5
Conclusion.
The analysis of computed tomography data allows: 1. to state
the presence of a voluminous formation, 2. to determine its prevalence, 3. to
characterize the boundaries and shadows, 4. to control postoperative changes.
There are characteristics that make it possible to obtain information about the
stage of development of pathology, its prevalence and to choose an adequate
treatment strategy, including surgical one. Moreover, contrast-enhanced MSCT
makes it possible tovisualize focal mural nodes better accumulating contrast: it
also makes it possible to assess the relative location of bone and tumor.
References:
1.
Юнусова
L.,
Аояма
T.,
Амануллаев
R.,
Ризаев
J.,
Икрамов
G.,
Сакамото
J.,
Халманов
B., &
Мамараджабов
S. (2021). Sonography and magnetic resonance
tomography in monitoring of recurrent cysts lesions of the neck. in Library, 21(2), 131–
134.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/14182
2.
Мукимов
O., Мукимов
X., & Исанова
D. (2019). Қишлоқ ахолиси
орасида пародонталогик касалликлар ва оғиз бўшлиғи гигиенси
тушунчасини ўрганиш. in Library, 19(4), 55
–
56. извлечено от
https://inlibrary.uz/index.php/archive/article/view/14000
3.
Исаходжаева
K., Даминова
S., & Хаджиметов
A. (2020). Some aspects of
the pathogenesis and diagnosis of teething in newborns. in Library, 20(1), 15360–
15371.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/14494
POST COVID
-
19 OSTEOMYELITIS ON UPPER JAW:
DIAGNOSIS AND TREATMENT
Azamatov Sh.
1st year Student of the Master’s Degree in Oral and Maxillofacial Surgery
Tashkent state dental Institute, Uzbekistan
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.
6
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
non¬contrast 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.
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.
References:
1.
Каюмова
N., Хаджиметов
A., Хасанов
S., & Халманов
B. (2021).
Assessment of the Status of Local Immunity in Patients with Acute Purulent
Odontogenic by Osteitis of the Jaw. in Library, 21(1), 6440–6445.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/13592.
2.
Шонкулов
Ш., Фозилов
М., & Жилонова
З. (2022). Изменение
гемостатических показателей при гнойно
-
воспалительных заболеваниях
челюстно
-
лицевой области у детей раннего возраста. in Library, 22(1), 63
–
68. извлечено от
https://inlibrary.uz/index.php/archive/article/view/13979.
3.
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.
4.
Рахматуллаева
O., Шомуродов
K., Хаджиметов
A., Садикова
X., & Назаров
Z. (2021).
The Position of the Cytokine Profile and Cytolysis Enzymes in Patients with
Viral Hepatitis before Tooth Extraction. in Library, 21(1), 6558–6567.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/14281.
7
5.
Дусмухамедов
М., Сапарбаев
М., Икрамов
Ш., & Куранбаева
Д. (2022).
Сравнительная
характеристика
методов
депрограммирования
жевательных
мышц.
in
Library,
22(1),
19
–
20.
извлечено
от
https://inlibrary.uz/index.php/archive/article/view/14871.
IMPROVING THE COMPLEX TREATMENT OF CHILDREN WITH
ODONTOGENIC PHLEGMON OF THE MAXILLOFACIAL REGION
Ikramov G.A., Ruzibaev D.R., Saparbaev M.Q., Olimjonova G.G.
Tashkent state dental Institute, Uzbekistan
For many years in our country, the most common form of purulent-
inflammatory disease of the maxillofacial region is odontogenic phlegmon. The
proportion of patients with acute odontogenic inflammatory diseases is 10-20%
of all patients who applied to dental clinics, and in the structure of hospitalization
in maxillofacial hospitals – more than 50% of all patients.
Against this background, many methods and means of treating
inflammatory processes that have been successfully used in recent years become
ineffective or ineffective. It seems that the reason for the dissonance between the
success of studies and the clinical effects of their results is the lack of fundamental
knowledge on the topic under study. Surgical intervention is an important step in
the complex treatment of odontogenic phlegmon of the maxillary fossa. In recent
years, great interest in medicine has been given to antiseptics. Yoks-Teva is a
broad-spectrum antiseptic.
In the treatment of phlegmon of the maxillofacial region in childhood, the
antiseptic Yoks-Teva was not used, therefore, the study of the effectiveness of the
drug in the complex therapy of children with odontogenic phlegmon of the
maxillary fossa seems to be relevant and modern.
Purpose of the study.
To substantiate the effectiveness of the use of Yoks-
Teva preparations in complex treatment in children with odontogenic phlegmon
of the maxillofacial region.
Research objectives.
Based on the results of clinical and microbiological
studies, to substantiate the expediency of using Yoks-Teva antiseptic in children
with odontogenic phlegmon of the maxillofacial region.
Materials and methods of research. We examined 30 children aged 9 to 18
years after the opening of phlegmon in the clinic of the TSSI at the Department of
Pediatric Maxillofacial Surgery:
I
group.
Traditional method of treatment (n-15); II – group with the use of
Yoks-Teva antiseptic (n-15 children).
It was carried out clinical and microbiological (generally accepted
bacteriological method with the study of cultural and biological properties of
isolated microorganisms).
