The Experts below are selected from a list of 312 Experts worldwide ranked by ideXlab platform
Ricardo Alves Mesquita - One of the best experts on this subject based on the ideXlab platform.
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efficacy and safety of diode laser during circumvestibular Incision for le fort i osteotomy in orthognathic surgery a triple blind randomized clinical trial
Lasers in Medical Science, 2020Co-Authors: Filipe Jaeger, Guilherme Lacerda Toledo, Marcio Bruno Figueiredo Amaral, Gustavo Marques De Oliveira Chiavaioli, Belini Freiremaia, Mauro Henrique Nogueira Guimaraes De Abreu, Jose Alcides Almeida De Arruda, Ricardo Alves MesquitaAbstract:The aim of this triple-blind randomized clinical trial was to evaluate the efficacy and safety of diode laser during circumvestibular Incisions for Le Fort I osteotomy in orthognathic surgeries in comparison with conventional techniques using electrocautery and scalpel. Patients were randomly allocated to one of three groups based on the technique employed to perform Incisions: diode laser, electrocautery, and scalpel. The parameters used to evaluate the efficacy and safety of diode laser were Incision velocity, duration of surgery, bleeding rate, alterations in postoperative functions, pain, edema, wound clinical healing, and infection. Thirty patients were enrolled in the study (10 per group). Regarding bleeding, the Incisions performed with diode laser promoted a lower bleeding rate compared with scalpel and electrocautery (p = 0.00). The diode surgical laser was effective during the Incision procedure, but required a longer time to perform the Incisions compared with the other techniques evaluated (p 0.05). Thus, diode laser proved to be effective and safer during circumvestibular Incisions for Le Fort I osteotomy than conventional devices.
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High-power diode laser in the circumvestibular Incision for Le Fort I osteotomy in orthognathic surgery: a prospective case series study
Lasers in Medical Science, 2018Co-Authors: Filipe Jaeger, Gustavo Marques Chiavaioli, Guilherme Lacerda Toledo, Belini Freire-maia, Marcio Bruno Figueiredo Amaral, Ricardo Alves MesquitaAbstract:The Incisions during orthognathic surgery are classically performed with conventional scalpel or electrocautery. Considering that the high-power diode laser surgery may provide advantages when compared to conventional Incision techniques, the current study aimed to present a prospective case series of patients submitted to circumvestibular Incision for Le Fort I osteotomy. Ten patients with dentofacial deformities who underwent to rapid assisted maxillary expansion or bimaxillary orthognathic surgery were enrolled in the study. All Incisions were performed by a single surgeon using an 808-nm diode laser, with an optical fiber of 600 μm, at a power of 2.5 W, in a continuous-wave mode. The performance of the Incision was evaluated by Incision velocity, bleeding, edema, secondary infection, clinical healing, and pain. The velocity of the Incision ranged from 0.10 to 0.20 mm/s (mean 0.13 ± 0.03 mm/s). Considering bleeding during the soft tissue Incision, all surgeries were classified as absent bleeding. All patients presented a clinical healing of the surgical wound in a period that range from 3 to 5 weeks and experienced swelling during the follow-up period. On average, approximately 50% of the swelling had resolved after the third postoperative week, and 28.8% of swelling remained after 2 months after the surgery. The pain decreased after 2 and 3 days, and 90.0% of the patients reported no pain after 7 postoperative days. High-power diode laser is effective and safety during circumvestibular Incisions for Le Fort I osteotomy in orthognathic surgery decreasing bleeding, surgery time, pain, and edema after orthognathic surgery.
John A. Windsor - One of the best experts on this subject based on the ideXlab platform.
