Giridhar V Usha
Department of Oral and Maxillofacial Surgery, Best Dental Science College, Madurai, Tamil Nadu, India.
Natl J Maxillofac Surg. 2016 Jan-Jun;7(1):3-9. doi: 10.4103/0975-5950.196146.
Diet, nutrition, and dental health are closely related and have multidirectional impacts. Any oral diseases, may it be congenital, infective, traumatic, inflammatory, or neoplastic, affect routine functions of the oral cavity and even after corrective surgeries done to improve may adversely affect the food and fluid intake and further compromises nutritional status. Unlike other general surgeries, the surgeries done in oral and maxillofacial region impairs normal food intake, especially by mouth which is the preferred commonly used route. This oral cavity being harbored by multiple organisms makes it prone to further infection which again hampers the healing. Oral surgeries include the dentoalveolar region for the treatment of fracture or prosthetic reasons, for maxillofacial trauma, orthognathic surgeries, tumors, cleft lip and palate correction, etc., Nutrition plays a major role in the postoperative recovery and healing. Malnutrition in the Oral and Maxillofacial Surgery (OMFS) patients increases the postoperative morbidity and mortality rate. Nutrition in jaw fractures treated with intermaxillary fixation is more compromised. Healing is impaired in malnourished, critically ill, elderly, and patients with prolonged stay in hospital and hence nutrition in the form of enteral, parenteral, and oral sip feeding plays a major role in providing nutritional care. Preoperative nutrition and perioperative nutrition influence the postoperative outcome and hence metabolic and nutritional care is important for the uneventful healing. This article provides a basic review of the role of nutrition in the postoperative outcome of OMFS patients based on the search through articles in journal and internet.
饮食、营养与口腔健康密切相关,且具有多方面的影响。任何口腔疾病,无论是先天性、感染性、创伤性、炎症性还是肿瘤性的,都会影响口腔的日常功能,即使在进行改善病情的矫正手术后,也可能对食物和液体摄入产生不利影响,进而损害营养状况。与其他普通外科手术不同,口腔颌面区域的手术会影响正常的食物摄入,尤其是通过口腔这一常用的首选途径。口腔中存在多种微生物,这使其容易受到进一步感染,而感染又会阻碍伤口愈合。口腔手术包括牙槽区域的手术,用于治疗骨折或出于修复目的,颌面创伤手术、正颌手术、肿瘤手术、唇腭裂修复手术等。营养在术后恢复和愈合中起着重要作用。口腔颌面外科(OMFS)患者的营养不良会增加术后发病率和死亡率。采用颌间固定治疗的颌骨骨折患者的营养状况更易受到影响。营养不良、重症、老年以及长期住院的患者伤口愈合会受到损害,因此肠内、肠外和经口小口喂食等营养方式在提供营养护理方面起着重要作用。术前营养和围手术期营养会影响术后结果,因此代谢和营养护理对于顺利愈合至关重要。本文通过查阅期刊和互联网上的文章,对营养在口腔颌面外科患者术后结果中的作用进行了基本综述。