Optimizing Patient Outcomes in Orthognathic Surgery: A Proposed Nutritional Protocol for Weight Loss Control and Bone Formation


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DOI:

https://doi.org/10.58600/eurjther2034

Keywords:

Maxillofacial surgery, maxillofacial surgical procedures, treatment outcome, dietary supplements

Abstract

Objective: The primary objective of this research was to conduct a comprehensive literature review, offering an in-depth examination of the nutritional considerations associated with orthognathic surgery and suggest a perioperative nutritional protocol for enhanced recovery.

Methods: To achieve this objective, the authors rigorously examined existing literature while adhering to the guidelines outlined in PRISMA-ScR. The scope of eligible studies encompassed various types, with the exclusion of case reports and reviews. The research applied specific inclusion criteria, concentrating on the nutritional aspects relevant to perioperative and/or postoperative phases of major maxillofacial surgery.

Results: A total of 39 articles were identified that met the screening criteria. These articles were then used to generate a discussion and propose a protocol aimed at reducing body weight loss following major maxillofacial surgery and improving bone formation post-osteotomies.

Conclusions: While the realm of maxillofacial surgery sees significant advancements in other fields, there exists a noticeable gap in addressing the nutritional status of surgical patients. This oversight can potentially lead to suboptimal postoperative outcomes. Recognizing the pivotal role of nutrition in enhancing surgical results, this paper emphasizes the importance of maintaining optimal nutritional status among orthognathic surgery patients.

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References

Melhem-Elias F, Reis BAQ, Afonso FAC, Barretto MDA, Deboni MCZ (2023). An innovative universal protocol for orthognathic surgery three-dimensional virtual simulation. Int J Oral Maxillofac Surg. 22:358-7. https://doi.org/10.1016/j.ijom.2022.09.001

Kim SH, Lee SJ, Choi MH, Yang HJ, Kim JE, Huh KH, et al (2020). Quantitative Augmented Reality-Assisted Free-Hand Orthognathic Surgery Using Electromagnetic Tracking and Skin-Attached Dynamic Reference. J Craniofac Surg. Nov. 1;31(8):2175-81. https://doi.org/10.1097/SCS.0000000000006739

Labafchi A, Shooshtari Z, Grillo R, Attar A, Eshghpour M, Samieirad S (2023). The beneficial effect of preoperative dexmedetomidine in controlling postoperative pain, nausea, and vomiting after orthognathic surgery: a triple-blind randomized clinical trial. Journal of Oral and Maxillofacial Surgery. S0278-2391:394-4. https://doi.org/10.1016/j.joms.2023.04.014

Ruslin M, Dekker H, Tuinzing DB, Forouzanfar T (2017). Assessing the need for a protocol in monitoring weight loss and nutritional status in orthognathic surgery based on patients experiences. J Clin Exp Dent [Internet]. 9(2):e272-5. https://doi.org/10.4317/jced.53354

Syed N, Chiu G, Korczak P (2017). Should patients take vitamin D before mandibular operations? Br J Oral Maxillofacial Surgery. 55:841-3. https://doi.org/10.1016/j.bjoms.2017.07.004

Klein JD, Hey LA, Yu CS, Klein BB, Coufal FJ, Young EP, et al (1996). Perioperative nutrition and postoperative complications in patients undergoing spinal surgery. Spine (Phila Pa 1976). Nov. 15;21(22):2676-82. https://doi.org/10.1097/00007632-199611150-00018

Zink TM, Kent SE, Choudhary AN, Kavolus JJ (2023). Nutrition in Surgery: An Orthopaedic Perspective. J Bone Joint Surg Am. 6;105(23):1897-1906. https://doi.org/10.2106/JBJS.23.00259

Evans DC, Martindale RG, Kiraly LN, Jones CM (2014). Nutrition Optimization Prior to Surgery. Nutrition in Clinical Practice. Feb;29(1):10-21. https://doi.org/10.1177/0884533613517006

