Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-08-23T00:10:43Z
No. of bitstreams: 1
ZilaneSilvaBarbosaDeOliveira_DISSERT.pdf: 8955616 bytes, checksum: 7f6cba42b11053b1d3ebf17eaec36bca (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-23T00:30:27Z (GMT) No. of bitstreams: 1
ZilaneSilvaBarbosaDeOliveira_DISSERT.pdf: 8955616 bytes, checksum: 7f6cba42b11053b1d3ebf17eaec36bca (MD5) / Made available in DSpace on 2016-08-23T00:30:27Z (GMT). No. of bitstreams: 1
ZilaneSilvaBarbosaDeOliveira_DISSERT.pdf: 8955616 bytes, checksum: 7f6cba42b11053b1d3ebf17eaec36bca (MD5)
Previous issue date: 2015-08-05 / O objetivo desse estudo prospectivo foi comparar a dor, o edema, os movimentos mandibulares, a efici?ncia mastigat?ria e a qualidade de vida, nos primeiros 60 dias de p?s-operat?rio, utilizando 2 diferentes protocolos cl?nicos para recupera??o miofuncional, em pacientes que se submeteram ? cirurgia ortogn?tica. Esse estudo consistiu de 19 pacientes , onde o grupo controle foi composto por 10 pacientes que n?o tiveram a reabilita??o fonoaudiol?gica e do grupo experimental participaram 9 pacientes que receberam o protocolo de reabilita??o fonoaudiol?gica. As vari?veis dor, edema e movimentos mandibulares foram analisadas 48h, 96h, 7 dias, 14 dias , 30 e 60 dias p?s cir?rgicos. A efici?ncia mastigat?ria foi classificada com 60 dias de p?s operat?rio e a qualidade de vida foi verificada com 60 dias e 6 meses ap?s a cirurgia. Os dados foram submetidos ? an?lise de vari?ncia, teste t de Student e de independ?ncia de Fisher , em n?vel de 5% de probabilidade . Identificou-se que os pacientes do grupo experimental n?o obtiveram melhora mais r?pida nos par?metros de dor, edema, movimentos mandibulares e efici?ncia mastigat?ria quando comparados com os pacientes do grupo controle, com exce??o dos valores da percep??o de dor , que foi reduzido nos primeiros quatorze dias de acompanhamento no grupo experimental. O impacto na qualidade de vida n?o mostrou resultados diferentes estatisticamente significantes entre os dois grupos. Conclui-se que o protocolo de reabilita??o fonoaudiol?gica utilizado para os pacientes desse estudo n?o obteve resultados mais r?pidos de recupera??o p?s cir?rgica que o protocolo controle. / The objective of this randomized, blind and prospective clinical trial was to compare the pain, the edema, the mandibular movements, the masticatory efficiency and life quality, in the first 60 days after surgery using 2 different clinical protocols for myofunctional recovery, in patients who underwent orthognathic surgery. A sample of 19 patients was used and divided into 2 groups. The control group (CG) consisted of 10 patients who had postoperative rehabilitation guided by a standard protocol, conducted by the Service of Surgery and Traumatology Oral and Maxillofacial. In other hand, the experimental group (EC) totaled 9 patients who received the speech therapy rehabilitation protocol specialized, by professionals in the area. The variables pain, edema and mandibular movements were analyzed during 48h, 96h, 7 days, 14 days, 30 and 60 days post-surgery. The masticatory efficiency and the quality of life were classified with 60 days after surgery . The data were submitted an analysis of variance, Student's t-test and Fisher's independence, at the level of 5% probability. It was identified that patients of GE have benefited in the first 14 days(p<0,001), as they have had reported less pain than those in the CG. Significant statistics differences between groups for pain parameters (after 14 days) (p=0,065), edema(p=0,063), mandibular movements(p=0,068), masticatory efficiency(p=0,630) and the impact on quality of life (p=0,813) were not observed on this study. The speech therapy protocol for myofunctional recovery (EG), although it has not obtained statistical results superiors than the CG in the general context, presents itself as a viable alternative to conventional therapy assumed by many maxillofacial surgeons, allowing the surgeon to optimize time with patients in the period postoperatively.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21221 |
| Date | 05 August 2015 |
| Creators | Oliveira, Zilane Silva Barbosa de |
| Contributors | 91405963468, http://lattes.cnpq.br/9542712980723391, Silva, Jos? Sandro Pereira da, 59241144653, http://lattes.cnpq.br/7625795408417124, Meyer, Patricia Froes, 76654087615, http://lattes.cnpq.br/6643166445073786, Gomes, Petrus Pereira, 11736693883, http://lattes.cnpq.br/1355518681045639, Germano, Adriano Rocha |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
Page generated in 0.0027 seconds