RESUMO
Combined treatment of 96 patients with odontogenic phlegmons of the face and neck included local application of perftorane (plasma substitute with gas transport function). The addition of perftorane to complex therapeutic measures provides significant improvement of the patients' general status and speeds up reparative processes in the wound. It facilitates secondary suturing, shortens treatment time, provides wound healing by primary intention, improves functional and cosmetic results.
Assuntos
Substitutos Sanguíneos/administração & dosagem , Celulite (Flegmão)/etiologia , Celulite (Flegmão)/terapia , Fluorocarbonos/administração & dosagem , Infecção Focal Dentária/complicações , Adolescente , Adulto , Idoso , Analgésicos/uso terapêutico , Antibacterianos/uso terapêutico , Cateterismo , Celulite (Flegmão)/tratamento farmacológico , Celulite (Flegmão)/cirurgia , Terapia Combinada , Face , Humanos , Masculino , Pescoço , Técnicas de Sutura , Fatores de Tempo , Resultado do Tratamento , Vitaminas/uso terapêutico , CicatrizaçãoRESUMO
Ninety patients with acute musculo-articular disorders associated with mandibular fractures of different location were examined. Two groups of patients were distinguished, based on the presence of fragments dislocation, soft tissue injuries, and occlusion impairment: 1) 45 patients with mandibular fractures without essential dislocation of fragments and pronounced reaction of soft tissues and 2) 45 patients with notable impairment of soft tissues and dislocation of fragments. Clinical examinations and accessory diagnostic methods after removal of the splints demonstrated the relationship between the severity of musculo-articular disorders and type and location of mandibular fracture; purposeful methods of treatment have been developed.
Assuntos
Fraturas Mandibulares/complicações , Doenças Musculares/etiologia , Transtornos da Articulação Temporomandibular/etiologia , Doença Aguda , Adolescente , Adulto , Músculos Faciais , Feminino , Humanos , Masculino , Fraturas Mandibulares/cirurgia , Pessoa de Meia-Idade , Doenças Musculares/terapia , Transtornos da Articulação Temporomandibular/terapiaRESUMO
Clinical picture, bacterial passage, and immune status were studied in patients with chronic traumatic and chronic odontogenic mandibular osteomyelitis. The deepest disorders of biocenosis and the highest incidence of immunodeficiencies were observed in patients with chronic odontogenic osteomyelitis. Local and total ozone therapy is suggested for antibacterial and immunomodulating treatment. Medical ozone exposure promoted more complete and rapid normalization of nonspecific resistance and T-cellular immunity, thus accelerating clinical cure and reducing the incidence of complications.
Assuntos
Doenças Mandibulares/terapia , Osteomielite/terapia , Ozônio/uso terapêutico , Bacillus/efeitos dos fármacos , Doença Crônica , Humanos , Doenças Mandibulares/imunologia , Doenças Mandibulares/microbiologia , Osteomielite/imunologia , Osteomielite/microbiologia , Ozônio/efeitos adversos , Fagocitose/fisiologia , Linfócitos T/efeitos dos fármacosRESUMO
Clinical and laboratory study of the efficiency of separate and combined use of low-frequency ultrasound and laser exposure of the operative wound for prevention of pyoinflammatory complications during mandibular osteosynthesis was carried out. Clinical parameters of wound reparation in the course of healing and microbiological and cytological findings in various methods of treatment are presented. The results evidence a high efficiency of these physical methods, particularly of their combination.
Assuntos
Terapia com Luz de Baixa Intensidade , Traumatismos Mandibulares/cirurgia , Infecção da Ferida Cirúrgica/prevenção & controle , Terapia por Ultrassom , Terapia Combinada , Humanos , Inflamação/prevenção & controle , Infecção da Ferida Cirúrgica/microbiologia , Infecção da Ferida Cirúrgica/patologia , Resultado do TratamentoRESUMO
Combined local and general ozone therapy was used in 30 patients with local sluggish pyoinflammatory diseases of the maxillofacial soft tissues. The results were compared to those in 33 patients administered no ozone therapy. Ozone therapy decreased the duration of treatment more than 2-fold due to antibacterial effect and stimulation of nonspecific and immunological reactivity. Lack of obvious contraindications and selective activity and universal immunocorrective effect recommend ozone therapy for wide use in this patient population irrespective of the type of inflammatory reaction.
Assuntos
Face , Ozônio/uso terapêutico , Infecções dos Tecidos Moles/terapia , Face/patologia , Humanos , Ozônio/administração & dosagem , Infecções dos Tecidos Moles/patologia , Supuração/terapia , Resultado do TratamentoRESUMO
Sixty-three patients with local sluggish suppurative inflammations of maxillofacial soft tissues were examined. Medical ozone was added to the treatment protocols of 30 of these patients. Before treatment peripheral blood leukocyte phagocytic activity was decreased in 54 patients, which corresponded to clinical form of a sluggish inflammation. Traditional therapy did not appreciably change the level of phagocytosis. Addition of medical ozone exposure to therapy promoted normalization of leukocyte phagocytic activity and accelerated liquidation of inflammation.