Gustafsson UO, Ljungqvist O (2011). Perioperative nutritional management in digestive tract surgery. Curr Opin Clin Nutr Metab Care. Sep;14(5):504-9. https://doi.org/10.1097/MCO.0b013e3283499ae1

Falender LG, Leban SG, Williams FA (1987). Postoperative nutritional support in oral and maxillofacial surgery. Journal of Oral and Maxillofacial Surgery. 45(4):324-30. https://doi.org/10.1016/0278-2391(87)90353-3

Giridhar VU (2016). Role of nutrition in oral and maxillofacial surgery patients. Natl J Maxillofac Surg [Internet]. 7(1):3. https://doi.org/10.4103/0975-5950.196146

Olejko TD, Fonseca RJ (1984). Preoperative nutritional supplementation for the orthognathic surgery patient. Journal of Oral and Maxillofacial Surgery. 42:573-7. https://doi.org/10.1016/0278-2391(84)90087-9

Kendell BD, Fonseca RJ, Lee M (1982). Postoperative nutritional supplementation for the orthognathic surgery patient. Journal of Oral and Maxillofacial Surgery. 40:205-13. https://doi.org/10.1016/0278-2391(82)90312-3

Aghaloo T (2023). How Important Is Nutrition in Oral and Maxillofacial Surgery? J Oral Maxillofac Surg. Aug 24; https://doi.org/10.1016/j.joms.2023.08.155

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. (2018) PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 169:467-73. https://doi.org/10.7326/M18-0850

Blackburn GL, Wollner S, Bistrian BR (2010). Nutrition support in the intensive care unit: an evolving science. Arch Surg. 145(6):533-8. https://doi.org/10.1001/archsurg.2010.97

Brady M, Kinn S, Stuart P (2003). Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev. (4):CD004423. https://doi.org/10.1002/14651858.CD004423

Brady M, Kinn S, Ness V, O'Rourke K, Randhawa N, Stuart P (2009). Preoperative fasting for preventing perioperative complications in children. Cochrane Database Syst Rev. Oct. 7;(4):CD005285. https://doi.org/10.1002/14651858.CD005285.pub2

Svanfeldt M, Thorell A, Hausel J, Soop M, Rooyackers O, Nygren J, Ljungqvist O (2007). Randomized clinical trial of the effect of preoperative oral carbohydrate treatment on postoperative whole-body protein and glucose kinetics. Br J Surg. 94(11):1342-50. https://doi.org/10.1002/bjs.5919

Søreide E, Ljungqvist O (2006). Modern preoperative fasting guidelines: a summary of the present recommendations and remaining questions. Best Pract Res Clin Anaesthesiol. 20(3):483-91. https://doi.org/10.1016/j.bpa.2006.03.002

McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, Ochoa JB, Napolitano L, Cresci G; A.S.P.E.N. Board of Directors; American College of Critical Care Medicine; Society of Critical Care Medicine (2009). Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr. 33(3):277-316. https://doi.org/10.1177/0148607109335234

Stannard D (2020). Early Enteral Nutrition Within 24 Hours of Lower Gastrointestinal Surgery Versus Later Commencement for Length of Hospital Stay and Postoperative Complications. J Perianesth Nurs. 35(5):541-542. https://doi.org/10.1016/j.jopan.2020.07.003

McCarthy MS, Martindale RG (2018). Immunonutrition in Critical Illness: What Is the Role? Nutr Clin Pract. 2018 Jun;33(3):348-358. https://doi.org/10.1002/ncp.10102

Miller MD, Yaxley A, Villani A, Cobiac L, Fraser R, Cleland L, James M, Crotty M (2010). A trial assessing N-3 as treatment for injury-induced cachexia (ATLANTIC trial): does a moderate dose fish oil intervention improve outcomes in older adults recovering from hip fracture? BMC Geriatr. 22;10:76. https://doi.org/10.1186/1471-2318-10-76

Lysen LK, Israel DA (2012). Chap. 22: Nutrition and weight control. In: Krause's Food & The Nutrition Care Process. 13th Edition by: Mahan MS RD CDE, L. Kathleen, Raymond MS RD CD, Janice L. Published by Saunders.