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systematic review and meta analysis of cutting diathermy versus scalpel for skin Incision
British Journal of Surgery, 2012Co-Authors: Anubhav Mittal, John A. WindsorAbstract:Background: Skin Incisions have traditionally been made using a scalpel. Cutting diathermy, a more recent alternative, is thought to increase the risk of infection, impair healing and decrease cosmesis. Recent studies suggest otherwise, claiming that diathermy may offer potential advantages with respect to blood loss, Incision time and postoperative pain. The aim of this meta-analysis was to compare skin Incisions made by either scalpel or cutting diathermy. Methods: A systematic literature search and review was performed for studies published from January 1980 until June 2011. Randomized clinical trials comparing scalpel and cutting diathermy for skin Incisions of any operation were included. Primary outcomes included wound complication rate, blood loss, Incision times and pain scores. Results: Fourteen randomized trials met the criteria for inclusion in the meta-analysis, providing outcome data for a total of 2541 patients (1267 undergoing skin Incision by cutting diathermy and 1274 by scalpel). The median length of follow-up across all studies was 6 weeks (range 4 days to 19 months). Compared with a scalpel Incision, cutting diathermy resulted in significantly less blood loss (mean difference 0·72 ml/cm2; P < 0·001) and shorter Incision times (mean difference 36 s; P < 0·001), with no differences in the wound complication rate (odds ratio 0·87; P = 0·29) or pain score at 24 h (mean difference 0·89; P = 0·05). Conclusion: Skin Incisions made by cutting diathermy are quicker and associated with less blood loss than those made by scalpel, and there are no differences in the rate of wound complications or postoperative pain. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
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Systematic review and meta‐analysis of cutting diathermy versus scalpel for skin Incision
The British journal of surgery, 2012Co-Authors: Anubhav Mittal, John A. WindsorAbstract:Background: Skin Incisions have traditionally been made using a scalpel. Cutting diathermy, a more recent alternative, is thought to increase the risk of infection, impair healing and decrease cosmesis. Recent studies suggest otherwise, claiming that diathermy may offer potential advantages with respect to blood loss, Incision time and postoperative pain. The aim of this meta-analysis was to compare skin Incisions made by either scalpel or cutting diathermy. Methods: A systematic literature search and review was performed for studies published from January 1980 until June 2011. Randomized clinical trials comparing scalpel and cutting diathermy for skin Incisions of any operation were included. Primary outcomes included wound complication rate, blood loss, Incision times and pain scores. Results: Fourteen randomized trials met the criteria for inclusion in the meta-analysis, providing outcome data for a total of 2541 patients (1267 undergoing skin Incision by cutting diathermy and 1274 by scalpel). The median length of follow-up across all studies was 6 weeks (range 4 days to 19 months). Compared with a scalpel Incision, cutting diathermy resulted in significantly less blood loss (mean difference 0·72 ml/cm2; P < 0·001) and shorter Incision times (mean difference 36 s; P < 0·001), with no differences in the wound complication rate (odds ratio 0·87; P = 0·29) or pain score at 24 h (mean difference 0·89; P = 0·05). Conclusion: Skin Incisions made by cutting diathermy are quicker and associated with less blood loss than those made by scalpel, and there are no differences in the rate of wound complications or postoperative pain. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Filipe Jaeger - One of the best experts on this subject based on the ideXlab platform.
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efficacy and safety of diode laser during circumvestibular Incision for le fort i osteotomy in orthognathic surgery a triple blind randomized clinical trial
Lasers in Medical Science, 2020Co-Authors: Filipe Jaeger, Guilherme Lacerda Toledo, Marcio Bruno Figueiredo Amaral, Gustavo Marques De Oliveira Chiavaioli, Belini Freiremaia, Mauro Henrique Nogueira Guimaraes De Abreu, Jose Alcides Almeida De Arruda, Ricardo Alves MesquitaAbstract:The aim of this triple-blind randomized clinical trial was to evaluate the efficacy and safety of diode laser during circumvestibular Incisions for Le Fort I osteotomy in orthognathic surgeries in comparison with conventional techniques using electrocautery and scalpel. Patients were randomly allocated to one of three groups based on the technique employed to perform Incisions: diode laser, electrocautery, and scalpel. The parameters used to evaluate the efficacy and safety of diode laser were Incision velocity, duration of surgery, bleeding rate, alterations in postoperative functions, pain, edema, wound clinical healing, and infection. Thirty patients were enrolled in the study (10 per group). Regarding bleeding, the Incisions performed with diode laser promoted a lower bleeding rate compared with scalpel and electrocautery (p = 0.00). The diode surgical laser was effective during the Incision procedure, but required a longer time to perform the Incisions compared with the other techniques evaluated (p 0.05). Thus, diode laser proved to be effective and safer during circumvestibular Incisions for Le Fort I osteotomy than conventional devices.
