14
References:
1.
Сувонов
K. (2020). Оценка высеваемости микроорганизмов при
транслокации бактерий в динамике эксперимента у лабораторных
животных. in Library, 20(2), 140
–
145. извлечено от
https://inlibrary.uz/
index.php/archive/article/view/13976.
2.
Хасанов
Ш., Эшонкулов
Ш., & Эшмаматов
И. (2022). Организация
учебного процесса для клинических ординаторов в кафедре «хирургическая
стоматология и дентальная имплантология» Ташкентского Государственного
стоматологического института. in Library, 22(1), 1
–
2. извлечено от
https://inlibrary.uz/index.php/archive/article/view/13991
3.
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.
4.
Даминова
Ш., Маткулиева
С., Назирова
С., & Абдиримова
Г. (2021).
Микробиологические и иммунологические показатели эффективности
лечении детей больных вирусным гепатитом «С». in Library, 21(2), 134
–139.
извлечено от
https://inlibrary.uz/index.php/archive/article/view/14500.
EFFICIENCY OF THE METHOD OF URANOPLASTY IN CHILDREN
WITH CONGENITAL UNILATERAL COMPLETE CLEFT LIP AND
PALATE
PulatovaB.J., RuzibaevD.R., SaparbaevM.Q., IkramovSh.Sh.
Tashkent state dental Institute, Uzbekistan
Relevance of the topic
. The presence of a congenital cleft lip and palate in
a child causes a number of serious aesthetic and functional disorders. In most
cases, congenital pathology of the maxillofacial region leads to disability in
children, which emphasizes the relevance of solving the medical and social
problem of treating children at an early age. The effectiveness of the rehabilitation
of children with congenital cleft lip and palate is assessed based on the results of
complex surgical, orthodontic and speech therapy treatment. However, until now
there is no unified approach to the choice of age and method of cleft palate repair.
Purpose of the study
. Improving the efficiency of rehabilitation of children
with congenital unilateral cleft lip and palate due to a reasonable approach to
choosing a palate defect plasty method.
Mater
ials and research methods
. The object of the study was 203
children aged 6 months to 6 years with congenital cleft lip and palate, registered
in the dispensary at the Department of Pediatric Maxillofacial Surgery of the clinic
of the Tashkent state dental Institute, in 2016-2019. and 30 children without
pathology in the palatopharyngeal region.
15
The groups depending on the methods of treatment were divided as
follows: I (n=78) the main group consisted of children who underwent stages of
early orthodontic treatment with the proposed modification of the nasoalveolar
molding with a nasal stent and layered layering of elastic plastic in the region of
the palatine processes, operated by the proposed method of uranoplasty
according to Amanullaev R.A., Pulatova B.Zh
. (2019).
II (n=83) comparison group, in which traditional treatment was performed:
pre- surgical orthodontic treatment with a preforming plate before primary
cheiloplasty, cheiloplasty at the age of 8 to 12 months, veloplasty at 1.5-3 years
and at 4-6 years of age uranoplasty.
Results and its discussion.
Evaluation of the effectiveness of surgical and
early orthodontic treatment of children with CCLP was carried out using magnetic
resonance imaging (MRI) tomograms.
In the observation group, where children with CCLP were operated
according to our proposed method with the formation of a muscular isthmus from
m.LVP with longitudinal suturing of the wound (Patent for utility model No. FAP
01377 dated May 31, 2019), the parameters of the length of the soft palate were
28.8 ± 0.5mm; travel angle m.LVP right and left 59.4±1.6 degrees; the total length
of m.LVP on the right and on the left, the length of the muscle, on average, varied
30.4±1.5 mm; m.LVP width on the right and left sides 2.2 ± 0.2 mm; width in the
center m.LVP is 2.9±0.2mm. At the age of 4-6 years, the length of the soft palate
was 29.5±1.5mm; travel angle m.LVP on the right and left 57.7±1.6 degrees; the
total length of m.LVP on the right and left, the length of the muscle, on average,
fluctuated 35.1±1.2 mm; m.LVP width on the right and left sides 2.9 ± 0.2 mm;
m.LVP center width is 3.1±0.2mm.
