Avaliação da eficácia do laser de baixa intensidade na redução da dor e do edema na cirurgia de remoção do corpo adiposo bucal.

Abstract

The buccal adipose body, formerly known as Bichat's ball, is a mass of fatty tissue, well vascularized, limited by muscles buccinator, masseter, ascending branch of the mandible and by the zygomatic arch. Removal surgery of this structure aims to improve the facial contour in the middle third region. In order to alleviate the signs and inflammatory symptoms, such as pain and edema, in the postoperative period, new methods have been sought, improving the quality of life of patients in the postoperative period of surgical procedures. Low intensity laser therapy comes every day gaining more space in therapy in various specialties, such as in the treatment of aphthous lesions, in the recovery of paresthesia and in the reduction of postoperative inflammatory events, by interacting with the cells of the organism, stimulating the cellular metabolism. The objective of the present study was to evaluate the efficacy of this type of treatment in the reduction of painful symptomatology and edema in the postoperative period in the removal of the oral adipose body. The sample included 10 patients. The pain was evaluated through the Visual Analogue Scale (VAS), where the patients assigned a numerical value in the scale to determine the level of pain at the time, the appointments were made in the immediate postoperative period, with 24 hours and 7 days after surgery. The edema was evaluated by the linear measurement between predetermined points: lateral corner of the eye / angle of the mandible, tragus / labial commissure and tragus / pogonium, these measurements were made in four moments: preoperative, immediate postoperative, with 24 hours and with 7 days. The data were submitted to statistical analysis: test t and Mann- Whitney test (U), and it was observed that there was no statistical difference between the side that received the laser treatment and the untreated side. The laser contributed to reduce pain and edema, although there was no statistical difference with the control side.