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Effectiveness of bandage in the incidence of major complications on bichectomy: literature review and case series of 643 bichectomies

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Abstract

Buccal fat pad removal or bichectomy is an esthetic surgical procedure that is gaining notoriety and increasing number worldwide. This paper aims to discuss the effectiveness of bandage in bichectomy postoperative concerning major complications like bleeding and subcutaneous emphysema. This is a retrospective case series according to PROCESS guidelines of 643 bichectomy surgeries performed by two different surgeons with the same technique from January 2018 until December 2020. Effectiveness of bandage is evaluated in complications rate decrease with statistical tests (p < 0.05). A literature review was performed to sediment knowledge about this theme. Female patients search for buccal fat pad removal more for esthetic reasons and male patients for functional purposes. Bichectomy has a low incidence of major complications, and this incidence decreases more with a bandage use (95%CI). Bandages are effective in the decrease of major complications related to bichectomy.

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Adapted from Biglioli, F. Versatility of the buccal fat pad

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Authors and Affiliations

  1. School of Dentistry, Department of Oral & Maxillofacial Surgery, Faculdade São Leopoldo Mandic, Rua Dr. José Rocha Junqueira 13 Ponte Preta – Campinas, São Paulo, 13045-755, Brazil

    Ricardo Grillo

  2. Master Degree Program, Department of Oral & Maxillofacial Surgery, Faculdade São Leopoldo Mandic, Campinas, Brazil

    Ricardo Grillo, José Luis de la Puente Dongo, Lourimar de Moura Moreira & Adalmir Gonzaga dos Santos Queiroz

  3. Department of Oral & Maxillofacial Surgery, Faculdade São Leopoldo Mandic, Campinas, Brazil

    Rubens Gonçalves Teixeira

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  1. Ricardo Grillo
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  2. José Luis de la Puente Dongo
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Correspondence to Ricardo Grillo.

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Grillo, R., de la Puente Dongo, J.L., de Moura Moreira, L. et al. Effectiveness of bandage in the incidence of major complications on bichectomy: literature review and case series of 643 bichectomies. Oral Maxillofac Surg 26, 511–517 (2022). https://doi.org/10.1007/s10006-021-01008-z

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