Literature DB >> 26280080

Assessment of hematologic parameters before and after bimaxillary orthognathic surgery.

Bruno Ramos Chrcanovic1, Guilherme Lacerda de Toledo2, Márcio Bruno Figueiredo Amaral2, Antônio Luís Neto Custódio3,4.   

Abstract

PURPOSE: The purpose of the study was to evaluate changes of hematologic parameters in bimaxillary surgery.
METHODS: Fifty-three patients were prospectively evaluated and divided into groups based on the surgical procedure and sex (predictor variables). Hemoglobin, red blood cells, hematocrit, and platelet were the primary outcome variables, operation time the secondary outcome, and the patients' age and weight the other variables. TRIAL REGISTRATION: NCT02364765 (U.S. National Institutes of Health, clinicaltrials.gov).
RESULTS: There was statistically significant difference between all hematologic parameters before and after surgery, for both men and women, and for all surgical groups. There was a positive correlation between operative time and the decrease (in %) of the hematologic parameters. Linear regression analysis suggested that the Hb values decrease 0.083 % for every minute increase in the operation time, and 0.066, 0.066, and 0.010 % for RBC, Hct, and platelet count, respectively. There was a negative correlation between weight and all hematologic parameters. Correlations between age and hematologic parameters were not statistically significant. Almost all correlations between age, weight, sex, and the surgery group and the hematologic parameters were considered as very weak. Only one patient was transfused.
CONCLUSIONS: It is suggested that operation time and patient's weight play a bigger role than patient's age and sex in the decrease of hematologic parameters after bimaxillary surgery.

Entities:  

Keywords:  Bimaxillary osteotomies; Blood parameters; Hematocrit; Hemoglobin; Orthognathic surgery; Platelets; Red blood cells

Mesh:

Year:  2015        PMID: 26280080     DOI: 10.1007/s10006-015-0525-2

Source DB:  PubMed          Journal:  Oral Maxillofac Surg        ISSN: 1865-1550


  31 in total

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2.  Intraoperative blood loss and blood transfusion requirements in patients undergoing orthognathic surgery.

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Journal:  Oral Maxillofac Surg       Date:  2013-04-26

3.  Intraoperative blood loss during orthognathic surgery is predicted by thromboelastography.

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Review 4.  Cell salvage as part of a blood conservation strategy in anaesthesia.

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6.  Blood transfusion in bimaxillary orthognathic operations: need for testing of type and screen.

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Review 7.  The effects of mild perioperative hypothermia on blood loss and transfusion requirement.

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Review 8.  Considerations of mandibular angle fractures during and after surgery for removal of third molars: a review of the literature.

Authors:  Bruno Ramos Chrcanovic; Antônio Luís Neto Custódio
Journal:  Oral Maxillofac Surg       Date:  2010-06

9.  Factors for intraoperative blood loss in bimaxillary osteotomies.

Authors:  Winfried Kretschmer; Ulrich Köster; Klaus Dietz; Werner Zoder; Konrad Wangerin
Journal:  J Oral Maxillofac Surg       Date:  2008-07       Impact factor: 1.895

10.  The role of controlled hypotension upon transfusion requirement during maxillary downfracture in double-jaw surgery.

Authors:  Altan Varol; Selçuk Basa; Salih Ozturk
Journal:  J Craniomaxillofac Surg       Date:  2009-11-12       Impact factor: 2.078

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  2 in total

1.  Short-term Haematological Parameters Following Surgical Removal of Mandibular Third Molars with Different Doses of Methylprednisolone Compared with Placebo. A Randomized Controlled Trial.

Authors:  Marie Kjærgaard Larsen; Thomas Kofod; Kirsten Duch; Thomas Starch-Jensen
Journal:  J Oral Maxillofac Res       Date:  2020-06-30

2.  Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery.

Authors:  Jung-Soo Lee; Moon-Key Kim; Sang-Hoon Kang
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