Objective: To propose nursing diagnoses, outcomes and interventions for patients in the postoperative period of orthognathic surgery. Method: Secondary analysis of an information bank of a focal group with five patients submitted to orthognathic surgery. The classifications of the North American Nursing Diagnosis Association International, Nursing Outcomes Classification and Nursing Interventions Classification were used for elaborating nursing diagnoses, outcomes and interventions. Nursing diagnoses were identified based on the transcription of the focus group and the expected outcomes and interventions were proposed. In the second stage, the material was submitted to an analysis by judges for validating the previous stage. Results: After careful analysis of the retrieved information, nine nursing diagnoses that relate to both the difficulties already installed and to potential patient difficulties were identified. After this phase, the expected outcomes for nursing care and the appropriate interventions for the postoperative period at home were identified. Conclusion: Given the short hospital stay and the long postoperative period, the established actions have a strong educational focus.

The aim of this study was to assess the airway volume of patients with Class III skeletal malocclusion undergoing bimaxillary orthognathic surgery. The sample consisted of 10 patients with Class III skeletal malocclusion undergoing bimaxillary orthognathic surgery. Through computed tomography, the three-dimensional volumetric measurements of the airways were determined using the Dolphin Imaging® 11.7 program and were compared between the pre- and postoperative periods. Patients were divided into two groups, (1) airway narrowing and (2) airway enlargement. Group 1 showed a mean reduction of 66.16 ± 52.48 mm² in the two-dimensional assessment of the airways and 2311.16 ± 1653.71 mm³ in the three-dimensional assessment (p≤ 0.05). On the other hand, group 2 increased 166.5 ± 73.13 mm² and 4116 ± 1323.85 mm³. There was no correlation between the values obtained with bone movement, in mm (p≥0.05). Patients with class III deformities undergoing bimaxillary surgery, most with reduced airways, however, this decrease does not always occur to the same extent for all patients.

The use of a biomodel allows for simulation and aids in team communication, can be used as prostheses, reduces surgical time, and is a reliable copy of bone tissue. Thus, this work aims to report a clinical case of using the biomodel in orthognathic surgery, in order to demonstrate the benefits obtained with the use of biomodels in surgical planning, such as reducing time, increasing predictability, pre-modeling of titanium plates used in bone fixations. Melanoderma patient, male, sought dental care, with dissatisfaction of facial aesthetics and difficulty in phonation, chewing and breathing. After a detailed physical examination and evaluation through imaging tests, Angle skeletal classification III was identified, with indication for surgical treatment. The trans-operative was simplified and faster due to the previous model of the plates and precision of adaptation of them in the bone surface. The use of biomodels and the previous modeling of fixation plates favored greater surgical precision, through the reduction of trans-operative morbidity and reduction of surgical time. Thus, it emphasizes that this type of approach can be an important ally in the treatment of correction of dento-facial deformities. Furthermore, the knowledge of these new tools enabled a better diagnosis and surgical precision.

A aparência facial é uma característica importante tanto no contexto evolutivo quanto de relação interpessoal, modificações que ocorrem no desenvolvimento da estrutura facial podem ocasionar desarmonia anatômica, acarretando adversidades fisiológicas e estética. A cirurgia ortognática é um conjunto de técnicas de osteotomias executadas no sistema mastigatório visando corrigir as discrepâncias e restabelecendo o equilíbrio crânio e face, tratando as alterações dentofaciais promovendo diversos resultados positivos como melhora na autoestima, função mastigatório, respiração e fonação. Nesse contexto, objetivou-se discorrer por meio de revisão de literatura narrativa a respeito da importância da correta indicação da cirurgia ortognática, promovendo uma melhor qualidade de vida aos pacientes, melhorando fonética e proporcionando à harmonia facial. A pesquisa inclui uma revisão narrativa da literatura para sintetizar evidências do tema proposto em um artigo, tendo como base trabalhos anteriores referentes ao tema, de forma a facilitar a visualização dos resultados. A base de dados foi pesquisada no Google acadêmico, SciELO, Periódicos Capes. Por meio do levantamento dos trabalhos acadêmicos, verificou-se que a cirurgia ortognática visa reabilitar pacientes com discrepâncias dento esquelético, restabelecendo o equilibro da face e crânio, onde é imprescindível a ação de outros profissionais da saúde em prol do desenvolvimento adequado do paciente. A correta indicação da cirurgia tornará possível o sucesso do tratamento, onde a integração dos dados colhidos na anamnese se faz necessário para um bom planejamento.

Objetivo: desarrollar, evaluar y correlacionar la aceptabilidad de una aplicación educativa de celular para pacientes sometidos a la cirugía ortognática. Método: estudio metodológico basado en el diseño instruccional sistemático con contenidos de aprendizaje al paciente por una aplicación de celular. Facilidad de uso y la satisfacción del usuario se evaluaron para 30 pacientes en el perioperatorio mediante un cuestionario electrónico enviado por redes, correo electrónico y tarjeta de visita social. La medida del instrumento Escala usabilidad Sistema validado en el instrumento portugués y la satisfacción del usuario basado en otro estudio fueron aplicados después del uso de la aplicación. Los datos fueron analizados con estadística descriptiva y correlación de Spearman. Resultados: la aplicación denominada “OrtogApp” presenta contenido validado en estudio previo, incluye cinco sesiones de contenido de aprendizaje esenciales para administrar el cuidado perioperatorio. Era disponible en las plataformas IOS y Android. La facilidad de uso correspondió a 79,8 + 15,4 puntos y el índice de satisfacción fue 82,9%, la correlación de la edad, escolaridad y usos de la aplicación con los instrumentos no fue significativa. Conclusión: OrtogApp es una aplicación educativa con contenido validado por profesionales, que resultó en alta satisfacción del usuario y buena facilidad de uso. Los pacientes pueden utilizar la aplicación como material educativo de apoyo complementario a las orientaciones dadas por enfermeras perioperatorias y/o cirujanos durante el cuidado perioperatorio.