Concomitant diseases in children with congenital cleft lip and palate residing in a region with industrial pollution

Chuykin, Sergey; Akatyeva, Galina; Kuchuk, Kristina; Chuykin, Oleg; Makusheva, Natal'ya; Gil'manov, M.V.; Muratov, Azamat

doi:10.20953/1817-7646-2021-5-44-48

Vopr. prakt. pediatr.

2021

DOI: 10.20953/1817-7646-2021-5-44-48

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Concomitant diseases in children with congenital cleft lip and palate residing in a region with industrial pollution

Sergey Chuykin¹,

Galina Akatyeva²,

Kristina Kuchuk³

et al.

Abstract: Objective. To evaluate the incidence of somatic diseases in children with congenital cleft lip and palate residing in regions with industrial pollution. Patients and methods. We analyzed medical records of the Department of Maxillofacial Surgery of the Republican Children's Clinical Hospital in Ufa made between January 1, 1985 and December 31, 2019. A total of 3.463 children with congenital cleft lip and/or palate aged 0 to 16 years were treated and followed-up during this period. Results. We found that 2017 c… Show more

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Modern tactics of follow-up care and treatment of patients with congenital maxillofacial defects combined with other comorbid conditions

Rogozhina,

Blokhina,

Bimbas

et al. 2023

jour

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Relevance. Questions of methodology and organization of specialized treatment of patients with congenital maxillofacial defects do not lose their relevance and retain the interest of researchers and practitioners. This article covers the accumulated experience of centralized medical examination of patients with congenital maxillofacial defects combined with other comorbid conditions in the comparative evolutionary aspect of advancing the organizational structure and follow-up care regulation.Purpose. To improve the rehabilitation process efficiency in patients with congenital maxillofacial defects complicated by other comorbid conditions by advancing the tactics of organizational and therapeutic measures.Material and methods. The study conducted an analytical and quantitative-qualitative analysis of medical documentation of the comprehensive care organizational and rehabilitation process for 2475 patients with congenital cleft face and palate for 24 years (1998-2022) in the specialized Bonum Center (Yekaterinburg). Of 2475 medical records of patients with congenital cleft face and/or palate, 823 cases (33.25%) had comorbid conditions.Results. The analysis of the results of a complex, specialized practice of multifunctional treatment of patients with congenital maxillofacial defects of complex systemic origin shows ways to improve and optimize the functionality of the rehabilitation process.Conclusions. The presented practice of improving the system for organizing follow-up care and specialized treatment of patients with maxillofacial defects complicated by other comorbid conditions allowed for the successful health restorative process completion in 55.04% of cases, including surgical assistance within the recommended rehabilitation period. The presented experience, as a concept, can serve as a guide for practitioners of specialized medicine concerning the development of a system of rehabilitation processes for patients with congenital maxillofacial defects of a complex somatic status.

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Modern tactics of follow-up care and treatment of patients with congenital maxillofacial defects combined with other comorbid conditions

Rogozhina,

Blokhina,

Bimbas

et al. 2023

jour

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show abstract

On the issue of surgical treatment of patients with congenital orofacial clefts combined with other organ and system comorbidities

Rogozhina,

Blokhina,

Bimbas

2023

jour

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Relevance. Surgical treatment of patients with congenital orofacial clefts and comorbidities of other organs and systems remains a complex problem in specialized surgery, and it requires concentration of knowledge of individual characteristics and diagnosed disorders during their implementation, taking into account the sequence, volume and time of execution.Purpose. Optimize the tactics of surgical treatment of children born with orofacial clefts combined with disorders of other organs and systems, improving rehabilitation effectiveness.Material and methods. The work focuses on the results of a study of 2475 patients with congenital orofacial defects during the long-term follow-up period (1998-2022) in the Bonum Medical Center (Yekaterinburg). There were 823 cases of congenital orofacial clefts combined with disorders of other organs and systems. The disease combination groups were systematized and determined the tactics of surgical treatment of orofacial defects and the rehabilitation techniques for comorbid defects.Results. To date, out of 823 patients with orofacial clefts and comorbidities of other organs and systems, 591 (71.81%) patients are known to have received comprehensive surgical rehabilitation, part of them turned 18 years and were withdrawn from the long-term follow-up care, the rest – 232 (28.19%) continued to receive specialized care in the Bonum Center system. Of the 823 patients, 370 children needed primary cheilo-rhinoplasty, 196 people (52.97%) had surgery at the traditionally accepted time (in the first six months of the child's life), 302 children (81.62%) had surgery by the age of nine months, and 329 children (88.92%) by one year. Based on the individual indications, thirty-six children (9.73%) had surgery after one year, of which eight patients (2.16%) after two years. Of the 823 patients, 770 people needed palatoplasty (cleft repair of hard and soft palates), while in the conditions of special preparation, the operation was performed in 360 children (46.75%) by 18 months, in 483 children (62.73%) by24 months, and 588 children (76.36%) by the age of 3 years. Considering the cleft palate complexity, 102 children (13.25%) needed further treatment later due to physical condition restrictions and social reasons.Conclusion. The proposed strategy of surgical treatment of children with orofacial clefts combined with disorders of other organs and systems allows treatment of congenital orofacial malformation in the most favourable period based on the patient's physical condition.

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Concomitant diseases in children with congenital cleft lip and palate residing in a region with industrial pollution

Cited by 2 publications

References 0 publications

Modern tactics of follow-up care and treatment of patients with congenital maxillofacial defects combined with other comorbid conditions

Modern tactics of follow-up care and treatment of patients with congenital maxillofacial defects combined with other comorbid conditions

On the issue of surgical treatment of patients with congenital orofacial clefts combined with other organ and system comorbidities

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