Research objective. To stratify the main purulent-inflammatory diseases of maxilla-facial region (PID MFR) by frequencies and limits. To assess mortality in PID MFR. To determine the number of patients with PID MFR and concomitant diabetes mellitus.Resources and Methods. Medical documentation on 9550 patients with PID MFR hospitalized at F.I. Inozemtsev Municipal Clinical Hospital have been analyzed.Research results. The prevalence of purulent-inflammatory diseases remains at a fairly high level. PID MFR occur more often in people of young, able-bodied, age, 18–44 years. The introduction of quarantine measures due to the new coronavirus infection COVID-19 led to an increase in severe forms of PID MFR. There is a decrease in lethality from PID MFR.
The paper describes two clinical cases of treatment of patients with noma. This disease is extremely rare in the Russian Federation, and therefore its diagnosis causes difficulties, and incorrect routing of patients, due to diagnostic mistakes, leads to an increase in the time before the start of specialized care. Rapid progression of wet gangrene, in the absence of timely diagnosis and qualified treatment, leads to extensive defects of the maxillofacial region, severe intoxication, sepsis. In the first case, after surgical treatment of noma, the patient developed an extensive tissue defect of the left half of the face, which in the future will require reconstructive surgical treatment. In the second case, after surgical treatment, the patient had an extensive tissue defect in the middle zone of the face, and systemic disorders against the background of intoxication led to the death of the patient on the 7th day after hospitalization. Both clinical cases confirm the role of immunosuppression in the etiology of noma.
Summary. The paper presents a comparative analysis of the results of ultrasound examination of the masticatory muscles proper in patients with fractures of the branch and articular process of the lower jaw at various stages of treatment using the endoscopic method and traditional osteosynthesis.Research objective. To assess the morphological state of the masticatory muscles in patients with a fracture of the branch and articular process of the lower jaw using the endoscopic method and traditional osteosynthesis using ultrasound technologies.Resources and Methods. The results of ultrasound examination of the masticatory muscles in 82 patients with a fracture of the branch and articular process of the lower jaw, hospitalized in N.I. Pirogov State Clinical Hospital No. 1 for 2021, were analyzed.Research results. Based on the results of an ultrasound examination of patients aged 19 to 40 years with a mandibular fracture, it was found that the use of intraoral access using endoscopic technologies contributes to an earlier normalization of the morphological state of the masticatory muscles proper compared to traditional osteosynthesis.
Purpose of the study: to analyze the effect of gender and age of a surgical patient on the intensity of contacts with the attending physician during treatment. Materials and methods. Questionnaire data from 400 patients were used as primary material. The respondents lived in Moscow and at the time of the study were being treated in a hospital in the surgical departments. Four age groups were formed for men and women (18–29 years old, 30–44 years old, 45–59 years old, 60 years and older). Results. The desire to maintain contact with the attending physician during the treatment process was expressed by the majority of men and women, but only a part of them did this on a regular basis (38 and 35 out of 100 men and women surveyed, respectively). The majority clarifies the information received from the doctor, however, men and women of the older age group (60 years and older) are the least likely to clarify information from the doctor (45 and 57 out of 100 men and women surveyed, respectively). Women are more likely than men to bring information about the course of treatment to the doctor (33 versus 26 out of 100 women and men surveyed, respectively). The least disciplined male patients are in the oldest age group. Among women, the proportion of those who do not inform the doctor increases with age. Half of surgical patients can stop treatment on their own. The smallest proportion of patients who can stop treatment without informing the doctor about it among men is observed in the youngest age group (18–29 years) (21 out of 100 respondents). In the middle and older age groups, the proportion increases to 30 out of 100 respondents in the age group of 60 years and older.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.