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High-power diode laser in the circumvestibular Incision for Le Fort I osteotomy in orthognathic surgery: a prospective case series study
Lasers in Medical Science, 2018Co-Authors: Filipe Jaeger, Gustavo Marques Chiavaioli, Guilherme Lacerda Toledo, Belini Freire-maia, Marcio Bruno Figueiredo Amaral, Ricardo Alves MesquitaAbstract:The Incisions during orthognathic surgery are classically performed with conventional scalpel or electrocautery. Considering that the high-power diode laser surgery may provide advantages when compared to conventional Incision techniques, the current study aimed to present a prospective case series of patients submitted to circumvestibular Incision for Le Fort I osteotomy. Ten patients with dentofacial deformities who underwent to rapid assisted maxillary expansion or bimaxillary orthognathic surgery were enrolled in the study. All Incisions were performed by a single surgeon using an 808-nm diode laser, with an optical fiber of 600 μm, at a power of 2.5 W, in a continuous-wave mode. The performance of the Incision was evaluated by Incision velocity, bleeding, edema, secondary infection, clinical healing, and pain. The velocity of the Incision ranged from 0.10 to 0.20 mm/s (mean 0.13 ± 0.03 mm/s). Considering bleeding during the soft tissue Incision, all surgeries were classified as absent bleeding. All patients presented a clinical healing of the surgical wound in a period that range from 3 to 5 weeks and experienced swelling during the follow-up period. On average, approximately 50% of the swelling had resolved after the third postoperative week, and 28.8% of swelling remained after 2 months after the surgery. The pain decreased after 2 and 3 days, and 90.0% of the patients reported no pain after 7 postoperative days. High-power diode laser is effective and safety during circumvestibular Incisions for Le Fort I osteotomy in orthognathic surgery decreasing bleeding, surgery time, pain, and edema after orthognathic surgery.
Anubhav Mittal - One of the best experts on this subject based on the ideXlab platform.
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systematic review and meta analysis of cutting diathermy versus scalpel for skin Incision
British Journal of Surgery, 2012Co-Authors: Anubhav Mittal, John A. WindsorAbstract:Background: Skin Incisions have traditionally been made using a scalpel. Cutting diathermy, a more recent alternative, is thought to increase the risk of infection, impair healing and decrease cosmesis. Recent studies suggest otherwise, claiming that diathermy may offer potential advantages with respect to blood loss, Incision time and postoperative pain. The aim of this meta-analysis was to compare skin Incisions made by either scalpel or cutting diathermy. Methods: A systematic literature search and review was performed for studies published from January 1980 until June 2011. Randomized clinical trials comparing scalpel and cutting diathermy for skin Incisions of any operation were included. Primary outcomes included wound complication rate, blood loss, Incision times and pain scores. Results: Fourteen randomized trials met the criteria for inclusion in the meta-analysis, providing outcome data for a total of 2541 patients (1267 undergoing skin Incision by cutting diathermy and 1274 by scalpel). The median length of follow-up across all studies was 6 weeks (range 4 days to 19 months). Compared with a scalpel Incision, cutting diathermy resulted in significantly less blood loss (mean difference 0·72 ml/cm2; P < 0·001) and shorter Incision times (mean difference 36 s; P < 0·001), with no differences in the wound complication rate (odds ratio 0·87; P = 0·29) or pain score at 24 h (mean difference 0·89; P = 0·05). Conclusion: Skin Incisions made by cutting diathermy are quicker and associated with less blood loss than those made by scalpel, and there are no differences in the rate of wound complications or postoperative pain. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
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Systematic review and meta‐analysis of cutting diathermy versus scalpel for skin Incision
The British journal of surgery, 2012Co-Authors: Anubhav Mittal, John A. WindsorAbstract:Background: Skin Incisions have traditionally been made using a scalpel. Cutting diathermy, a more recent alternative, is thought to increase the risk of infection, impair healing and decrease cosmesis. Recent studies suggest otherwise, claiming that diathermy may offer potential advantages with respect to blood loss, Incision time and postoperative pain. The aim of this meta-analysis was to compare skin Incisions made by either scalpel or cutting diathermy. Methods: A systematic literature search and review was performed for studies published from January 1980 until June 2011. Randomized clinical trials comparing scalpel and cutting diathermy for skin Incisions of any operation were included. Primary outcomes included wound complication rate, blood loss, Incision times and pain scores. Results: Fourteen randomized trials met the criteria for inclusion in the meta-analysis, providing outcome data for a total of 2541 patients (1267 undergoing skin Incision by cutting diathermy and 1274 by scalpel). The median length of follow-up across all studies was 6 weeks (range 4 days to 19 months). Compared with a scalpel Incision, cutting diathermy resulted in significantly less blood loss (mean difference 0·72 ml/cm2; P < 0·001) and shorter Incision times (mean difference 36 s; P < 0·001), with no differences in the wound complication rate (odds ratio 0·87; P = 0·29) or pain score at 24 h (mean difference 0·89; P = 0·05). Conclusion: Skin Incisions made by cutting diathermy are quicker and associated with less blood loss than those made by scalpel, and there are no differences in the rate of wound complications or postoperative pain. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Guilherme Lacerda Toledo - One of the best experts on this subject based on the ideXlab platform.
