RESUMO
OBJECTIVES: Anabolic androgenic steroids (AAS) are derivatives of testosterone, used to treat gonadal disturbances, performance enhancement, and aesthetic purposes. AAS abuse can lead to side effects, including androgenic, cardiovascular, and liver disturbances, effects on libido, gynecomastia, and behavioral effects. There is a hypothesis that some joint tissues may be targets for sex hormones, and the use of AAS without medical follow-up may exacerbate temporomandibular joint problems in patients seeking performance and aesthetics. METHODS: In this study, a cross-sectional survey was conducted on AAS abusers who voluntarily presented themselves for clinical evaluation. Patients were subdivided by sex and age group, and the length of AAS use and symptoms such as headache, tinnitus, and temporomandibular joint pain were evaluated. RESULTS: It was observed that drug usage is related to symptoms. CONCLUSION: The results suggest that AAS use without medical follow-up may exacerbate temporomandibular joint problems, especially in patients with low estrogen levels.
RESUMO
The aim of this triple-blind randomized clinical trial was to evaluate the efficacy and safety of diode laser during circumvestibular incisions for Le Fort I osteotomy in orthognathic surgeries in comparison with conventional techniques using electrocautery and scalpel. Patients were randomly allocated to one of three groups based on the technique employed to perform incisions: diode laser, electrocautery, and scalpel. The parameters used to evaluate the efficacy and safety of diode laser were incision velocity, duration of surgery, bleeding rate, alterations in postoperative functions, pain, edema, wound clinical healing, and infection. Thirty patients were enrolled in the study (10 per group). Regarding bleeding, the incisions performed with diode laser promoted a lower bleeding rate compared with scalpel and electrocautery (p = 0.00). The diode surgical laser was effective during the incision procedure, but required a longer time to perform the incisions compared with the other techniques evaluated (p < 0.05). No statistically significant difference was detected between groups regarding total surgical time or other safety parameters (p > 0.05). Thus, diode laser proved to be effective and safer during circumvestibular incisions for Le Fort I osteotomy than conventional devices.
Assuntos
Lasers Semicondutores/efeitos adversos , Lasers Semicondutores/uso terapêutico , Cirurgia Ortognática , Osteotomia , Adolescente , Adulto , Eletrocoagulação , Feminino , Gengiva/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Complicações Pós-Operatórias/etiologia , Ferida Cirúrgica/etiologia , Resultado do Tratamento , Cicatrização , Adulto JovemRESUMO
The 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.
Assuntos
Lasers Semicondutores , Procedimentos Cirúrgicos Ortognáticos , Osteotomia de Le Fort , Adolescente , Adulto , Feminino , Seguimentos , Gengiva/cirurgia , Humanos , Lasers Semicondutores/efeitos adversos , Masculino , Mucosa Bucal/cirurgia , Procedimentos Cirúrgicos Ortognáticos/efeitos adversos , Osteotomia de Le Fort/efeitos adversos , Dor Pós-Operatória/etiologia , Estudos Prospectivos , Adulto JovemRESUMO
Lesões fibro-ósseas benignas são processos patológicos comumente encontrados em ossos do esqueleto maxilofacial. O fibroma ossificante verdadeiro é uma entidade rara, com muitos casos previamente relatados sendo reconhecidos hoje como displasia cemento óssea focal. O fibroma ossificante juvenil é uma variante dos fibromas ossificantes, tendo como características peculiares o crescimento rápido, entre 5 15 anos, e o comportamento clínico agressivo. O presente trabalho relata um caso de paciente jovem (15 anos), do sexo feminino, com diagnóstico de fibroma ossificante juvenil em região posterior de mandíbula, tratada com ressecção em bloco e reconstrução imediata com enxerto ósseo não vascularizado de crista ilíaca. A paciente encontra-se em acompanhamento ambulatorial sem indícios de recidiva da lesão. O fibroma ossificante juvenil que apresenta comportamento clínico agressivo merece atenção especial no seu tratamento, nos casos em que o crescimento é rápido e destrutivo uma abordagem mais agressiva se faz necessário
Fibro osseous lesions are pathological processes commonly found in cranial and facial bones. The real ossifying fibroma is a rare entity, with many previously reported cases being recognized today as cemento-ossifiying dysplasia. The juvenile ossifying fibroma is a variant of ossifying fibroma, with the peculiar characteristics rapid growth, between 5-15 years, and the aggressive clinical behavior. This paper reports a case of a young female patient (15 years) with diagnosis of juvenile ossifying fibroma in the posterior mandible, treated with bloc resection and immediate reconstruction with bone graft non vascularized of iliac crest. The patient is being followed up, without evidence of recurrence. The juvenile ossifying fibroma presenting aggressive clinical behavior deserves special attention in their treatment, where growth is fast and destructive a more aggressive approach is needed