RESUMEN
The catabolic effects of surgical trauma and sepsis have long been recognized. Oral and maxillofacial surgical patients represent a unique group in that their surgery and its effects on the stomatognathic system may adversely affect the ability to receive adequate nutrition. This article discusses some basic nutritional principles and describes the indications and guidelines for enteric tube feeding in this patient population.
Asunto(s)
Nutrición Enteral , Cirugía Bucal , Metabolismo Basal , Estreñimiento/etiología , Diarrea/etiología , Ingestión de Energía , Nutrición Enteral/efectos adversos , Femenino , Alimentos Formulados , Intolerancia a la Glucosa/etiología , Humanos , Masculino , Necesidades Nutricionales , Valor Nutritivo , Concentración Osmolar , Desnutrición Proteico-Calórica/etiologíaRESUMEN
Open reduction and internal fixation have become routine in facial fracture treatment. Methodical evaluation and treatment planning should be based on the patient's injuries, extenuating factors, and the surgeon's experience. After initial treatment, patients with facial trauma may require orthodontic alignment of teeth, endodontic therapy, osteotomies, implants, vestibuloplasties, and scar revisions to achieve an acceptable functional and cosmetic result. The oral and maxillofacial surgeon is best qualified to coordinate and help deliver this interdisciplinary approach to treatment.