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To evaluate the influence of Bichat's ball removal on postoperative inflammatory parameters (pain, edema, and trismus), facial volume reduction, facial esthetic satisfaction, and oral health-related quality of life.A single-arm clinical trial with 21 patients undergoing Bichat's ball removal. The following parameters were assessed at baseline and up to 3 months postoperatively: Visual Analogue Scale pain scores (0-10), rescue medication consumption, mouth opening, AM-Tr, AM-CEO, AM-NA, AM-CL, and AM-PM measurements, Oral Health Impact Profile (OHIP)-14 QoL scores, and satisfaction with facial esthetics (FACE-Q Satisfaction with Facial Appearance Overall Scale (SFAOS). XPeak pain occurred after 2 h and, 10 h later, the levels returned to baseline values (p 0.001). Rescue medication consumption peaked in the first 24 h reducing significantly after 72 h (p 0.001). Mean mouth opening decreased after 24 h and returned to baseline levels after 1 month, and all linear facial measures reduced significantly after 1 or 3 months (p 0.05). OHIP-14 scores and FACE-Q SFAOS scores showed significant improvement after 1 month (p 0.001), but patients aged 25 years showed a significant reduction in FACE-Q SFAOS at the end of the study (p = 0.006).Surgical removal of the Bichat's ball induces a mild inflammatory process controlled by rescue medication, significantly reduces face volume, and improves QoL and satisfaction with facial esthetics 3 months postoperatively. However, the efficacy of this procedure in patients 25 years old is questionable.Evaluate the effectiveness of bichectomy in terms of clinical effects and impact on quality of life. |
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