A Survey of the Use of Perioperative Glucocorticoids in Oral and Maxillofacial Surgery

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Kormi , E , Snall , J , Tornwall , J & Thoren , H 2016 , ' A Survey of the Use of Perioperative Glucocorticoids in Oral and Maxillofacial Surgery ' Journal of Oral and Maxillofacial Surgery , vol. 74 , no. 8 , pp. 1548-1551 . DOI: 10.1016/j.joms.2016.02.027

Title: A Survey of the Use of Perioperative Glucocorticoids in Oral and Maxillofacial Surgery
Author: Kormi, Eeva; Snall, Johanna; Tornwall, Jyrki; Thoren, Hanna
Contributor: University of Helsinki, Department of Oral and Maxillofacial Diseases
University of Helsinki, Clinicum
University of Helsinki, Hammaslääketieteen laitos (-2009)
University of Helsinki, Department of Oral and Maxillofacial Diseases
Date: 2016-08
Language: eng
Number of pages: 4
Belongs to series: Journal of Oral and Maxillofacial Surgery
ISSN: 0278-2391
URI: http://hdl.handle.net/10138/224121
Abstract: Purpose: The aim of the study was to clarify the use of perioperative glucocorticoids (GCs) in association with oral and maxillofacial surgical procedures. Materials and Methods: We conducted a survey of consultant oral and maxillofacial surgeons (OMSs) working in tertiary and secondary referral hospitals in Finland. Results: The administration of GCs is common among OMSs (85.2% of respondents), especially in association with orthognathic surgery (100% of respondents) and facial fractures (43.5%). All OMSs who administered GCs reported that they reduce swelling. The next most common reasons for administering GCs were established practice (43.5%) and pain reduction (39.1%). The regimens differed widely from a 5-mg single dose to a 116-mg total dose of dexamethasone equivalent. Conclusions: GCs are widely administered by OMSs, especially in major surgery. The literature shows some benefits of their use in dental and orthognathic operations, and their use seems rather safe. Proof of efficacy remains to be determined for other major maxillofacial surgical procedures; thus further studies are needed. (C) 2016 American Association of Oral and Maxillofacial Surgeons
Subject: 3RD MOLAR REMOVAL
ORTHOGNATHIC SURGERY
POSTOPERATIVE EDEMA
DEXAMETHASONE
PAIN
METHYLPREDNISOLONE
REDUCTION
INJECTION
313 Dentistry
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