Abstract
to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery. cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject. 48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%). the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.
Highlights
IntroductionBetter known as lip and/or palate, are prevalent among malformations affecting the face, whose incidence in Brazil is 1 in every 700 live births
OBJECTIVESOrofacial clefts, better known as lip and/or palate, are prevalent among malformations affecting the face, whose incidence in Brazil is 1 in every 700 live births
The most common type of malocclusion found in patients with a cleft is the Angle Class III, requiring orthognathic surgery for its correction[3]
Summary
Better known as lip and/or palate, are prevalent among malformations affecting the face, whose incidence in Brazil is 1 in every 700 live births. Of multifactorial etiology, which includes genetic and environmental factors, they develop in the embryonic period and early fetal period, that is, between the 4th and 12th week of pregnancy. They can affect the lip, alveolar ridge, and palate alone or in association. The benefits of primary surgeries performed in childhood are evident, they may result in a rigid and fibrosis labial belt in the region of the maxilla and cause damage to the bone growth of the face, including maxillary development, leading to dentofacial deformities such as dental malocclusion. The most common type of malocclusion found in patients with a cleft is the Angle Class III, requiring orthognathic surgery for its correction[3]
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