Introduction. The high prevalence of dental diseases and their complications, congenital anomalies, traumatic injuries and various neoplasms of the maxillofacial region among children and adults necessitates the improvement of the medical care system. Purpose. Improvement of specialized medical care by optimizing the routing system for patients with maxillofacial pathology in a metropolis on the example of Moscow. Materials and methods. The study was conducted on the basis of the GBUZ “Maxillofacial Hospital for War Veterans of the DZM”. A search was made for regulatory documents regulating the routing of patients with maxillofacial pathology. The statistical data of the specialized medical care provided to patients with maxillofacial pathology in institutions subordinate to the Moscow City Health Department for the period from January 2021 to December 2021 were analyzed. Results and discussion. The article presents a list of regulatory documents governing the routing of patients. The structure of diseases of the maxillofacial region among the children and adults of the city of Moscow was determined. Routing schemes for patients with planned and emergency maxillofacial pathology are given. Problems are identified and solutions are proposed, as well as the continuity of the provision of specialized care in organizations in the field of “maxillofacial surgery”. Conclusions. A well-functioning routing system will improve the timeliness, availability and quality of specialized medical care. In addition, an optimized routing system will contribute to proper planning and resource allocation in healthcare.
Introduction. For many years, the issues of diagnosis, planning and surgical treatment of adult patients with neoplasms of the parotid salivary glands (PSG) have remained relevant. Objective: to identify the features of the specialized medical care provided to adult patients with PSG neoplasms. Materials and methods. We analyzed the statistical data of specialized medical care provided to patients with PSG neoplasms in institutions of the Department of Health of the city of Moscow. To characterize the patients, a sample of medical documentation of 302 patients who were on inpatient treatment at the Maxillofacial Hospital for War Veterans was conducted for the period from January 2017 to April 2022. Results and discussion. The study group included 116 men (38.41%) and 186 women (61.59%), aged 19 to 81 years (mean age 52.27 ± 0.23 years). All patients underwent surgical intervention on the PSG with the dissection and preservation of peripheral branches of the facial nerve. As a result, the study group of patients was divided into 3 subgroups: the 1st – with benign neoplasms (n=258), the 2nd – with malignant neoplasms (n=24), the 3rd – with tumor-like lesions (n=20). Some features of diagnostics and planning are revealed, algorithm of surgical treatment are discussed. Conclusions. Despite the significant development of both diagnostic methods and surgical intervention techniques, there is a need to improve clinical recommendations and treatment protocols with a clearer indication of criteria in choosing surgical treatment. Medical care for adult patients with PSG neoplasms should be carried out on the basis of specialized centers, which will minimize the number of diagnostic errors and postoperative complications.
BACKGROUND: The issues of the early differential diagnosis of patients with neoplasms of the parotid salivary glands (PSG), choice of the correct tactics of surgical treatment, tumor recurrence, and postoperative complications have remained relevant for many years. AIMS: To retrospectively analyze medical records of adult patients with neoplasms of the PSGs. MATERIALS AND METHODS: We analyzed a sample of patients who were hospitalized at the Maxillofacial Hospital for War Veterans of the Department of Health of the City of Moscow for the period from January 2017 to April 2022. RESULTS: The study included 302 patients (men, 38.41%; n=116; women, 61.59%; n=186). The mean age of the patients was 52.270.23 years. The study group was divided into three subgroups: the first group had benign neoplasms (n=258), the second group had malignancies (n=24), and the third group had tumor-like lesions (n=20). The article presents the main characteristics of these patients. Some features of diagnostics and planning were revealed. The authors discuss the choice of tactics of surgical techniques. CONCLUSIONS: Despite the significant development in diagnostic and surgical techniques, discrepancies between clinical and pathohistological diagnoses (28.15%) and unwanted postoperative complications remain relatively high.
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.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.