Luis Eduardo Charles Pagotto
Luis Eduardo Charles Pagotto published latest article in Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery entitled Piezoelectric versus conventional techniques for orthognathic surgery: Systematic review and meta-analysis. This article is available in PubMed with an unique identification number PMID: 28843403 and it is published in 2017. The coauthors of this article are Pagotto LEC, de Santana Santos T, de Vasconcellos SJA, Santos JS, Martins-Filho PRS.
Latest Publication Details
Article Title: Piezoelectric versus conventional techniques for orthognathic surgery: Systematic review and meta-analysis.
Co-Author(s): Pagotto, LEC; de Santana Santos, T; de Vasconcellos, SJA; Santos, JS; Martins-Filho, PRS
Affiliation(s): Hospital Israelita Albert Einstein, S?o Paulo, Brazil. Electronic address: email@example.com.
PMID 28843403, Year 2017
Abstract: The purpose of this study was to perform a systematic review and meta-analysis of complications after orthognathic surgery comparing piezo-surgery with conventional osteotomy.We conducted this study according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We performed a systematic search of PubMed, Scopus, Science Direct, Lilacs, Cochrane Central Register of Controlled Trials, Google Scholar, and OpenThesis to identify randomized and nonrandomized controlled trials (RCTs and nRCTs, respectively) comparing patient outcomes (operative time, intraoperative blood loss, postoperative swelling, pain, neurosensitivity) after orthognathic surgery by piezoelectric or conventional osteotomy. We pooled individual results of continuous and dichotomous outcome data using the mean difference (MD) and risk difference (RD) with the 95% confidence interval, respectively.Three RCTs and five nRCTs were selected. No difference in operative time was observed between piezo-surgery and conventional osteotomies. We found a decrease of intraoperative blood loss with piezo-surgery (MD?-128?mL; P?0.001) and a pooled difference in severe blood loss of 35% (P?=?0.008) favouring piezo-surgery. Based on pooled individual results of studies evaluating neurosensitivity by clinical neurosensory testing, our meta-analysis showed a pooled difference in severe nerve disturbance of 25% (P?0.0001) favouring piezo-surgery. Test for subgroup differences (I2?=?26.6%) indicated that follow-up time may have an effect on neurosensory disturbance. We found differences between piezo-surgery and conventional osteotomy at 3 months (RD 28%; P?0.001) and 6 months (RD 15%; P?=?0.001) after surgery. Meta-analyses for pain and swelling were not performed because of a lack of sufficient studies.Currently available evidence suggests that piezo-surgery has favorable effects on complications associated with orthognathic surgery, including reductions in intraoperative blood loss and severe nerve disturbance.
Journal: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery