Swennen Gwen R. J., de O. Andriola Fernando, Weinberg Yves
Division of Maxillofacial Surgery, Department of Surgery, AZ Sint-Jan Brugge-Oostende AV, Belgium, Bruges, Belgium
Department of Oral and Maxillofacial Surgery, Hospital São Lucas, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil
There is clear evidence from the scientific literature that minimally invasive (MI) orthognathic surgical techniques have the potential to decrease patient morbidity and lead to faster postoperative recovery in comparison to conventional surgical approaches. A “New Concept” based on a MI philosophy toward orthognathic surgery is presented based on five principles: (1) Step-by-step standardization of “MI orthognathic surgical techniques” to increase surgical efficiency, (2) Optimization of vascular blood supply and decrease of interstitial edema and swelling to improve postoperative recovery, (3) Development of dedicated “MI orthognathic instruments” and “MI orthognathic surgical codes” to allow less invasive approaches and to create a common language among the surgical team, (4) Creation of dedicated “MI orthognathic surgical sequences” and “MI orthognathic sequence template bars” to facilitate surgical instrumentation table organization, and (5) Dedicated storage of “MI orthognathic instruments and sequence template bars” to optimize its gathering, cleaning and sterilization processes toward a time efficient and cost-effective clinical routine. The new concept toward MI orthognathic surgery allows to increase in surgical efficiency and safety in order to minimize patient morbidity.
科学文献中有明确证据表明，与传统手术方法相比，微创正颌外科技术有可能降低患者发病率并使术后恢复更快。基于微创理念提出了一种针对正颌外科手术的“新概念”，该概念基于五项原则：（1）对“微创正颌外科技术”进行逐步标准化以提高手术效率；（2）优化血管血液供应并减轻间质水肿和肿胀以改善术后恢复；（3）开发专用的“微创正颌器械”和“微创正颌手术编码”，以采用侵入性较小的方法并在手术团队之间创建通用语言；（4）创建专用的“微创正颌手术顺序”和“微创正颌顺序模板条”，以方便手术器械台的整理；（5）对“微创正颌器械和顺序模板条”进行专门存储，以优化其收集、清洁和消毒过程，实现高效且经济高效的临床常规操作。微创正颌手术的新概念能够提高手术效率和安全性，从而将患者发病率降至最低。
