- Universidade Luterana do Brasil, Odontologia - Canoas - RS - Brasil.
- Hospital de Montenegro, Cirurgia Bucomaxilofacial - Montenegro - RS - Brasil.
Rev Col Bras Cir. 2021 Jan 13;48:e20202581. doi: 10.1590/0100-6991e-20202581. eCollection 2021.
Understanding the cause, severity, and elapsed time for the restoration of the functions of maxillofacial injuries can contribute to the establishment of clinical priorities aiming at effective treatment and further prevention of facial trauma. The objective of this study was to understand the factors associated with the restoration of mastication, ocular, and nasal functions in the face of trauma victims, estimating their recovery time after surgical treatment. We analyzed 114 medical records of patients treated at the Hospital Montenegro, who attended follow-up consultations for up to 180 days. For analysis of the recovery time, we performed survival analysis, followed by COX analysis. We observed that half of the patients recovered their functions within 20 days. The average time for recovery from trauma in the zygomatic-orbital-malar-nasal complex was 11 days, and in the maxillary-mandibular complex, 21 days (HR: 1.5 [0.99 2.3], p = 0.055). Although functional reestablishment has reached high rates after the surgical approach, it is necessary to analyze the failing cases, as well as the economic impacts and the prevention strategies associated with facial trauma, to improve the service to the population.
了解颌面损伤功能恢复的原因、严重程度和时间流逝，有助于确定临床优先事项，以实现有效治疗和进一步预防面部创伤。本研究的目的是了解与创伤患者咀嚼、眼部和鼻部功能恢复相关的因素，并估计他们在接受手术治疗后的恢复时间。我们分析了 Montenegro 医院治疗的 114 名患者的医疗记录，这些患者接受了长达 180 天的随访咨询。为了分析恢复时间，我们进行了生存分析，然后进行 COX 分析。我们观察到，一半的患者在 20 天内恢复了功能。在颧骨-眶-上颌-鼻复合体中，创伤恢复的平均时间为 11 天，而在上颌-下颌复合体中，创伤恢复的平均时间为 21 天（HR：1.5 [0.99 2.3]，p = 0.055）。尽管手术方法后功能重建达到了很高的比率，但仍有必要分析失败病例，以及与面部创伤相关的经济影响和预防策略，以改善为人群提供的服务。
