FREQUENCY, STRUCTURE AND CLINICAL MANIFESTATIONS OF THERMAL BURNS OF THE JAW-FACIAL AREA IN CHILDREN.

OBJECTIVE: The aim: To establish the frequency, structure and features of the clinical course of facial and neck burns in children. PATIENTS AND METHODS: Materials and methods: During 5 years, 78 patients aged from 6 months to 15 years with isolated burns of the face and neck and in combination with lesions of other anatomical areas were treated. In the dynamics of observation of patients were used classical methods of examination, and in their treatment we followed the protocol of medical care for this category of patients. RESULTS: Results: Thermal injuries of the face and neck accounted for 12.6% of the total number of patients with burns. Their isolated lesion was 26.9%, and in combination with other areas it was 73.1%. The most frequently affected were children of nursery, primary school and preschool age, with a predominance of rural residents (52.6%), mostly boys (78.0%). Anesthesia support had to be used in the treatment of 24 patients (30,8%). The features and nature of the burns depended on the relief of the face and the most damaged are its protruding parts.

Clinical-morphological characteristics and peculiarities of treatment of paraururicular fistulas in children.

OBJECTIVE: The aim: Determining the frequency of occurrence of paraauricular fistula in children and comparing the results of their own experience regarding their clinical manifestations, treatment principles and morphological features with existing scientific data. PATIENTS AND METHODS: Materials and methods: The results of a comprehensive examination and surgical treatment of 25 children with paraauricular fistulas. RESULTS: Results: Most often, para-auricular fistula was observed in infants 22 - (88%). In 18 persons (72%), they were unilateral, in 10 - (40%) hereditary. In 8 - (32%), fistula was diagnosed immediately after birth. In 17 - (68%) the pathology was not clinically manifested, but was an accidental finding during the next medical examination. Morphological research has shown that congenital paraauricular fistula is a formed canal intimately associated with the epithelium and cartilage, and the presence of epithelial lining on the fistula wall with constant support of the inflammatory process makes it impossible to heal even against the background of multicomponent treatment. CONCLUSION: Conclusions: Due to the topographic-anatomical localization, features of the clinic of the born fistula, surgical treatment does not always allow to achieve the desired results, and requires repeated interventions during recurrence. It is possible to prevent recurrence by the extensive use of additional diagnostic manipulations before surgery and careful wound control during surgical procedures.