286
THE EFFECTIVENESS OF SURGICAL TREATMENT FOR POST-
TRAUMATIC DEFORMITIES OF THE NOSE
Khalmatova M.A.
Tashkent State Dental Institute.
Relevance
. The aesthetic and functional significance of the external nose
gives special relevance to the treatment of its injuries. The establishment of an
accurate diagnosis is necessary to determine the tactics of treatment, issue a reliable
conclusion. To clarify the diagnosis, many medical institutions have a large selection
of diagnostic equipment (devices for radiography, CT, MRI, MSCT, ultrasound and
endoscopic examination). A rationally selected research algorithm leads to timely
diagnosis, adequate and full-fledged therapeutic measures, and ensures economic
efficiency. Restoring the shape of the external nose is a particularly important task;
there are professions for which the appearance of an employee is important
(Rusetsky Yu.Yu. et al., 2019).
The prevalence of post-traumatic nasal deformities (PD) among the
population determines the further improvement of approaches to their treatment,
contributing to the effectiveness of treatment of patients.
The purpose of the study.
To increase the effectiveness of surgical treatment
of patients with PD.
Material and methods.
Under our supervision there were 36 patients with
PD who were on inpatient treatment in the department of maxillofacial surgery of
the TSSI. The age of the patients ranged from 22 to 46 years. The first group included
30 patients with an injury duration of less than 14 days, in whom the reposition of
the nasal bones was performed. The second group included 6 patients with an injury
duration of more than 2 months, in whom the restoration of the shape of the nose
was carried out by the type of early closed rhinoplasty or rhinoseptoplasty. Clinical
and laboratory examination of all patients included: clarification of complaints,
collection of anamnesis, examination of a maxillofacial surgeon, an
otorhinolaryngologist, an anesthesiologist, CT or MSCT examination, a general
blood test. When repositioning the bones of the nose, a Volkov elevator was used
simultaneously to raise the slope of the nose and external finger pressure to eliminate
lateral displacement. In order to fix the fragments and hemostasis, nasal tamponade
was performed with gauze turunda with Levomekol ointment.
The results of the study
. Of the 30 patients in the first group, it was possible
to restore the shape of the nose in 26 people (86.7%), in 4 people the shape of the
nose was only improved (13.3%). In group 2 patients, it was possible to restore the
shape of the nose in 2 people (33.3%), in 4 people the shape of the nose was only
improved (67.7%).
Conclusion
. Thus, the effectiveness of the treatment for deformity of the
external nose depends on the prescription of the injury. Providing assistance at an
earlier time brings more pronounced cosmetic and functional results.
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THE EFFECTIVENESS OF THE USE OF PROBIOTICS IN
COMPLEX TREATMENT IN PATIENTS WITH FACIAL BOILS
Ikramov G.A., Khalmanov B.A., Abdurakhmonova L.Sh., Olimjonova
G.G.
Tashkent State Dental Institute
The problem of purulent infection in maxillofacial surgery has been and
remains relevant, which is explained by an increase in the number of patients with
inflammatory processes in the maxillofacial region, an increase in the number of
cases of severe generalized infections.
Despite the widespread introduction into clinical practice of such methods of
treatment as local and general surgery, the use of antibacterial drugs and
chemotherapeutic agents, detoxification and corrective therapy, therapy of
concomitant diseases, modern physiotherapeutic agents, inflammatory diseases of
the maxillofacial region continue to pose a threat to health and human life.
There is also a change in the clinical picture of the course of acute and chronic
inflammatory diseases in the maxillofacial region, an increase in the number of
complications such as sepsis, mediastinitis, brain abscess, thrombophlebitis of the
facial veins and cavernous sinus, bacterial shock. This is accompanied by a change
in the virulence of microflora, the emergence of antibiotic-resistant and antibiotic-
dependent strains of microorganisms, a decrease in immune defense, which
increases against the background of dysbiosis of the gastrointestinal tract during
antibacterial treatment of pyoinflammatory diseases maxillofacial region, which
complicates the course of the disease and complicates the treatment of patients.
Existing diagnostic methods, including clinical ones, do not always allow
adequate monitoring of the pathological process, which does not give the doctor a
timely, effective correction of the patient's treatment. This applies to
microbiological, laboratory diagnostic methods.
These patterns in the course of purulent-inflammatory processes in the
maxillofacial region and their clinical laboratory aspects indicate the need to