Blackburn GL, Bistrian BR, Maini BS, Schlamm HT, Smith MF (1977). Nutritional and metabolic assessment of the hospitalized patient. JPEN J Parenter Enteral Nutr. 1(1):11-22. https://doi.org/10.1177/014860717700100101

Kesari A, Noel JY (2023). Nutritional Assessment. 2023 Apr 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Stensland SH, Margolis S (1990). Simplifying the calculation of body mass index for quick reference. J Am Diet Assoc. Jun;90(6):856. Erratum in: J Am Diet Assoc. 90(10):1372.

Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL (2014). Indices of relative weight and obesity. Int J Epidemiol. 43(3):655-65. https://doi.org/10.1093/ije/dyu058

Mei Z, Grummer-Strawn LM, Pietrobelli A, Goulding A, Goran MI, Dietz WH (2002). Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. Am J Clin Nutr. 75(6):978-85. https://doi.org/10.1093/ajcn/75.6.978

Russel M, Mueller C (2007): Nutrition screening and assessment. In Gottschling M, et al, editor: The science and practice of nutrition support: American Society for Parenteral and Enteral Nutrition, Dubuque, IA, Kendall/Hunt.

Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes (1997). Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington (DC): National Academies Press (US).

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003). National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 42(6):1206-52. https://doi.org/10.1161/01.HYP.0000107251.49515.c2

Rude RK: Magnesium (2000). In Stipanuk MH, editor: Biochemical and physiological aspects of human nutrition, Philadelphia, Saunders.

Wynn E, Krieg MA, Lanham-New SA, Burckhardt P (2010). Postgraduate Symposium: Positive influence of nutritional alkalinity on bone health. Proc Nutr Soc. 69(1):166-73. https://doi.org/10.1017/S002966510999173X

Chapman-Novakofski K (2012). Nutrition and bone health. In Krause's Food & The Nutrition Care Process. 13th Edition by: Mahan MS RD CDE, L. Kathleen, Raymond MS RD CD, Janice L. Published by Saunders.

Suzen M, Zengin M, Ciftci B, Uckan S (2022). Does the vitamin C level affect postoperative analgesia in patients who undergo orthognathic surgery? Int J Oral Maxillofac Surg. 1;52(2):205–10. https://doi.org/10.1016/j.ijom.2022.06.005

Phillips C, Essick G, Chung Y, Blakey G (2012). Non-invasive therapy for altered facial sensation following orthognathic surgery: an exploratory randomized clinical trial of intranasal vitamin B12 spray. J Maxillofac Trauma. 1:20-9. PMID:24205500; PMCID:PMC3818109.

Lee CH, Lee BS, Choi BJ, Lee JW, Ohe JY, Yoo HY, Kwon YD (2016). Recovery of inferior alveolar nerve injury after bilateral sagittal split ramus osteotomy (BSSRO): a retrospective study. Maxillofac Plast Reconstr Surg. 5;38(1):25. https://doi.org/10.1186/s40902-016-0068-y

Chae MS, Lee M, Choi MH, Park JU, Park M, Kim YH, Choi H, Joo J, Moon YE (2021). Preemptive intravenous iron therapy versus autologous whole blood therapy for early postoperative hemoglobin level in patients undergoing bimaxillary orthognathic surgery: a prospective randomized noninferiority trial. BMC Oral Health. 7;21(1):16. https://doi.org/10.1186/s12903-020-01359-1

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Published

2024-03-29

How to Cite

Correia Lima, B., Grillo, R., Alvarez Quinta Reis, B., Peral Ferreira Pinto, L. A., & Melhem-Elias, F. (2024). Optimizing Patient Outcomes in Orthognathic Surgery: A Proposed Nutritional Protocol for Weight Loss Control and Bone Formation. European Journal of Therapeutics, 30(3), 400–408. https://doi.org/10.58600/eurjther2034

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Review Articles