ABSTRACT
The authors report a 25-year-old female who presented facial palsy after undergoing bimaxillary orthognathic surgery for retrognathism correction. Orthognathic surgery is a procedure used to treat dentofacial deformities which aims to achieve an adequate relationship between dental archs, improving function (such as chewing, breathing, and speaking) and facial aesthetics. Even though there are some complications that can occur during the intraoperative and postoperative periods like bleeding, tooth, soft-tissue damage, nerve damage, bad split, infection, and nonunion, facial nerve injuries are considered rare complications after this kind of surgical procedure. Despite being uncommon, rarely described, transient, and spontaneously resolved in almost all patients, facial nerve palsy is one of the most serious complications because it directly affects patient's quality of life and social interaction.
Subject(s)
Facial Nerve , Facial Paralysis/etiology , Orthognathic Surgical Procedures/adverse effects , Adult , Female , Humans , Quality of Life , Treatment OutcomeABSTRACT
Introdução: a síndrome da apneia obstrutiva do sono (SAOS) caracteriza-se por episódios recorrentes de obstrução parcial ou total da via aérea superior, normalmente acompanhada por roncos. É de etiologia multifatorial, e o diagnóstico leva em consideração os fatores de risco e as comorbidades. Objetivo: estudar os fatores de risco da SAOS, devido às comorbidades e às consequências graves que podem estar relacionadas à patologia, visando a atuar em sua prevenção e tratamento. Revisão de literatura: os principais fatores de risco encontrados foram: obesidade, circunferência cervical maior que 40 cm, IMC aumentado, histórico familiar, sexo masculino, meia-idade, Classe III e IV de Mallampati modificada e alterações nas vias aéreas superiores como desvio de septo nasal, palato mole rebaixado e posteriorizado e alterações craniofaciais. Metodologia: realizou-se uma revisão de literatura sobre os fatores de risco da SAOS, utilizando-se as bases de dados Pubmed, Scielo e Medline e os descritores de busca de acordo com os DECs ou Mesh. Conclusão: o estudo dos fatores de risco associados à presença de SAOS demonstra a necessidade da abordagem interdisciplinar dessa patologia junto ao médico otorrinolaringologista, por ser ela multifatorial.
Introduction: obstructive sleep apnea syndrome (OSAS) is characterized by recurrent episodes of partial or total obstruction of the upper airways, usually accompanied by snoring. It has a multifactorial etiology, and the diagnosis takes into account risk factors and comorbidities. Objective: to study the risk factors for OSAS, with regard to morbidities and the serious consequences that may be related to its pathology, aiming at its prevention and treatment. Literature review: according to the literature, the main risk factors are: obesity, cervical circumference greater than 40 cm, increased BMI, family history, male gender, middle age, modified Mallampati Class III o IV, and alterations in the upper airways such as deviated nasal septum and lowered and posterior soft palate and craniofacial changes. Methodology: a review of the literature on the risk factors for OSAS was carried out using the PubMed, Scielo and Medline databases and the search descriptors according to the DECs or Mesh. Conclusion: a study of the risk factors associated with OSAS demonstrates the need for an interdisciplinary approach to this pathology with the otorhinolaryngologist, because of the multifactorial nature of OSAS.
