Pós-Graduação

URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/4

Navegar

Agora exibindo 1 - 3 de 3

Dexametasona versus laserterapia de baixa intensidade: os efeitos na dor, edema e qualidade de vida após cirurgia de bichectomia: um ensaio clínico
(Centro Universitário do Estado do Pará, 2019-09-27) Silva, Diego Assunção Calixto da; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691; Menezes, Silvio Augusto Fernandes de; http://lattes.cnpq.br/5394614146901551; Carneiro Júnior, José Thiers; http://lattes.cnpq.br/4964530958369814
In current study, we aimed to compare the effects of low-level laser therapy and dexamethasone in the pain, swelling and quality of life in patients submitted to buccal fat pad removal. About the methodology, it was surveyed 20 patients who pseudo-herniation of buccal fat pad or aesthetic complaint. The patients were randomly separated into two groups: low-level laser therapy group (LLLT, 660nm, 100mW, 6s, 2J/cm2) and dexamethasone group (DXM, 4mg each 8 hours for 3 days after the procedure). The pain was evaluated through visual analogic scale (VAS) at day 2 and 4 post surgically, to edema evaluation was measured the distance between six reference points: tragus (Trag), pogonion of soft tissues (Pog), lateral corner of the eye (EC), the angle of the mandible (Gon), wing nose (WN) and mouth commissure (MC) at day 2, 4, 7, 15, 30, 60 and 90. To quality of life was applied the Oral Health Impact Profile (OHIP-14) questionnaire at day 2 and 4 after the surgery. It was observed from the results there were no differences between LLLT and DXM at pain and edema. About the quality of life, the LLLT group were more comfortable to chew than DXM (p< 0,05). It was therefore concluded the utilization of LLLT at the parameters of 100mW of power and 2J/cm2 per point demonstrated similar effects of DXM orally in the control of pain and edema, as well as quality of life, except in masticatory function, which LLLT showed better effects.
Efeitos comparativos da fotobiomodulação utilizando laser de baixa intensidade ou diodo emissor de luz na mucosite oral em pacientes pediátricos que receberam altas doses de metroextrato: estudo prospectivo, randomizado e controlado
(Centro Universitário do Estado do Pará, 2019) Ota, Tâmara Melo Nunes; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Ribeiro, André Luis Ribeiro; http://lattes.cnpq.br/9899528924354409
Purpose: The objective of this study was to compare the efficacy of photobiomodulation using low-level laser therapy (LLLT) or light emitting diode therapy (LEDT) devices for the prevention of oral mucositis in pediatric patients diagnosed with acute lymphoblastic leukemia undergoing chemotherapy with high doses of methotrexate (MTX). Methods: 80 patients were randomly divided into two groups: LLLT and LEDT. Both protocols were applied with the same energy and radiant exposure. The protocols started in the beginning of high doses MTX and finished when the patients were discharged from the hospital or there was oral mucositis resolution. The oral mucositis was assessed during each session in accordance to the World Health Organization (WHO) score. The patients self-assessed pain was scored on a visual analog scale (VAS). Results: the incidence of oral mucositis was similar to LLLT and LEDT, 10% and 12,5% respectively. Both groups required the same number of days to reach score of zero for mucositis and pain (p > 0.05) and there was no significant difference in mean VAS between the groups. Conclusions: These findings suggest that LEDT has similar effects to LLLT and can be a low cost and easy application tool to avoid and treat oral mucositis.
Fotobiomodulação com led e parâmetros laboratoriais no contexto de mucosite oral após altas doses de metroextrato em pacientes infanto-juvenis
(Centro Universitário do Estado do Pará, 2021-04-16) Ferreira, Isabella Melo Brito; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Lima, Rafael Rodrigues; http://lattes.cnpq.br/3512648574555468
Cancer is a major cause of death among children and adolescents; and chemotherapy is the most used modality. Among the oral complications developed during chemotherapy treatment, oral mucositis (OM) is the most observed and its treatment is extremely necessary. Photobiomodulation is capable of exerting an analgesic and healing effect on the patient, where it becomes a viable alternative for prevention and treatment in all stages of OM. Objective: to stipulate the effectiveness of LED in the prevention of OM during the treatment of children and adolescents. Method: retrospective analysis of 123 medical records of patients undergoing a photodynamic therapy protocol with LED for treatment and / or prevention of the main oral manifestations related to chemotherapy using the SALUX software (Porto Alegre, RS, Brazil). Results: The LED phototherapy protocol for the treatment and / or prevention of oral mucositis related to chemotherapy was applied in all 118 patients, where 28 patients (23.8%) evolved with OM, of which 10 (35.7% ) were classified as grade 1; 12 (42.9%) classified as grade 2 and 6 (21.4%) as grade 3, with no cases classified as grade 4. It was observed that patients without the prophylactic protocol with LED develop OM 35 times more than patients who received the protocol (p <0.0001). Patients who developed OM presented changes in blood indexes, mainly in hemoglobin, hematocrit, TGP and TGO. Conclusion: photodynamic therapy is effective in preventing OM in juvenile children undergoing chemotherapy, with laboratory values of hemoglobin, urea, TGO and TGP and clinical picture of febrile neutropenia as risk factors for the development of oral mucositis.

Navegar

Navegando Pós-Graduação por Orientador "Guimarães, Douglas Magno"