Skikevych M. G., Lokes K. P., Voloshyna L. I., Sokolov A. M.
FEATURES OF CLINICAL PICTURE OF ODONTOGENIC PERITONSILLAR ABSCESS
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About the author:
Skikevych M. G., Lokes K. P., Voloshyna L. I., Sokolov A. M.
Heading:
DENTISTRY
Type of article:
Scientific article
Annotation:
Peritonsillar abscess is a disease characterized by purulent fusion of peritonsillar tissue. Peritonsillar abscess (PTA) is an urgent pathology that is usually encountered by ENT departments on duty, dental surgeons, and maxillofacial surgeons. The aim of study – to determine the frequency of occurrence of PTA in the maxillofacial department of the Poltava Regional Clinical Hospital. To develop the tactics of a dental surgeon, the features of differential diagnosis and treatment, while observing an interdisciplinary approach to curation of such patients. We carried out a statistical analysis of the incidence of PTA according to the case histories and data from the annual reports of the Department of Otorhinolaryngology and Maxillofacial for 2021 at Poltava Regional Clinical Hospital in Poltava. In most clinical cases, the lack of surgical treatment leads to the spread of purulent inflammation to the surrounding soft tissues. This is the reason for the development of abscesses and phlegmon of the maxillofacial localization. Spread of infection into the deep tissues of the neck and then into the posterior mediastinum is possible. There is a mediastinitis and a septic condition, which is critical for the health of such patients. Complications of PTA are quite common, i.e. more than 10% of cases and mortality is also not less than 10% according to the literature. An increase in symptoms for PTA is characteristic: the stage of edema, infiltration and abscess formation. The prognosis for PTA is favorable in most cases. The risk of developing purulent generalized complications increases against the background of primary and acquired immunodeficiency states.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2023 Issue 4, 171, 436-439 pages, index UDC 616.321/.322-002