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01-03-2020 | Edema | Original Article

Efficacy and safety of diode laser during circumvestibular incision for Le Fort I osteotomy in orthognathic surgery: a triple-blind randomized clinical trial

Authors: Filipe Jaeger, Gustavo Marques de Oliveira Chiavaioli, Guilherme Lacerda de Toledo, Belini Freire-Maia, Marcio Bruno Figueiredo Amaral, Mauro Henrique Nogueira Guimarães de Abreu, José Alcides Almeida de Arruda, Ricardo Alves Mesquita

Published in: Lasers in Medical Science | Issue 2/2020

Abstract

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). No statistically significant difference was detected between groups regarding total surgical time or other safety parameters (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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Title: Efficacy and safety of diode laser during circumvestibular incision for Le Fort I osteotomy in orthognathic surgery: a triple-blind randomized clinical trial
Authors: Filipe Jaeger
Gustavo Marques de Oliveira Chiavaioli
Guilherme Lacerda de Toledo
Belini Freire-Maia
Marcio Bruno Figueiredo Amaral
Mauro Henrique Nogueira Guimarães de Abreu
José Alcides Almeida de Arruda
Ricardo Alves Mesquita
Publication date: 01-03-2020
Publisher: Springer London
Keywords: Edema
Incision
Diode Laser
Laser
Published in: Lasers in Medical Science / Issue 2/2020
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02832-2

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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

Abstract

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