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иммунологик
холати.
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вирусным гепатитом перед удалением зуба. in Library, 20(4), 429–432.
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https://inlibrary.uz/index.php/archive/article/view/13980
4.
Дусмухамедов, М., Сапарбаев, М., Икрамов, Ш., & Худойберганова,
Н.
(2022).
Анализ
морфофункционального
состояния
височно-
нижнечелюстного сустава у пациентов 12-15 лет с дистальной окклюзией
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https://inlibrary.uz/index.php/archive/article/view/14872
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photodynamic therapy in the treatment of pyoinflammatory diseases of the
maxillofacial region in infants. in Library, 21(1), 767–771. извлечено от
https://inlibrary.uz/index.php/archive/article/view/14279
SURGICAL CORRECTION OF CONGENITAL CLEFT MOUTH IN
CHILDREN
.
Jafarov M.M, Jafarov M.M.
Tashkent Pediatric Medical Institute
The
aim
of this study was to study the surgical correction of macrostomy in
children.
Material
. In 4 years, 2,375 children with various pathologies were admitted
to the Department of Plastic Surgery of the clinic of the Tashkent Pediatric Medical
Institute, for make plastic surgery operation. Among them, 6 children were operated
with a diagnosis of macrostomy. Two were boys and four were girls. The average
age of the patients was 5 years. The patients differed depending on the diagnosis:
rightsided congenital lateral cleft mouth (67%) and bilateral congenital lateral cleft
mouth (33%). Comorbidities included right-sided cleft lip and palate (33%), right-
sided anotia (33%), hearing loss (33%), mental retardation (50%), strabismus (50%),
skin outgrowths (50%), asymmetry face (67%), syndactyly of the fingers and toes
(33%) and congenital alopecia (33%).
Research methods.
All operations were performed under general anesthesia.
Preoperatively, all patients were made design from the healthy side and proportions
of the face. Subsequently, these geometrical dimensions are drawn from the side of
the crevice. An incision was made and the muscles of the mouth were exposed. The
mouth muscle was sutured up to the planned point. Further, the restoration of the
skin and mucous membranes by applying cosmetic sutures to the wound. At the
same time, the location of the wound on the mucous membrane of the corner of the
mouth was avoided. An aseptic bandage was applied to the face. The postoperative
recovery was uneventful. Postoperative care for patients - dressing of a postoperative
wound and rinsing with antiseptic solutions and antibacterial drugs. The sutures
were removed for 6-7 days. Patients got physiotherapeutic treatment and
postoperative wound treatment with “Kelo-cote” cream.
297
Results.
Re-examination was performed 1, 3 and 6 months after the operation.
The postoperative area was examined and compared with preoperative photographs.
Complete closure of the lateral cleft mouth was observed. The asymmetry of the
corners of the mouth completely disappeared after the operation. Restriction of
mouth movement was not observed. The Cupid's line, which separates the skin of
the lip from the red border, has acquired a clear shape. The growth of hypertrophic
scar and keloid tissue at the incision sites was not observed. Violation of the chewing
and swallowing movements was not identified. It is necessary to note the positive
aesthetic and psychological state of the parents after the operation in comparison
with the state before the operation.
Conclusions.
The results obtained show what a congenital pathology is with
other concomitant congenital diseases. Long-term results after 1, 3 and 6 months
show the effectiveness of surgical treatment of this disease in childhood. During
surgery, it is necessary: the geometric proportions of the healthy side of the face, the
presence or absence of a hidden cleft of the circular muscle of the mouth, restoration
of the anatomical integrity of the muscles of the mouth and not finding a wound in
the corner of the oral mucosa.
Bibliography:
1.
Хасанов, Ш., Эшонкулов, Ш., & Эшмаматов, И. (2022). Организация
учебного процесса для клинических ординаторов в кафедре «хирургическая
стоматология и дентальная имплантология» Ташкентского Государственного
стоматологического института.
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Эшонкулов, Ш., & Маннонов, Ж. (2021). Эффективность дуплексной
ультразвуковой исследование для определение дальнейшей тактики хирурга
при воспалительных заболеваниях мягких тканей лицевой области у детей
раннего
возраста.
in
Library
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21
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https://inlibrary.uz/index.php/archive/article/view/14277
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Дусмухамедов, М., Юлдашев, А., Дусмухамедов, Ш., &
Худайбердиева, И. (2022). РОЛЬ ХРОНИЧЕСКИХ ОЧАГОВ ИНФЕКЦИИ В
НОСОГЛОТКЕ И ЛЕГКИХ НА ФУНКЦИОНАЛЬНОЕ СОСТОЯНИЕ
ТРОМБОЦИТОВ У ДЕТЕЙ С ВРОЖДЕННОЙ РАСЩЕЛИНОЙ НЕБА .
Медицина
и
инновации
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1
(4),
181–184.
извлечено
от
https://inlibrary.uz/index.php/medicine_and_innovations/article/view/351
