Review of evidence for the use of steroids in orthognathic surgery

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• 作者：Soudeh Chegini^a ; Daljit K. Dhariwal^b ; ^c ; ^{Daljit.Dhariwal@orh.nhs.uk} ; ^{daljitdhariwal@hotmail.com}
• 关键词：Orthognathic ; Glucocorticoids ; Osteotomy ; Post-operative nausea ; Post-operative vomiting
• 刊名：British Journal of Oral and Maxillofacial Surgery
• 出版年：2012
• 出版时间：March 2012
• 年：2012
• 卷：50
• 期：2
• 页码：97-101
• 全文大小：164 K

文摘

Primarily, steroids are used routinely in orthognathic surgery to reduce swelling, but there is no nationally accepted regimen for the use of glucocorticoids in the UK. This article examines the evidence base for the use of steroids to reduce swelling, nausea, vomiting, and pain, and looks at evidence of the ratio of risks:benefits in orthognathic surgery and related publications. Evidence supports their use preoperatively, but the timing of this and their postoperative use may be contentious. The current regimens are associated with little morbidity and low cost. A well designed multi-centre study whose design would allow objective measures of swelling is required to resolve the areas of debate.