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.
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ПАЦИЕНТОВ С ХРОНИЧЕСКИМИ ЗАБОЛЕВАНИЯМИ, ПЕРЕНЕСШИХ
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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
280
Laser systems and their application in dentistry and especially oral surgery are
rapidly improving today. The specific advantages of lasers are incision of tissues,
coagulation during operation and postoperative benefits. Semiconductor diode lasers
(Gallium arsenide (GaAs), gallium-aluminum-arsenide (GaAlAs)) are portable
compact surgical units with efficient and reliable benefits. They are assigned
according to economic and ergonomic consideration and offer reduced costs in
comparison to other modern hard laser devices
(1)
. This laser can be used in a
continuous or pulsed mode of operation through contact or noncontact application
on tissues according to the clinical approach and treatment method. The noncontact
delivery is utilized to focus the emitted photons on tissue in order to create larger
spot diameter, lower fluency, lower energy and gain for coagulation of superficial
lesions, for example in removing the vascular tissues. Diode laser with wavelengths
ranging from 810 to 980 nm in a continuous or pulsed mode was used as a possible
modality for soft tissue surgery in the oral cavity. Based on the photo thermal effect
of the diode laser, the lesions of the oral mucosa are removed with an excision
technique, or by ablation/vaporization procedures
(1, 2 and 3)
.
Conclusion
Lasers have shown rapid strides in technological advances since its inception
in 1960’s. The emergence of lasers with variable wavelengths and its wide
application in the management of oral lesions may influence the outcome of
treatment and treatment planning of patients. The exponential progress in laser
technology has enabled oral & maxillofacial surgeons to treat lesions that were
previously deemed untreatableand produced poor results. Thousands of patients
including children have been benefitted with laser technology. In the future, it is
likely that continued improvements in laser technology will bring about
revolutionary change in the approach towards managing oral lesions.
All rights reserved by lal K, Parthiban J, Sargunar B, Prakash C.A., Anandh
B. Usefulness of Laser in Oral and Maxillofacial Surgery. Biomed Pharmacol J
2015;8(October Spl Edition)
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YUZ SKELET SUYAKLARINI QO'SHMA JAROHATLARIDA
GEMOSTAZ TIZIMINING MIKROTIRKULYATOR VA
KOAGULYATSION BO'G'INLARINING HOLATI.
Boymurodov Sh. A., Narmurotov B.Q.
Tashkent tibbiyot akademiyasi
bahtiyor.normuradovl968@gmail.com
Yuz-jag’ jarohati bo'lgan bemorlarni davolashni tashkil e’tish yanada
rivojlantirishni talab qiladi, chunki mavjud yondashuvlar qo'shma jarohat
patogenezining barcha jihatlarini to'liq qamrab olmaydi va natijada bunday
bemorlarni reabilitatsiya qilishning yuqori samaradorligini ta'minlaydi. Birgalikda
yuz-jag’ sohasi jarohati bilan og'rigan bemorga yordam ko'rsatish vaqti va joyini
aniqlashda aniq strategik yo'nalish bo'lmasa, bitta mutaxassisning bir nechta
shikastlangan anatomik tuzilmalarni bartaraf etishda ishtirok etishini to'liq va etarli
darajada samarali deb hisoblash mumkin emas.
Materiallar va usullar.
Biz 120 nafar yuz-jag’ sohasi qo’shma jarohatlari
bo’lgan bemorda trombotsitlar agregatsiyasi faolligi va qon tomir devorining
antiaggregatsiya qobiliyatini o'rganib chiqdik.
Olingan natijalar.
Davolash boshlanishidan oldin mandibulaning sinishi
bo'lgan bemorlarda nazorat guruhiga nisbatan trombotsitlarning yuqori funktsional
faolligi kuzatiladi, bu trombotsitlar agregatsiyasining maksimal tezligini 56,5±9,2
ga (p1=0,01) statistik jihatdan sezilarli darajada oshirishda namoyon bo'ladi,
ularning yig'ilishning maksimal darajasi 50,7±10,1% gacha (p=0,01), maksimal
yig'ish tezligiga erishish vaqti bir vaqtning o'zida 684,3±125,2 soniyagacha
(p1=0,01) va maksimal darajaga erishish vaqti. agregatsiya darajasi 55,3 ± 4,2
soniyagacha (p1 = 0,03) tashkil e’tdi.
Davolash
boshlanganidan
3-5-kunida
trombotsitlarning
funktsional
faolligining yanada oshishi davom etadi, bu agregatsiyaning maksimal tezligini
75,1±12,6 (p1=0,01; p2=0,02)ga oshirish bilan birga keladi, ularning yig'ilishning
maksimal darajasi 74,7±11,4% (p1=0,01; p2=0,01), maksimal yig'ish tezligiga
erishish vaqtini 932,1±158,4 soniyagacha (p1=0,01; p2 = 0,01), maksimal yig'ish
darajasiga erishish vaqti e’sa 110,2±13,4 soniyagacha (p2=0,01; p2=0,01) tashkil
e’tdi. Davolashning 10- 12-kunida trombotsitlarning funktsional xususiyatlarining
faqat qisman tiklanishi sodir bo'ladi, bu trombotsitlar agregatsiyasining maksimal
