The literature review describes the methods of treatment of odontogenic cysts of the jaw bones in children and the surgical rehabilitation of patients with this pathology [5,7]. The literature data on various methods of surgical treatment of odontogenic cysts of the jaw bones in children are summarized. The prospects for the recognition of odontogenic cysts with computed tomography are noted, the decisive preference for making a diagnosis is given to the obligatory pathological examination [2,3].
Background: The present study attempted to clarify the typical anatomical variants of Thyroglossal cysts (TGC). Patients and methods: Clinically and epidemiologically 67 previously non-experienced patients with TGC 1.5 to 73.0 years old were examined. Results: Based on clinical and ultrasound examinations of 121 patients with 67 thyroglossal cysts, the most typical cyst of anatomical variations was specified. It was noted that, concerning the hyoid bone, thyroglossal cysts may be suprahyoid (located at the root of the tongue), parahyoid (broadly adjoining the hyoid), prelingual (located in the front of the hyoid in the hypo lingual region), postlingual (located behind the hyoid bone in the prenatal and peri-laryngeal spaces), or sublingual (located the book from the hyoid bone). An ultrasound examination facilitated the identification of thyroglossal cysts with-out clinical manifestations (23 sublingual cysts among 37 [62.2%] were incidentally revealed by the ultrasound examination), which is important when selecting the most appropriate surgical treatment. Conclusion: Ultrasound studies facilitate the identification of TGCs located at the root of the tongue without any clinical manifestations, which is important when determining the degree of surgical treatment to perform.
The improvement of methods of treatment of odontogenic cysts of the jaw remains the actual problem of surgical stomatology. This is caused by the widespread of the disease, the possibility of such complications as cyst abscesses, osteomyelitis development, jaw deformities, tooth loss, pathological fracture occurrence and even the so-called central jaw cancer from the epithelium of cyst walls, and also rather frequent relapses after surgical treatment carried out.
To study the characteristic features of local and systemic immunity in patients with acute purulent odontogenic ostitis of the jaw. Material and methods: The data obtained during the examination and treatment of 42 patients aged from 7 to 9 years with acute purulent odontogenic ostitis who applied to the TGSI clinic were analyzed.Results: Bacteriological study of wound discharge in patients with acute purulent odontogenic ostitis showed that staphylococcus form the basis of microflora in species ratio. These microorganisms accounted for 82% of the total number of isolated strains. Conclusions: in acute purulent odontogenic ostitis, the ability of periodontal cells to recover is not observed, but rather the development of irreversible processes occurs, which requires surgical intervention and appropriate pharmacological correction.
Benign odontogenic tumors of epithelial origin are a group of diseases that, due to the variety of clinical course, pathomorphological features and various treatment options, are of great interest to clinicians. Ameloblastoma is a benign odontogenic tumor with an aggressive clinical course, which is formed from an odontogenic epithelium in a mature fibrous stroma devoid of odontogenic ectomesenchyma.
To study the characteristic features of the cellular composition of blood in patients with acute purulent odontogenic ostitis of the jaw. Material and methods: The data obtained during the examination and treatment of 42 patients with acute purulent odontogenic ostitis at the age of 7 to 9 years, who applied to the TGSI clinic, were studied. Results: In the patients, the indices of the red part of the blood were significantly lower than in the comparison group. A low level of hemoglobin can cause hemic tissue hypoxia and affect the state of the acid-base state of the blood, expressed in the form of acidosis, which activates anaerobic glycolysis. An increase in the level of lactic acid in cells can be one of the reasons for the disruption of local microcirculationand the accumulation of endogenous toxins. Conclusions: This pathology is accompanied by a shift in the indicators of the white part of the blood, the observed hemic hypoxia leads to an increase in the level of lactic acid in the cells, which may be one of the reasons for the disruption of local microcirculation and the accumulation of endogenous toxins.
The possibility of using ultrasound osteometry for the diagnosis of acute odontogenic osteitis and osteomyelitis of the jaws was studied. The study was conducted in 43 children, of which 14 children and 15 adults had heterogeneous abscesses and phlegmon. Acute odontogenic osteitis - in 11 children and 11 adults, acute odontogenic osteomyelitis - in 11 children and 11 adults. The studies were carried out using an ultrasonic diagnostic device with an EOM-01ts echoosteometer. in 1-3 and 7-10 days. The speed of ultrasound in the jaw was calculated by the formula C = L / t. The decrease in the speed of ultrasound in the jaw bone and its dependence on the forms of the inflammatory process. Ultrasonic osteometry allows bone pathology, to predict the course of the disease. Harmlessness, painlessness, ease of use, the ability to recommend echoosteometry for the diagnosis of pathological processes of the jaw in practical dentistry.
Delayed diagnosis and treatment of chronic odontogenic sinusitis in patients with Covid-19 disease leads to osteomyelitis of the upper jaw, in addition to one type of clinical course of sinusitis even after surgery. Timely diagnosis and treatment of odontogenic sinusitis during a pandemic is of great importance for the rapid recovery of the general condition of patients, prevention of osteomyelitis of the upper jaw and other complications
Currently, not only is the mortality rate of patients with odontogenic sepsis high, but early diagnosis of progressive odontogenic inflammatory process remains difficult. In many ways, the insufficient effectiveness of modern sepsis therapy is due to the premature prognosis of the development of multiple organ failure in conditions of exacerbation of concomitant pathology, exacerbating local and general clinical manifestations of infection. Multiorgan insufficiency is the main cause of death in patients with surgical sepsis of any etiology.