Palavras-chave
Procedimentos cirúrgicos ortognáticos
Procedimentos cirúrgicos minimamente invasivos
Piezocirurgia
Como Citar
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Resumo
Objetivo: Realizar uma revisão bibliométrica da literatura sobre técnicas minimamente invasivas em cirurgia ortognática, investigando as principais tecnologias utilizadas, a precisão cirúrgica, os impactos clínicos e suas limitações. Métodos: Foram selecionados 23 artigos que abordaram procedimentos ortognáticos minimamente invasivos, analisando tecnologias, aplicações clínicas, tipos de procedimentos e perfil dos pacientes. Resultados: Observou-se que a cirurgia ortognática evoluiu com a introdução de tecnologias como piezocirurgia, endoscopia e impressão 3D, que possibilitam abordagens menos invasivas e mais personalizadas. A maioria dos estudos relatou predominância de procedimentos na maxila (66,7%) e cirurgias bimaxilares (33,3%), sendo mais frequentes em jovens adultos entre 15 e 30 anos. Os resultados demonstraram benefícios como maior precisão cirúrgica, menor tempo de internação, recuperação funcional acelerada e redução de complicações pós-operatórias, especialmente dor e edema. As tecnologias de guias cirúrgicos 3D e piezocirurgia foram determinantes para esses avanços, embora ainda haja limitações em casos complexos e deformidades severas. Considerações finais: As técnicas minimamente invasivas em cirurgia ortognática representam um avanço significativo, com benefícios clínicos e funcionais superiores. Contudo, sua aplicação depende de critérios rigorosos de seleção e adequada infraestrutura profissional.
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