278
ЮЗ-ЖАҒ ЖРРОҲЛИГИ, КАТТАЛАР ВА БОЛАЛАР
ЖАРРОҲЛИК СТОМАТОЛОГИЯСИ
POST COVID-19 OSTEOMYELITIS ON UPPER JAW: DIAGNOSIS
AND TREATMENT.
Азаматов Ш.
Many patients with mild or severe COVID-19 do not make a full recovery and
have a wide range of chronic symptoms for weeks or months after infection, often
of a neurological, cognitive or psychiatric nature. The epidemiological evidence,
diagnostic criteria and pathogenesis of post-COVID-19 syndrome are reviewed.
Post covid osteomyelitis on upper jaw is a rare, life-threatening disorder that
can complicate facial infection, sinusitis, orbital cellulitis, pharyngitis, or otitis or
following traumatic injury or surgery, especially in the setting of a thrombophilic
disorder. Early recognition of cavernous sinus thrombosis which, often presents with
fever, headache, eye findings such as periorbital swelling, and ophthalmoplegia, is
critical for a good outcome. Despite modern treatment with antibiotics and
anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke,
remains significant. This activity examines when cavernous sinus thrombosis should
be considered, how to properly evaluate this condition and the role of the
interprofessional team in caring for patients with this condition.
The optimal diagnostic test is neuroimaging with either contrast-enhanced
computed tomography (CT) or magnetic resonance imaging (MRI). CT venogram
(CTV) and contrast-enhanced MR venogram (MRV) are highly sensitive, whereas
noncontrast CT and time-of-flight MRV may miss the diagnosis. Non-contrast CT
of the head, although not ideal for a cavernous sinus thrombosis diagnosis, may
reveal several subtle abnormalities such as engorgement or dilation of the superior
and/or inferior ophthalmic veins, bulging of the lateral margins of the cavernous
sinus, exophthalmos, and possibly the presence of sphenoid or ethmoid sinusitis, or
mass lesions near the sphenoid or pituitary gland. Contrast-enhanced MRI brain
shows bulging of the cavernous sinus, increased dural enhancement, and absent flow
void is seen.
Screening for thrombophilia may give false results during anticoagulation
therapy and should be delayed until after treatment is completed.
Because of the rarity of diagnosis, no randomized controlled trials are
available, and expert opinion guides treatment. In general, antimicrobial and
antithrombotic therapies are primary considerations.
Corticosteroids are often given but without demonstrated efficacy. The
potential benefit would be decreased inflammation and vasogenic edema
surrounding cranial nerves and orbital structures. Steroids are necessary, however,
for cases of hypopituitarism. The International Study on Cerebral Veins and Dural
Sinus Thrombosis (ISCVT) reported steroid use in 24% of cerebral thrombosis with
no evidence of improvement.
279
No surgical interventions are recommended for the cavernous sinuses
themselves.
However,
some
patients
might
require
sphenoidectomy,
ethmoidectomy, maxillary antrostomy, mastoidectomy, abscess drainage,
craniotomy (subdural empyema), orbital decompression, or ventricular shunt
placement.
Bibliography:
1.
Маннанов Z., Пулатова B., Назаров Z., Хасанов S., & Хомидов M.
(2020). An integrated approach to dental implantation in patients who underwent
Cavid-19.
in
Library
,
20
(1),
687–697.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/14283
2.
Сувонов K. (2020). Оценка высеваемости микроорганизмов при
транслокации бактерий в динамике эксперимента у лабораторных животных.
in
Library
,
20
(2),
140–145.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/13976
3.
Эшонкулов, Ш., Дадамухамедова, Н., & Эшмаматов, И. (2022).
Антибактериальная фотодинамическая терапия в лечении периимплантита.
in
Library
,
22
(1),
1–2.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/13988
4.
Курбонов S., Солиджонова S., & Бекмуров B. (2022). Prevention of
atrophy of the alveolar process of the jaw by filling the hole with a demineralized
allograft using mechanically activated calcium gluconate in the postoperative
period. in
Library, 22(1),
12–13.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/14921
5.
Маннонов, Ж., Пулатова, Б., Мун, Т., Ширынбек, И., & Ачилова, Н.
(2022). КОМПЛЕКСНЫЙ ПОДХОД ПРИ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ
ПАЦИЕНТОВ С ХРОНИЧЕСКИМИ ЗАБОЛЕВАНИЯМИ, ПЕРЕНЕСШИХ
КОВИД-19
. Медицина
и
инновации, 1(3),
258–264.
https://doi.org/10.34920/min.2021-3.035
USEFULLNESS OF LASER IN ORAL AND MAXILLOFACIAL
SURGERY
Azimov I.M.
Tashkent state dental institute
Abstract
Lasers have revolutionized dental treatment since three and a half decades of
the twentieth century. Theodore Maiman in 1960 invented the ruby laser, since then
laser is one of the most captivating technologies in dental practice. Lasers have been
used in initial periodontal therapy, oral surgical procedures, and also in implant
treatment. Further research is necessary so that laser can become a part of the dental
armamentarium. This paper gives an insight towards the uses of laser in Oral and
Maxillofacial Surgery.
Keywords
Laser; Oral; Maxillofacial Surgery
Introduction
