distance from the ala nasi to the tragus (line 1) and the distance from the ala nasi to the inferior portion of the ear auricle (line 2), in the operated side, preoperatively, and at the second and the fourth postoperative (PO) day. The maximum active interincisal distance was measured during the same periods. The Pain Analog Scale (PAS) was applied at the first, second, third and fourth days after ABG.Additionally, patients from the treatment group, were asked about pain, relaxation and sleep after MLD therapy. RESULTS:There was a reduction of facial edema in the treatment group from the 2 nd to 4 th PO what was not observed the routine group. Interincisal distance increased between the 2nd and 4th PO in both groups. PAS evaluation has shown that patients from the treatment group present no pain already at 3 rd PO. In the routine group this occurred only at 4 th PO. All the subjects from treatment group reported decrease of pain, and patients reported felt more relaxed after the MLD, at the three postoperative evaluated. Many patients reported that MLD had a facilitative effect on inducing sleep during MLD. CONCLUSIONS:The standardized MLD maneuvers applied in the proposed manner produced significant reduction of facial swelling, increase of the maximum active interincisal distance, reduction of the pain in the treatment group as compared to the routine group.These Abstract data reinforce the hypothesis that the proposed MLD is a effective procedure for the recovery of the patients undergoing ABG surgery.

Early recovery after surgery protocol in orthognathic surgery: a randomized, blind clinical study

“…19 However, some authors recommend that the temporary reduction in mandibular movements without therapeutic rehabilitation favors their full rehabilitation, which can occur anywhere from six months to two years. 1,15,16,17,18,19,20,21,22,23 Although mandibular movements increased over 2 months post-surgery, both protocols had similar mean values, namely 33 mm for opening, and 5 to 6 mm for laterality (Table 5). These values are low compared with those recommended in the Genaro et al 9 protocol, namely 6 to 12 mm for laterality, and 40 to 55 mm for mouth opening.…”

“…Chung How Kau et al also observed that the edema is greater in the first 3 days after surgery, but improves significantly over time, without related therapeutic intervention. 16 Ferreira 17 recommends that the speech therapist should instruct and supervise the patient in performing manual lymphatic drainage (MLD), since there is the risk that the treatment will not be performed correctly if the patient lacks follow-up. The MLD in the protocol of this study did not include the guidelines for the massages to be performed at home by the patients, a factor that could have intensified and modified the results.…”

Efeitos da Drenagem Linfática Manual em Gestantes

“…A gravidez quando esperada e planejada pela mulher corresponde a um dos momentos mais felizes em sua vida. Após a fecundação e a descoberta da gestação, o vínculo entre a mãe e o feto começa a ser construído e o anseio de um período gestacional tranquilo para um bom desenvolvimento fetal e um bom nascimento se aflora (Ferreira;Lima, 2020).…”

“…O aumento do volume sanguíneo decorrente da produção exacerbada de hormônios como a progesterona e estrogênio e o aumento do útero gravídico pode acarretar no aparecimento do edema gestacional em membros inferiores. O edema pode causar desconforto, dor e limitações funcionais na gestante (Ferreira;Lima 2020).…”

Panorama Dos Testes Rápidos Realizados Na Atenção Básica Do Município De Canoas/ Rs

“…O edema trata-se de uma situação anormal, na qual a linfa ultrapassa a capacidade limite do sistema linfático e resulta da insuficiência da drenagem, em que coletores ou gânglios linfáticos estão obstruídos, como na condição inflamatória (FERREIRA, 2010).…”