Assuntos
Face , Oxidantes Fotoquímicos/uso terapêutico , Ozônio/uso terapêutico , Fagocitose/efeitos dos fármacos , Infecções dos Tecidos Moles/terapia , Adolescente , Adulto , Terapia Combinada , Face/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infecções dos Tecidos Moles/imunologia , Infecções dos Tecidos Moles/patologia , Supuração/imunologia , Supuração/patologia , Supuração/terapiaRESUMO
Time course of healing of induced defects in the femoral bone filled with various forms of hydroxyapatite (HA) was studied in experimental rats on days 30, 60, and 90 after inflicting the defect. HA granulate exerted the best effect on bone repair. In experiments with HA granulate, bone regenerate replaced up to one half of the area of defect by day 90. After insertion of a mixture of granulate and HA powder in bone defects the newly formed bone occupied a little more than one-third of the defect area. In experiments with HA powder suspension the size of bone defect by day 90 was the same as after healing under a blood clot.
Assuntos
Substitutos Ósseos/uso terapêutico , Durapatita/uso terapêutico , Animais , Regeneração Óssea/efeitos dos fármacos , Avaliação Pré-Clínica de Medicamentos , Fêmur/efeitos dos fármacos , Fêmur/patologia , Fêmur/cirurgia , Ratos , Fatores de TempoRESUMO
Combined drugs with a hydrophilic base, nitacide and hyposol-n, were used in combined therapy of acute purulent inflammations of the maxillofacial area. Time course of clinical parameters and changes in microflora were studied in patients administered different local treatments with different inflammatory reactions. The data indicate a high efficiency of the drugs, which optimized local therapy of suppurative wounds and are recommended for wide practical use.
Assuntos
Anti-Infecciosos/uso terapêutico , Celulite (Flegmão)/tratamento farmacológico , Infecção Focal Dentária/tratamento farmacológico , Óleos de Plantas/uso terapêutico , Doenças Estomatognáticas/tratamento farmacológico , Tiazóis/uso terapêutico , Uracila/análogos & derivados , Vitamina A , Vitamina E , Vitamina K , Doença Aguda , Aerossóis , Celulite (Flegmão)/microbiologia , Celulite (Flegmão)/cirurgia , Cloranfenicol/uso terapêutico , Terapia Combinada , Combinação de Medicamentos , Face , Infecção Focal Dentária/microbiologia , Infecção Focal Dentária/cirurgia , Humanos , Doenças Estomatognáticas/microbiologia , Doenças Estomatognáticas/cirurgia , Fatores de Tempo , Uracila/uso terapêuticoRESUMO
Studies of immunotropic effects of ampicillin, gentamicin sulfate, lincomycin, and rifampicin SV used in endolymphatic therapy of patients with maxillofacial phlegmons demonstrated a pronounced immunomodulating effect of rifampicin SV in polygluquine. The immunomodulating effect of lincomycin was lower, and that of ampicillin virtually null. Gentamicin sulfate suppressed some parameters of the immune status.
Assuntos
Antibacterianos/uso terapêutico , Celulite (Flegmão)/tratamento farmacológico , Celulite (Flegmão)/imunologia , Doenças Maxilares/tratamento farmacológico , Doenças Maxilares/imunologia , Antibacterianos/administração & dosagem , Humanos , Injeções IntralinfáticasRESUMO
The effects of dioxycol and low-frequency ultrasound alone and in combinations on the microflora of suppurative wounds formed after opening of maxillofacial phlegmons are assessed in 142 patients. Clinical and laboratory findings indicate a higher efficacy of combined use of these treatment modalities, which are recommended for optimal local treatment of purulent maxillofacial wounds.
Assuntos
Anti-Infecciosos/uso terapêutico , Celulite (Flegmão)/terapia , Infecção Focal Dentária/terapia , Doenças Maxilomandibulares/terapia , Quinoxalinas/uso terapêutico , Terapia por Ultrassom/métodos , Aerossóis , Celulite (Flegmão)/microbiologia , Terapia Combinada , Estudos de Avaliação como Assunto , Face , Infecção Focal Dentária/microbiologia , Humanos , Doenças Maxilomandibulares/microbiologia , Fatores de TempoRESUMO
By using the results of clinical, laboratory, and immunological studies, the authors show that the type (normoergic, hypoergic, hyperergic) of an inflammatory response is related to the parameters of nonspecific and immunological responsiveness of patients with pyo-inflammation in the maxillofacial region. The hypoergic inflammatory response is characterized by the least responsiveness mainly to its cellular link. The hyperergic inflammatory reaction is chiefly caused by considerably enhanced phagocytosis.
Assuntos
Imunidade Celular/imunologia , Inflamação/imunologia , Doença Aguda , Adolescente , Adulto , Formação de Anticorpos , Feminino , Humanos , Imunidade Inata/imunologia , Masculino , Pessoa de Meia-IdadeRESUMO
The effects of subcutaneous and endolymphatic tactivin (in doses of 1 ml of 0.01% solution daily for 7 days) on clinical and immunological parameters were studied in patients with acute inflammations in the maxillofacial area, running a normo-, hypo-, and hyperergic course. Tactivin accelerated the arrest of inflammatory process and improved the patients' status, particularly so in cases with the hypo- and hyperergic inflammations. The key role in the mechanism of the drug action is played by increase of the immunoregulatory index, which reflects the increasing resistance of the body.