The results of the studies of the m.LVP length of the m.LVP length
restoration values in group I after uranoplasty according to the proposed method,
m.LVP length restoration is achieved up to 92.4%, while after uranoplasty in the
traditional way used in the clinic by 81.5%
Conclusions:
The MRI data obtained with our proposed method of surgical
treatment of congenital cleft palate provide an objective assessment of the state
of the palatopharyngeal region and palatopharyngeal insufficiency in children
with cleft palate in the recovery period after uranoplasty.
References:
1.
Адашов
F., Курбанов
S., Усманова
D., Омонов
R., & Фозилов
M. (2021).
Improvement of the method of dental replantation. in Library, 21(1), 4–5.
извлечено
от
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2.
Хакимова
Г., Джурабекова
А., Исанова
Ш., & Файзимуродов
Ф. (2019).
Ботулинотерапия в комплексной реабилитации детей с дцп. Журнал
проблемы биологии и медицины, (1 (107), 110
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112. извлечено от
https://inlibrary.uz/index.php/problems_biology/article/view/2031
3.
Олимов
А., Мукимов
О., & Исанова
Д. (2020). Проблемы
имплантации зубов. in Library, 20(2), 346
–350.
извлечено от
https://inlibrary.uz/index.php/archive/article/view/14295
16
4.
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, 1(4), 181
–
184. извлечено от
https://inlibrary.uz/index.php/medicine_and_innovations/article/view/351.
5.
Исаходжаева
Х., Маликов
С., & Акрамова
Д. (2022). Изучение
гестационного возраста и массы тела новорожденного на сроки
прорезывание молочых зубов. in Library, 22(1), 263
–
267. извлечено от
https://inlibrary.uz/index.php/archive/article/view/14495.
THE USE OF FRACTIONAL CO2 LASER FOR SCARS AFTER
CHEILOPLASTY IN CHILDREN WITH CLEFT LIP
Sadykov R.R., Tursunova J.A.
Tashkent state dental Institute, Uzbekistan
Relevance:
The scar is the biggest complication of surgical intervention. To
date, there are many methods of scar prevention, especially on the face. Laser
correction methods, in particular Co2 laser with a wavelength of 10600 nm, can
deeply affect the scarring process and prevent its formation and also treat chronic
scars. The purpose of this study is to evaluate the effectiveness of CO2 laser in the
treatment of hypertrophic scars after cleft lip repair.
Materials and Methods:
The study group included 120 patients with various
scars after surgery to correct cleft lip. All patients were divided into 2 groups. The
main group started using FCO2 3 weeks after surgery, and the control group
received topical treatment. The FSO2 laser was used in multiples of 5 to 7 sessions.
Scars were assessed using the Vancouver Scale, which measures vascularity,
pigmentation, compliance, and height. A visual analog scale was rated by clinicians
and non-medical staff from 0 to 10. In addition, scar width was assessed by
examining final images using Photoshop CS5 Advanced at two fixed points.
Results
. Patients undergoing PCO2 laser treatment showed significant
improvement in scarring in terms of reduced pigmentation, density,
vascularization and cosmetic appearance. on the lips. The Vancouver Scar Scale
scores had significant differences between the study groups at baseline before the
use of either FCO2, compared with topical treatment, respectively, in group
1 (1.92 ± 0.88) compared with control group 3 (4.05 ± 1.29). When assessing the
width of the scar, it was significantly lower in the 1st group (2.51 ± 0.64)
compared with the control (3.27 ± 0.48) group. A visual analogue scale performed
by participating medical staff showed that PCO2- induced improvement in lip scar
appearance was greater in group 1 than in group 2, with mean scores of 44.17 ±
3.45, 30.40 ± 5.22, respectively. The same assessment by participating non-
medical personnel was significantly higher in the 1st group (43.52 ± 4.20) and the
3rd (33.55 ± 4.85) groups.
