Functional gains measured by MBGR and impact on quality of life in subject submitted to orthognathic surgery: case report/Ganhos funcionais mensurados pelo MBGR e impacto na qualidade de vida em sujeito submetido a cirurgia ortognatica: relato de caso

• Published in: Revista CEFAC 2015-09, Vol.17 (5), p.1722
• Main Authors: de Lima, Jully Anne Soares, Luna, Anibal Henrique Barbosa, de Figueiredo Pessoa, Luciane Spinelli, Alves, Giorvan Anderson dos Santos
• Format: Article
• Language: Spanish
• ISSN: 1516-1846
• DOI: 10.1590/1982-021620151751015

The theme of this study is Speech therapy intervention before and after orthognathic surgery. Evaluation was performed (through the Protocolo de Avaliacao Miofuncional Orofacial--MBGR) and speech therapy intervention in the preoperative period and for three months postoperatively for four months. Furthermore, we evaluated the impact of the deformity dentofacial in patient's quality of life, through the Oral Health Impact Profile--short form. On preoperative evaluation, we found bilateral mastication simultaneous presence of Temporomandibular Joints sounds and lip closure unsystematic. Swallowing showed contraction of the perioral muscles and residues after swallowing. Found himself in speech distortion in the phoneme / r /. There was pain on palpation in the masticatory muscles and decreased tone in the perioral and masticatory muscles. We also assessed the impact on quality of life that showed high, 32 points. In the postoperative evaluation and after speech therapy intervention, there was improvement in mastication (before: 4 points, after 1 point), swallowing (before: 14, after: 5), breath (before: 3, after: 1), speech (before: 7, after: 1) in muscle mobility (before: 8 after 1), muscle tone (before 5, after: 0) and palpation tor (before: 10, after: 2). There was also improvement in the lips posture and significant improvement in quality of life, increasing to 8 points. Improvement was found in the physiology of the stomatognathic function, decreased pain on palpation, balance in tone, muscle mobility and improved quality of life.