Avaliação das reconstruções ósseas realizadas pela equipe de cirurgia e traumatologia bucomaxilofacial da Universidade Federal de Uberlândia no período de 2010 a 2021

Abstract

Introduction: Bone defects of the jaws often impact the patient's quality of life by altering phonation, mastication, breathing and facial aesthetics. Paying attention to the functional and anatomical complexity of the mandible, one sees the importance of its reconstruction for the quality of life of patients. For this reason, reconstruction options with autogenous graft are studied, seeking the one that best restores facial function and aesthetics. Objective: to evaluate the success rate of mandibular reconstructions performed with iliac crest grafts, associated or not with hyperbaric oxygen therapy (HBO), from 2010 to 2021 by the Oral and Maxillofacial Surgery and Traumatology (CTBMF) team in patients treated at the Hospital Dentistry at the Federal University of Uberlândia. Methodology: A retrospective descriptive study was carried out, through the analysis of all medical records of the Dental Hospital, of patients reconstructed by the Oral and Maxillofacial Surgery and Traumatology team in the period from 2010 to 2021. form developed for this study, based on information contained in the medical records of the reconstructed patients. The patient's social data, past medical history, bone defect data, reconstruction data and success rate were collected. Results: Of the 34 patients surveyed who underwent reconstruction, the medical records of 26 patients with a mean age of 40 years were included and evaluated, with equal distribution between genders. The main etiology of mandibular defects were benign tumors 69.2% and the most affected anatomical region was the side of the mandible 46.2%. Regarding the association with HBOT, 84.6% of the patients underwent HBOT. The overall success rate was 73%, the success rate of patients undergoing HBOT was 77.3%, and the success rate of patients not undergoing HBOT was 50%. Conclusion: Despite a higher success rate in the group of patients undergoing HBOT, a study applying a specific HBOT protocol is needed to determine its influence on the success rate.