EFEITO DA KINESIOTERAPIA E DO LASER DE BAIXA POTÊNCIA NO PÓS-OPERATÓRIO DE BICHECTOMIA, EM PACIENTES COM TRAUMA MASTIGATÓRIO RECORRENTE

Abstract

Pelissaro, GS. Effect of kinesiotherapy and low-level laser in the postoperative period of bichectomy in patients with recurrent mastigatory trauma. Campo Grande; 2022. [Thesis – Programa de Pós Graduação em Saúde e Desenvolvimento da Região Centro Oeste da Faculdade de Medicina da Universidade Federal de Mato Grosso do Sul].

Defined as bichectomy, the removal of buccal fat pad (BFP), or Bichat's ball, has been a focus of interest in the health field, since it can be used as accessory tissue for other surgical areas, to treat masticatory trauma of the cheek region, as well as to reduce the volume of the middle third of the face, causing a rejuvenating aesthetic effect. Although the performance of this surgical procedure has increased, few controlled studies have been reported, especially with regard to the clinical control of these surgeries and the formation of postoperative edema. Given this scenario, the effects of low-level laser and kinesiotherapy (KT) were evaluated after bichectomy in 28 participants, allocated in a prospective randomized split-mouth study. Each participant underwent bilateral bichectomy, but only one side underwent laser therapy or kinesiotherapy, with the other side remaining as a control, totaling 56 surgeries. Ultrasonographic changes in this process were also observed. The results showed a significant reduction in edema after KT for 2 days after surgery (p<0,001), something that was not observed with laser therapy (p=0,127). Post-surgical ultrasound findings revealed rare BFP prolapse, but that did not show a relationship with the postoperative use of kinesiotherapy (p=0,092) or laser therapy (p=0,480), compared to the control group. Although there is a consensus on the importance of carrying out complementary exams prior to surgical procedures, in order to prevent complications, the literature revealed that bichectomy has been practiced without this care. Our results highlighted the importance of performing ultrasound before and after bichectomy surgery, in order to avoid false expectations on the part of the patient. In time, our findings also revealed that KT is a satisfactory method of controlling postoperative edema after bichectomy, however, new controlled studies are suggested to corroborate, or not, with the statements found.