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efficacy and safety of diode laser during circumvestibular Incision for le fort i osteotomy in orthognathic surgery a triple blind randomized clinical trial
Lasers in Medical Science, 2020Co-Authors: Filipe Jaeger, Guilherme Lacerda Toledo, Marcio Bruno Figueiredo Amaral, Gustavo Marques De Oliveira Chiavaioli, Belini Freiremaia, Mauro Henrique Nogueira Guimaraes De Abreu, Jose Alcides Almeida De Arruda, Ricardo Alves MesquitaAbstract:The aim of this triple-blind randomized clinical trial was to evaluate the efficacy and safety of diode laser during circumvestibular Incisions for Le Fort I osteotomy in orthognathic surgeries in comparison with conventional techniques using electrocautery and scalpel. Patients were randomly allocated to one of three groups based on the technique employed to perform Incisions: diode laser, electrocautery, and scalpel. The parameters used to evaluate the efficacy and safety of diode laser were Incision velocity, duration of surgery, bleeding rate, alterations in postoperative functions, pain, edema, wound clinical healing, and infection. Thirty patients were enrolled in the study (10 per group). Regarding bleeding, the Incisions performed with diode laser promoted a lower bleeding rate compared with scalpel and electrocautery (p = 0.00). The diode surgical laser was effective during the Incision procedure, but required a longer time to perform the Incisions compared with the other techniques evaluated (p 0.05). Thus, diode laser proved to be effective and safer during circumvestibular Incisions for Le Fort I osteotomy than conventional devices.
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High-power diode laser in the circumvestibular Incision for Le Fort I osteotomy in orthognathic surgery: a prospective case series study
Lasers in Medical Science, 2018Co-Authors: Filipe Jaeger, Gustavo Marques Chiavaioli, Guilherme Lacerda Toledo, Belini Freire-maia, Marcio Bruno Figueiredo Amaral, Ricardo Alves MesquitaAbstract:The Incisions during orthognathic surgery are classically performed with conventional scalpel or electrocautery. Considering that the high-power diode laser surgery may provide advantages when compared to conventional Incision techniques, the current study aimed to present a prospective case series of patients submitted to circumvestibular Incision for Le Fort I osteotomy. Ten patients with dentofacial deformities who underwent to rapid assisted maxillary expansion or bimaxillary orthognathic surgery were enrolled in the study. All Incisions were performed by a single surgeon using an 808-nm diode laser, with an optical fiber of 600 μm, at a power of 2.5 W, in a continuous-wave mode. The performance of the Incision was evaluated by Incision velocity, bleeding, edema, secondary infection, clinical healing, and pain. The velocity of the Incision ranged from 0.10 to 0.20 mm/s (mean 0.13 ± 0.03 mm/s). Considering bleeding during the soft tissue Incision, all surgeries were classified as absent bleeding. All patients presented a clinical healing of the surgical wound in a period that range from 3 to 5 weeks and experienced swelling during the follow-up period. On average, approximately 50% of the swelling had resolved after the third postoperative week, and 28.8% of swelling remained after 2 months after the surgery. The pain decreased after 2 and 3 days, and 90.0% of the patients reported no pain after 7 postoperative days. High-power diode laser is effective and safety during circumvestibular Incisions for Le Fort I osteotomy in orthognathic surgery decreasing bleeding, surgery time, pain, and edema after orthognathic surgery.
