CC BY
11
Section 1. Clinical medicine
Section 1. Clinical medicine
Vitkovskyi Oleksandr, Bukovinian State Medical University Assistant, the Faculty of Dentistry E-mail: atolsik@gmail.com
Efficacy of Titanium Nickelide Dilatator for Improved Drainage of Surgery Wounds in cases of Mandibular Bone Fractures with Inflammatory Complications
Abstract: The paper offers data on treatment characteristics for mandibular bone fractures with purulent and inflammatory complications. New and up-to-date treatment methods have been explored. A comparative analysis of dynamic indicators of the efficacy of the traditional treatment of purulent and inflammatory processes and the treatment that uses titanium nickelide dilatators has been performed. Clinical efficacy of titanium nickelide dilatators has been proved demonstrating its supremacy in surgery wound drainage over the traditional drainage procedure.
Keyword: titanium nickelide dilatators, mandibular bone, fracture, drainage, abscess.
Fractures of the mandibular bone range from 75 to device introduction in a surgery wound and reduces
89% of the total number of injured patients with damaged facial bones. The urgency of this issue is associated with the increasing number of injuries of maxillofacial area, their morbidity due to a significant amount of damaged tissues, combination with the injuries in adjacent areas and in vital organs, prolonged treatment and development of post-traumatic complications. Several authors mention the annual increase in the number of facial fractures by 10-15% and increase in rehabilitation terms by half (in case of complications) [1, 3]. Moreover, the rate of complications in mandibular fractures reaches, based on references, 40% [2]. Therefore, early diagnosis and correct choice of treatment of mandibular fractures with post-traumatic complications remain important and pending.
Repair processes in mandibular fracture area and healing of purulent and inflammatory events in patients were assessed by the common clinical and radiographic studies. The digital results obtained in the course of this research were processed using Microsoft Excel included in Microsoft Office package.
A TH-10 titanium nickelide retractor was used. The dilatator is crown-shaped and consists of 4-8 wire turns. Production of the TH-10 titanium nickelide device allows for an easy reduction of the dilatator diameter by over 20 times when cooled (0-5 ° C). It facilitates
trauma after fixing it. Affected by tissue temperatures, the device performs self-fixing in the wound by gradually taking its original shape and thus dilates the wound.
24 patients with mandibular bone fractions were included. The main inclusion criteria: both sexes with a confirmed diagnoses of mandibular bone fractures with purulent-inflammatory complications, no severe concomitant diseases of internal organs and a signed informative consents. After the patient had been admitted to the hospital, the abscess was lanced, we introduced the dilatator in the surgery wound and let it self-fix. The following day, reposition of fragments and splinting of jaws were performed.
The patients with mandibular fractures were divided into two groups. The study group (16 people) were treated with the additional introduction of titanium nickelide dilatators in the post-surgery wound, and the control group (18 people) were subjected to traditional treatment. To assess clinical efficacy, the following indicators were considered: reduction of swelling of soft tissues (day), cessation of discharge from the wound (day), resorption of infiltration (day), first signs of granulation and epithelialization of the wound (day), radiographic signs of the primary callus formation (day).
The first signs of callus formation were evaluated radiologically.
Endothelial dysfunction and Atherogenesis Factors in patients Ischemic Heart Disease of different age groups
Table 1. - The treatment results of the patients from the study and control groups
Indicator Study Group (DilatationTreatment) (n=16) Control Group (Traditional Treatment) (n=18)
Swelling Recovery 3.8±0.3 5.7±0.4
Cessation of Exudation 5.1±0.4 7.3±0.7
Resorption Of Infiltration 5.3±0.4 8.3±0.9
First Signs of Granulation and Epithelialization of the Wound 7.8±0.5 10.6±0.8
Radiographic Signs of the Primary Callus Formation 14.2±0.9 16.5±0.6
The clinical and radiological studies have demon- The results of the clinical studies show the reliable
strated that introduction of a titanium nickelide dilata- efficacy of titanium nickelide dilatators as part of the
tor in a post-surgery wound accelerates wound drainage, complex treatment of purulent and inflammatory pro-
prevents late post-traumatic complications, improves cesses caused by mandibular fracture complications.
treatment outcomes, accelerates rehabilitation terms, Such treatment of patients can prevent post-traumatic
reduces incapacity time by 3-4 days [6]. osteomyelitis and normalize regeneration ofbone tissue.
References:
1. Baronov A. I. Peace Time Jaw Fractures and Relevant Treatment: Abstr. Med. Doct. Dis.: 14.00.21/KGMI. -Krasnodar, 1986. - 32 p.
2. Leontiev V. K. Dentistry in XXI century. Prediction Attempt/V. K. Leontiev, V. M. Bezrukov//Dentistry. -
2000. - No. 6. - P. 4-5.
3. Malanchuk V. A. Immunologic and Biochemical Indicators in Patients with Mandibular Fractions Immediately after the Injury/V. A. Malanchuk. S. A. Usenko, A. V. Kopchak//Expert Clinical Dentistry Issues. - Kharkov. -
2001. - Abst. 4. - P. 141-143.
4. Pankratov A. S. Analysis of the Relevant Epidemiologic Pattern of Mandibular Fractions/A. S. Pankratov//Rus-sian Dentistry Journal. - 2001. - No. 4. - P. 26-30.
5. Shargorodskiy A. G. Facial Soft Tissue and Bone Injuries/A. G. Shargorodskiy, N. M. Stephantsov.//M., VUN-MTs, - 2000. - P. 239.
6. Bailey B.J. Principles and preferences in mandibular reconstruction/B. J. Bailey//Surgery of mandible. - New York., 1987. - P. 173-209.
Zaprovalna Olha Yevhenivna, L. T. Malaya National Therapy Institute of National Academy of Medical Science of Ukraine, Senior Research Associate, Ph. D. of Medicine, Department of Atherosclerosis and Ischemic Heart Disease
E-mail: zaprovalna@mail.ru
Endothelial dysfunction and Atherogenesis Factors in patients Ischemic Heart Disease of different age groups
Abstract: The article analyzes the relationship of endothelial dysfunction with the basic factors for ischemic heart disease: dyslipidemia, hyperglycemia, immune inflammatory, oxidative stress, platelet hemostasis, and its dependence on the patient's age. The author presents that the effect of endothelial dysfunction on the main pathogenetic factors has features in each age group.
Keywords: endothelial dysfunction, ischemic heart disease, age.
