Features clinicals and sociodemographics associated to risk blood loss in orthognathic surgery in Central Military Hospital

Abstract

El concepto de cirugía ortognática implica la manipulación quirúrgica de los elementos esqueléticos faciales para restaurar la anatomía y relaciones funcionales en pacientes con anomalías dentofaciales, y estas a su vez impactan a diferentes niveles funcionales, como: fonación, respiración y estética. La complejidad de la irrigación facial representa un reto para el equipo quirurgico, en el diseño del manejo intraoperatorio respecto a tecnica quirurgica, e intervenciones durante la cirugia, y despues de la misma. A partir de la revisión de la literatura y las evidencias medicas, en OVID, PubMed, Cochrane library y guias de manejo, que dieran un enfoque integral del sangrado intraoperatorio en pacientes sometidos a cirugia ortognatica, reportando cambios de hemoglobina preoperaotoria y post operatoria , durante el periodo de julio 2014 a julio 2015.The concept of orthognathic surgery involves surgical manipulation of facial skeletal elements to restore the anatomy and functional relationships in patients with dentofacial anomalies, and these in turn impacting different functional levels, as phonation, respiration and aesthetics. The complexity of the facial irrigation represents a challenge for the surgical team, in the design of intraoperative management regarding surgical technique, and interventions during surgery, and after it. From the literature review and the medical evidence, in Ovid, PubMed, Cochrane library and management guidelines, which give a comprehensive approach to intraoperative bleeding in patients undergoing orthognathic surgery, reporting changes and postoperative hemoglobin preoperaotoria during the period of July 2014 to July 2015. Key words: Ortognathic surgery, Hemorrhage, Heme, Blood Substitutes Dentofacial Deformitie