COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS
Background. The share of odontogenic maxillary sinusitis accounts for 20 to 30 % of the total number of diseases of the maxillofacial region, and therefore the category requires a deeper study on the basis of a multidisciplinary medical organization. Materials and methods. The analysis of statist...
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| Format: | Article |
| Language: | English |
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Penza State University Publishing House
2020-09-01
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| Series: | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| Subjects: |
| _version_ | 1819000904829894656 |
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| author | M. V. Lebedev Yu. A. Abdullina N. N. Mitrofanova K. I. Kerimova |
| author_facet | M. V. Lebedev Yu. A. Abdullina N. N. Mitrofanova K. I. Kerimova |
| author_sort | M. V. Lebedev |
| collection | DOAJ |
| description | Background. The share of odontogenic maxillary sinusitis accounts for 20
to 30 % of the total number of diseases of the maxillofacial region, and therefore the
category requires a deeper study on the basis of a multidisciplinary medical organization.
Materials and methods. The analysis of statistical data of the Department of
Maxillofacial Surgery of the Penza Regional Clinical Hospital named after N.N.
Burdenko for 2018 (207 patients with odontogenic maxillary sinusitis). 226 samples
of bacteriological inoculation for flora and antibiotic sensitivity were studied. 20
primary patients with a diagnosis of odontogenic maxillary sinusitis took part in the
research in 2019, a smear was taken for flora and antibiotic sensitivity by the method
of rapid testing, and antibiotic therapy was prescribed based on the results. For
the first group, tamponade was performed using a sterile silicone balloon. According
to this method of surgical treatment, we have proposed a rationalization proposal
No.409, adopted by the Bureau of Rationalization and Invention of the Penza Regional
Clinical Hospital named after N. N. Burdenko and Medical Institute of Penza
State University. The second group received tamponade with turunda soaked in iodoform.
Results. In 2018, antibiotic susceptibility smear results were inconsistent with
empirically selected therapy in 30% of cases; 98% of patients underwent surgical intervention
in the amount of radical sinusitis with tamponade of the maxillary sinus
with turunda soaked in iodoform. In 2019, using rapid tests, appropriate antibiotic
therapy was prescribed, and 50% of patients received tamponade of the maxillary
sinusitis with a silicone balloon.
Conclusions. Appointment of appropriate antibiotic therapy from the first day after
surgery in the amount of radical sinusotomy followed by tamponade with a silicone
balloon allows you to maintain respiratory function in the postoperative period
and reduces the number of side effects. Proposed areas of application of the research
results: maxillofacial surgery. |
| first_indexed | 2024-12-20T22:40:44Z |
| format | Article |
| id | doaj.art-bebef2f7db89433f9fe0b8ae538fe286 |
| institution | Directory Open Access Journal |
| issn | 2072-3032 |
| language | English |
| last_indexed | 2024-12-20T22:40:44Z |
| publishDate | 2020-09-01 |
| publisher | Penza State University Publishing House |
| record_format | Article |
| series | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| spelling | doaj.art-bebef2f7db89433f9fe0b8ae538fe2862022-12-21T19:24:29ZengPenza State University Publishing HouseИзвестия высших учебных заведений. Поволжский регион: Медицинские науки2072-30322020-09-01310.21685/2072-3032-2020-3-2COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITISM. V. Lebedev0Yu. A. Abdullina1N. N. Mitrofanova2K. I. Kerimova3Penza State UniversityPenza State UniversityPenza State UniversityPenza State UniversityBackground. The share of odontogenic maxillary sinusitis accounts for 20 to 30 % of the total number of diseases of the maxillofacial region, and therefore the category requires a deeper study on the basis of a multidisciplinary medical organization. Materials and methods. The analysis of statistical data of the Department of Maxillofacial Surgery of the Penza Regional Clinical Hospital named after N.N. Burdenko for 2018 (207 patients with odontogenic maxillary sinusitis). 226 samples of bacteriological inoculation for flora and antibiotic sensitivity were studied. 20 primary patients with a diagnosis of odontogenic maxillary sinusitis took part in the research in 2019, a smear was taken for flora and antibiotic sensitivity by the method of rapid testing, and antibiotic therapy was prescribed based on the results. For the first group, tamponade was performed using a sterile silicone balloon. According to this method of surgical treatment, we have proposed a rationalization proposal No.409, adopted by the Bureau of Rationalization and Invention of the Penza Regional Clinical Hospital named after N. N. Burdenko and Medical Institute of Penza State University. The second group received tamponade with turunda soaked in iodoform. Results. In 2018, antibiotic susceptibility smear results were inconsistent with empirically selected therapy in 30% of cases; 98% of patients underwent surgical intervention in the amount of radical sinusitis with tamponade of the maxillary sinus with turunda soaked in iodoform. In 2019, using rapid tests, appropriate antibiotic therapy was prescribed, and 50% of patients received tamponade of the maxillary sinusitis with a silicone balloon. Conclusions. Appointment of appropriate antibiotic therapy from the first day after surgery in the amount of radical sinusotomy followed by tamponade with a silicone balloon allows you to maintain respiratory function in the postoperative period and reduces the number of side effects. Proposed areas of application of the research results: maxillofacial surgery.odontogenic maxillary sinusitisantibacterial drugssilicone balloon tampon |
| spellingShingle | M. V. Lebedev Yu. A. Abdullina N. N. Mitrofanova K. I. Kerimova COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS Известия высших учебных заведений. Поволжский регион: Медицинские науки odontogenic maxillary sinusitis antibacterial drugs silicone balloon tampon |
| title | COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS |
| title_full | COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS |
| title_fullStr | COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS |
| title_full_unstemmed | COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS |
| title_short | COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS |
| title_sort | comprehensive approach in treatment of patients with odontogenic maxillary sinusitis |
| topic | odontogenic maxillary sinusitis antibacterial drugs silicone balloon tampon |
| work_keys_str_mv | AT mvlebedev comprehensiveapproachintreatmentofpatientswithodontogenicmaxillarysinusitis AT yuaabdullina comprehensiveapproachintreatmentofpatientswithodontogenicmaxillarysinusitis AT nnmitrofanova comprehensiveapproachintreatmentofpatientswithodontogenicmaxillarysinusitis AT kikerimova comprehensiveapproachintreatmentofpatientswithodontogenicmaxillarysinusitis |