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).
8
The state of the microflora of the postoperative wound in children with
odontogenic phlegmon of the maxillofacial region after the use of Yoks-Teva
preparations was studied. In children of the control group, the identified clinical
and laboratory characteristics indicate the severity of local symptoms, which
retain their accents on the 3rd-4th day of treatment. The development of a
syndrome of systemic reaction to inflammation, which persisted on the 3rd-4th
day of treatment, allows us to characterize that therapy with standard drugs does
not bring the expected result.
Since staphylococci are the cause of purulent-inflammatory processes in the
maxillofacial region in 88% of patients of the examined groups, it makes sense to
use antibacterial drugs before obtaining microbiological analyzes, given the
strength of the action of antibiotics to this type of microorganisms. The traditional
treatment of odontogenic phlegmon of the maxillofacial region in children was
characterized by a slow resolution of the local inflammatory process and a long-
term normalization of the general condition of patients.
Such clinical signs of endogenous intoxication and secondary
immunodeficiency as weakness, lethargy, pallor of the skin, sleep disturbance,
loss of appetite persisted in patients of the control group throughout their stay in
the hospital. An important role in this was played by the long-term permanent
action of odontogenic causal factors.
After treatment in the main group, the microflora of the oral cavity returned to
normal on the 3-4th day, which eventually led to recovery. In the control group, it was
possible to normalize the microflora only by 6-9 days, which increased the time of stay
in the hospital (bed days) by 30-40% compared with the main group (p<0.005).
As in the control group before treatment, the microbial landscape of the
wound did not differ in the species specificity of the microbes themselves, nor in
their virulence, but after treatment in the main group there was a significant
improvement in the purulent wound by the 3-4th day of the operation, which was
clinically expressed in an improvement in general well-being sick. The microbial
landscape of the wound returned to normal by 3-4 days, the number and virulence
of staphylococci and streptococci decreased significantly, which indicates the
high efficiency of the Yoks- Teva antiseptic.
Conclusions
: The use of Yoks-Teva antiseptic in the complex treatment of
children with odontogenic phlegmon of the maxillofacial region significantly
reduces the time for cleaning a purulent wound, accelerates the healing and
epithelialization of wounds, activates processes in damaged tissues (improves
trophism), and generally reduces the time for treatment and medical
rehabilitation of children.
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.
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Г., Халманов
Б., Абдурахмонова
Л., & Олимжонова
Г. (2020).
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Г., Джурабекова
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Ш., & Файзимуродов
Ф. (2019).
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https://inlibrary.uz/index.php/problems_biology/article/view/2031.
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ультразвуковой исследование для определение дальнейшей тактики
хирурга при воспалительных заболеваниях мягких тканей лицевой области
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brary, 21(1), 114–
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Х., Даминова
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Д. (2021).
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Медицина
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6.
Дусмухамедов, М., Сапарбаев, М., Икрамов, Ш., & Куранбаева, Д.
(2022). Сравнительная характеристика методов депрограммирования
жевательных мышц. in Library, 2
2(1), 19–
20. извлечено от
https://inlibrary.uz/index.php/archive/article/view/14871.
IMPROVING THE PREVENTION OF INFLAMMATORY
COMPLICATIONS AFTER URANOPLASTY IN CHILDREN
Ikramov G.A., Khatamov U.A., Urinov M.M.
Tashkent state dental Institute, Uzbekistan
The problem of rehabilitation of children with congenital cleft lip and palate
continues to be relevant and complex. The very birth of a child with visible
developmental disorders is a severe social and psychological trauma for parents
and the child himself. This is especially evident in cases where rehabilitation
measures end at a later date with the development of secondary deformities.
Complete medical, psychological and social adaptation of the child, the
formation of a full-fledged personality are directly dependent on anatomical,
functional and cosmetic disorders, as well as the timeliness of the rehabilitation
measures taken.
To provide qualified assistance to this group of complex patients, multi-
stage surgical interventions and constant monitoring by an orthodontist,
pediatrician, speech therapist and other specialists are required.
The most urgent issue in solving the problem of rehabilitation of this
contingent of patients today is the creation of a concept of assistance to these
patients, because this assistance includes a number of specific organizational,
medical, technical and social aspects.
