Importance ― optimization of local treatment of purulent wounds in inflammatory diseases of the maxillofacial area in children. Objectives ― improving the effectiveness of local treatment of children with purulent-inflammatory diseases of the maxillofacial area. Methods. The study included 74 children who were treated for abscesses and phlegmon of the maxillofacial area in the Republican Clinical Hospital of Ufa. The patients were divided into 2 groups. The main group included 34 children with abscesses and phlegmon of the maxillofacial area. For treatment they used ointment with Furacilin, Lidocaine and Dibunolum. The control group included 40 patients. For their treatment used ointment Levomecol. Results. The course of the wound process in patients of both groups was accompanied by edema in the postoperative wound area. Edema was stopped 1.2 times faster in the main group (p<0,01). In the main group, hyperemia persisted for up to 3 days. In the control group, hyperemia persisted at 3.9 ± 0.2 days. Normalization of temperature after surgery in the main group occurred one day earlier (at 4,3±0,8 day). Reduced pain in children in the main group was observed after 3 days. Normalization of blood counts in the main group was faster. The healing of the postoperative wound in the main group occurred by 7.7 ± 0.2 days, in the control group – at 8.8 ± 0.2 days (p<0,01). The dynamics of the wound process in the main group was faster. Conclusions. Thus, the ointment based on Furacilin, Lidocaine and Dibunolum provides a prolonged effect of drugs, prevents side effects, creates a high concentration of the drug in the short term, possesses osmotic activity, improves the drainage conditions of the wound, leads to anti-inflammatory, antimicrobial, anesthetic action. The ointment is convenient and hygienic to use.
Importance ― study of microscopic imprints of the wound surface of purulent wounds in inflammatory diseases of the maxillofacial region in children. Objectives ― cytological research of microscopic imprints of purulent wounds in inflammatory diseases of the maxillofacial region in children Methods. The study included 60 children from 5 to 16 years old who were treated for abscesses and phlegmon of the maxillofacial area. Patients were divided independently into 2 groups. The main group included 30 children. For their treatment we used ointment with Furacilin, Lidocaine and Dibunolum. The control group included 30 patients. For their treatment used ointment Levomecol. To compare the effectiveness of the healing of purulent wounds in the main and control groups, we studied cytology of microscopic imprints of purulent wounds at 3, 7 and 10 days. Results. A microscopic examination of the imprints of the wound surface of the control group on the 3 day revealed a predominantly inflammatory type of cytogram, on day 5, the type of cytorgamy was replaced by inflammatory-regenerative, which persisted on the 7th day of the study. Microflora was represented in small quantities. In the main group, in the study of microscopic imprints on the 3ed day, inflammatory-regenerative type of cytogram was also observed. On the 7th, the cytogram shifted to the regenerative type. Cell infiltrate was poor, containing macrophages and lymphocytes. Seeding by microorganisms was not observed. Conclusions. Thus, based on the morphological studies of microscopic imprints of the wound surface, we recommend the use of ointment with Furacilin, Lidocaine and Dibunolum for the complex treatment of abscesses and phlegmon of the maxillofacial region. Since the ointment reduces the time of wound healing and reduces bacterial contamination of the wound.
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