Article 2320

Title of the article

COMPREHENSIVE APPROACH IN TREATMENT OF PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS 

Authors

Lebedev Marat Vladimirovich, Candidate of medical sciences, head of the department of maxillofacial surgery, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia); associate professor, sub-department of maxillofacial surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: mrtlebedev@rambler.ru
Abdullina Yuliya Akhatovna, Assistant, sub-department of general and clinical pharmacology, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: abdullina@rambler.ru
Mitrofanova Natal'ya Nikolaevna, Senior lecturer, sub-department of microbiology, epidemiology, infectious diseases, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: meib@rambler.ru
Kerimova Karina Iskhakovna, Сlinical resident, sub-department of maxillofacial surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: karina.keri@mail.ru 

Index UDK

616.089 

DOI

10.21685/2072-3032-2020-3-2 

Abstract

Relevance and goals. 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. 

Key words

odontogenic maxillary sinusitis, antibacterial drugs, silicone balloon tampon 

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References

1. Son I. M., Lebedev M. V., Zakharova I. Yu., Kerimova K. I., Bakhturin N. A. Ural'skiy meditsinskiy zhurnal [Ural medical journal]. 2020, no. 1 (184), pp. 147–153. [In Russian]
2. Mitrofanova N. N., Lebedev M. V., Mel'nikov V. L., Kupryushin A. S. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki [University proceedings. Volga region. Medical sciences]. 2017, no. 3 (43), pp. 49–56.
3. Ofitsial'nyy sayt «AMRmap» [Official site “AMRmap”]. Available at: http://map.antibiotic.ru (accessed Febr. 08, 2019). [In Russian]
4. Gavrilova I. A., Titov L. P. Sovremennye problemy infektsionnoy patologii cheloveka: sb. nauch. tr. [Modern issues of human infectious pathology: collected works]. Issue 6. Minsk: GU RNMB, 2016, pp. 134–141. [In Russian]
5. Shestakova I. V., Yushchuk N. D., Balmasova I. P. Stomatologiya [Dentistry]. 2014, no. 1 (93), pp. 64–71. [In Russian]
6. Yaremenko A. I., Matina V. N., Suslov D. N., Lysenko A. V. Mezhdunarodnyy zhurnal prikladnykh i fundamental'nykh issledovaniy [International journal of applied and basic research]. 2015, no. 10, pp. 834–837. [In Russian]
7. Golovko K. P., Gofman V. R., Samokhvalo I. M., Maday D. Yu. Rossiyskaya otorinolaringologiya [Russian otorhinolaryngology]. 2015, no. 3, p. 5264. [In Russian]

 

Дата создания: 19.10.2020 12:54
Дата обновления: 20.10.2020 11:29