medigraphic.com
ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2014, Number 1

<< Back

Rev Mex Cir Bucal Maxilofac 2014; 10 (1)

Degree of malnutrition and body mass index in patients submitted to surgery Orthognathic in Hospital Juarez, Mexico

Bahena ME, Licéaga RR, Taboada AO

Language: Spanish
References: 21
Page: 29-36
PDF size: 163.25 Kb.


ABSTRACT

One of the procedures more commonly performered in the field of the maxillofacial surgery is the orthognathic surgery, in which the patients undergo a series of endocrine and metabolic changes by the decrease in the oral food ingestion because they remain some weeks with fixation to maxillomandibular, when having a low ingestion of nutrients can present/display hypermetabolic states, being reflected in different degrees from undernourishment reason why it is necessary to take into account the indicated above thing and to establish a plan pre and postsurgical nutritional evaluation. Objective: To determine the degree of undernourishment and index of corporal mass (ICM) that present/display the patients who are put under orthognathic surgery while they remain with fixation to maxillomandibular. Material and methods: A observational, proschool, cross-sectional study was realized and descriptive, the study population was conformed by 20 patients who went to the Service of Maxillofacial Surgery of the Hospital Juárez de México with dento-facial diagnosis of disharmony and which they were put under orthognathic surgery. The undernourishment degree was evaluated by means of the IMC and the percentage of corporal fat proposed by the World-Wide Organization of the Health; the data were analyzed through descriptive statistic and as significance tests the t Student with a statistical significance of p were used (< 0.05). Results: Of the 20 patients who were put under orthognathic surgery, 6 (30%) they were of masculine sex and 14 (70%) of feminine sex, the age average was of 21.5 (± 4,5) years, minim 15 years and principle, with respect to the 34 stature the average was of 1.65 m (± 0.08) minimum of 1.52 m, principle of 1.87 m as far as the corporal weight; the greater loss of weight in our patients was registered the second week ago to remain with fixation to maxillomandibular, the average of weight that the patients lost in the first two weeks was of 59.3 what corresponds to 3.42%.


REFERENCES

  1. Bell HW. Modern practice. In: Orthognatic And Reconstructive Surgery, 1st ed. Philadelphia: W.B. Saunders Company; 1992. pp. 118-120.

  2. Quero AL. Valoración del estado nutricional. Pediatr Integral. 2003; 7: 269-276.

  3. Gómez CC, Luengo LM, Cos AI, Martínez-Roque V, Iglesias C, Zamora P et al. Valoración global subjetiva en el paciente neoplásico. Nutr Hosp. 2003; 18: 353-357.

  4. Fonseca RJ. Oral and maxillofacial surgery. 1st ed. Philadelphia: W.B. Saunders Company; 2000. pp. 184-185.

  5. Gómez F. Desnutrición. Salud Pública de México. 2003; 45 (Suppl l): 576-582.

  6. Detsky AS, Mc Laughlin JR, Baker JP, Johnson N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? J Parenter Enteral Nutr. 1987; 11: 8-13.

  7. Christou NV, Tellado RJ, Chartrand L. Estimating mortality risk in preoperative patients using immunologic nutritional and acute-phase response variables. Ann Surg. 1989; 210: 69-77.

  8. Sánchez LK, Turcott J, Sosa SR, Green RD. Evaluación del estado de nutrición en pacientes con cáncer. Revista de Endocrinología y Nutrición. 2008; 16 (4): 165-171.

  9. Hill GO. Body composition research: implications for the practice of clinical nutrition. JPEN. 1992; 16: 197-218.

  10. WHO. Physical status: The use and interpretation of anthropometry. Geneva. WHO-OMS 1995: 460.

  11. Laguna CA. Estrategias para mejorar el manejo nutricio. Revista de Endocrinología y Nutrición. 2006; 14 (2): 103-113.

  12. Houtkooper LB, Lohman TG, Goig SB, Howell WH. Why bioelectrical impedance analysis should be used for estimating adiposity. Am J Clin Nutr. 1996; 64 (Suppl): 436S-438S.

  13. Gallager D, Heymsfield S, Heo M, Murgatroyd P, Sakamoto Y. Body mass index guidelines: corresponding % fat standards based on three-country study. Int J Obes Relat Metab Disord. 1999; 23 (Suppl): S42 (abstract).

  14. Laguna CA. Sobrepeso y obesidad, algoritmo de manejo nutricio. Revista de Endocrinología y Nutrición. 2005; 13 (2): 94-105.

  15. Zhu S, Wang Z, Shen W, Heymsfield SB, Heshka S. Percentaje body fat ranges associated with metabolic syndrome risk: Results based on the Third National Health and Nutrition Examination Survey (1988-1994). Am J Clin Nutr. 2003; 78: 228-235.

  16. Tuten MB et al. Utilization of prealbumin as nutritional parameter. JPEN. 1985; 9: 709-711.

  17. Fletcher JP. A comparison of serum transferrin and prealbumin as nutritional parameters. JPEN. 1987; 11: 144-148.

  18. Church JM. Assessing the efficacy of intravenous nutrition in general surgical patients: dynamic nutritional assessment with plasma proteins. JPEN. 1987; 11: 135-139.

  19. Patz EF Jr, Campa MJ, Gottlin EB, Kusmartseva I, Guan XR, Herndon JE 2nd. Panel of serum biomarkers for the diagnosis of lung cancer. J Clin Oncol. 2007; 25: 5578-5583.

  20. Ho JC, Cheung ST, Poon WS, Lee YT, Ng IO, Fan ST. Down regulation of retinol binding protein 5 is associated with aggressive tumor features in hepatocellular carcinoma. J Cancer Res Clin Oncol. 2007; 133: 929-936.

  21. Zelocuatécatl AA, Ortega MM, De la Fuente HJ. Asociación entre el índice de masa corporal y las condiciones bucales en escolares. Revista Odontológica Mexicana. 2005; 9 (4): 185-190.




2020     |     www.medigraphic.com