CONCERNING THE TREATMENT TACTICS FOR PATIENTS WITH PAROTIDEOMASSETERIC PHLEGMONS
https://doi.org/10.21886/2219-8075-2015-4-85-88
Abstract
Purpose: development of the ways to optimize the treatment tactics for parotideomassetericphlegmons.
Materials and methods: anatomic studies were carried out on 45 corpses following an original method (Russian Patent No.2271740), and 86 patients were examined. The patients were divided into two groups: control (42 patients) and main (42 patients), the latter treated in accordance with the developed method.
Results: in cases of parotideomassetericphlegmon, elevation of the interstitial pressure (IP) by 20-30 mm Hg above the normal is an indication for fasciotomy. The second stage of the operation was reduced to 5 days for the main group (vs 7 days in the controls). Distant good results were obtained in 90.9% of the patients (54.8% in the controls).
About the Authors
S. Y. Serpionov
Rostov State Medical University
Russian Federation
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
S. Y. Maksyukov
Rostov State Medical University
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
V. K. Tatyanchenko
Rostov State Medical University
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
T. S. Nersesyants
Rostov State Medical University
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
M. S. Firsov
Rostov State Medical University
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
Y. V. Krasenkov
Rostov State Medical University
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
Russian Federation
Department of operative surgery, clinical anatomy and pathological anatomy training and professional retraining of specialists faculty
References
1. Агапов В.С. Пути совершенствования методов лечения больных с одонтогенными флегмонами челюстно-лицевой области /В.С. Агапов, И.А. Пименова //Образование, наука и практика в стоматологии: тез.докл. IIВсерос. науч.-практ. конф.-СПб.: Человек, 2005.-С.16-17.
2. Робустова Т.Г. Классификация и современное клиническое течение одонтогенных воспалительных заболеваний /Т.Г. Робустова //Образование, наука и практика в стоматологии: тез.докл. IIВсерос. науч.-практ.конф.- СПб.: Человек.2005.-С.173-175.
3. Соловьев М.М. Гнойно-воспалительные заболевания головы и шеи. Этиология, патогенез, клиника, лечение /М.М. Соловьев //СПб. Изд-во: МЕД.пресс-информ; 2009.-192 с.
4. KadotaJ. Antibiotic-iduced apoptosis in human activated peripheral lymphocytes //Int. J. Antimicrob. Agents.-2005.-№25.-Р. 216-220.
5. Турчина Е.В. Оценка эффективности пименения антибиотиков в комплексе лечения больных с абсцессами челюстно-лицевой области /Е.В. Турчина //Сибирский медицинский вестник.-Иркутск, 2006.-№9.-С.52-54.
6. Тимофеев А.А. Основы челюстно-лицевой хирургии: Учебное пособие .М.: ООО «Медицинское информационное агент- ство», 2007.-696с.
7. Гвозденко Т.А. Озонотерапия гнойно-воспалительных заболеваний челюстно-лицевой области у лиц пожилого возраста /Т.А.Гвозденко, О.Ю. Кытикова// Медицинский альманах, 2013.-№3.-С.102-103.
8. Livermore D.M. Has the era of untreatable infections arrived? /M.D. Livermore //J. Antimicrob Chemother.-2009.-№64.-P.29-36.
9. Давыденко А.В. Обоснование тактики хирургического лечения глубоких флегмон бедра /А.В. Давыденко //автореф. дисс….канд.мед.наук. Ростов-на-Дону.-2004-18 с.
10. Heemskerk J/ Acute Comparment Syndrome of the lower leg retrospective study on prevalence, technique, and outcome of fasciotomies /J. Heemskerk, P.Kitslaar //World J. Surg.-2003- Vol.27.-P.744-747.
11. Татьянченко В.К. Способ исследования фасций и клетчаточных пространств /В.К. Татьянченко, В.А. Саркисян, Е.В. Андреев //Федеральный патент РФ №2271740. Изобретения. Полезная модель-2006-№8.-С.198
Review
For citations:
Serpionov S.Y., Maksyukov S.Y., Tatyanchenko V.K., Nersesyants T.S., Firsov M.S., Krasenkov Y.V. CONCERNING THE TREATMENT TACTICS FOR PATIENTS WITH PAROTIDEOMASSETERIC PHLEGMONS. Medical Herald of the South of Russia. 2015;(4):85-88. (In Russ.) https://doi.org/10.21886/2219-8075-2015-4-85-88
Views:
450
Email this article 