Voloshyna L. I., Lokes K. P., Steblovskyi D. V., Skikevych M. G., Yatsenko P. I., Toropov O. A.

FEATURES OF THE TREATMENT OF PATIENTS WITH ODONTOGENIC PHLEGMONS ON THE BACKGROUND OF SOMATIC PATHOLOGY

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About the author:

Voloshyna L. I., Lokes K. P., Steblovskyi D. V., Skikevych M. G., Yatsenko P. I., Toropov O. A.

Heading:

DENTISTRY

Type of article:

Scientific article

Annotation:

The problem of treating patients with inflammatory diseases of maxillofacial localization (MFL) against the background of somatic pathology is a significant medical and social problem. Such patients require a great deal of concentration from doctors of many specialities in the process of diagnosis, especially early diagnosis and treatment. The proportion of patients with odontogenic inflammatory processes is increasing from year to year. This requires the organization of a sufficiently high level of joint, effective, and rational work of multidisciplinary teams to provide specialized and narrow-profile medical care at all stages of treatment in healthcare facilities. Odontogenic phlegmon of deep tissue spaces is usually the most severe, especially if the inflammatory process spreads to two or more anatomical areas. Our study aimed to analyze the medical records of patients with odontogenic phlegmon of the deep tissue spaces of the MFL in the setting of diabetes mellitus and cardiovascular diseases and propose a treatment algorithm. Given the severity of odontogenic phlegmonous processes in the deep tissue spaces of the MFL, the most experienced dental surgeons, maxillofacial surgeons, and, if necessary, anesthesiologists, thoracic surgeons, ophthalmologists, otorhinolaryngologists, cardiologists, endocrinologists, etc., are involved in treating such patients. We would like to note that patients over 48-50 years of age should be carefully examined for endocrine pathology, especially those with COVID-19. According to our data, the average bed-day in patients with deep tissue phlegmon was 9.59+0.41, and against the background of comorbidities – 14.59+2.69. The tireless continuous improvement of clinical and theoretical knowledge, as well as the doctor's thorough work on mastering new surgical techniques, reduce the risk of surgery in undiagnosed diabetes mellitus and, therefore, the degree of complications caused by this endocrine pathology. Patients diagnosed with type 2 diabetes mellitus and who have cardiovascular disease both in the background of diabetes mellitus and as an independent disease urgently need to resume preventive examinations by a dentist-therapist.

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Bibliography:

1. Treviño-Gonzalez JL, Santos-Santillana KM, Cortes-Ponce JR, Gonzalez-Andrade B, Morales-Del-Angel JA. Role of early extraction of odontogenic focus in deep neck infections. Med Oral Patol Oral Cir Bucal. 2023;28(1):e25-e31. DOI: 10.4317/medoral.25536.
2. Lokes KP, Polishchuk SS, Ivanytska OS, Voloshyna LI, Steblovskyi DV, Yatsenko PI, et al. Analysis of the distribution and course of odontogenic phlegmons of maxillofacial localization. World of Medicine and Biology. 2024;1(87):104-107. DOI: 10.26724/2079-8334-2024-1-87-104-107.
3. Lychman VO, Steblovskyi DV, Bukhanchenko OP, Stavytskyi SO, Avetikov DS. Dependence of the course of odontogenic phlegmons of maxillofacial localization on circadian rhythms. World of Medicine and Biology. 2023;3(85):121-124. DOI: 10.26724/2079-8334-2023-3-85-121-124.
4. Almutairi DM, Alqahtani RM, Alshareef N, Alghamdi YS, Al-Hakami HA, Algarni M. Deep Neck Space Infections: A Retrospective Study of 183 Cases at a Tertiary Hospital. Cureus. 2020;12(2):e6841. DOI: 10.7759/cureus.6841. Erratum in: Cureus. 2020;12(3):c29. DOI: 10.7759/cureus.c29.
5. Rybalov OV, Skikevych MG, Andriyanova OY, Yatsenko PI. Residual phenomena of the transferred Covid-19 in the maxillofacial region or its complications. Ukrainian Dental Almanac. 2021;2:64-67. DOI: 10.31718/2409-0255.2.2021.12.
6. Cloete L. Diabetes mellitus: an overview of the types, symptoms, complications and management. Nurs Stand. 2022;37(1):61-66. DOI: 10.7748/ns.2021.e11709.
7. Ikegami H, Hiromine Y, Noso S. Insulin-dependent diabetes mellitus in older adults: Current status and future prospects. Geriatr Gerontol Int. 2022;22(8):549-553. DOI: 10.1111/ggi.14414.
8. Yanagawa Y, Muramatsu KI, Abe M, Miyazaki Y. A Fatal Rhizopus Species Infection after FacialInjury in a Patient with Myelodysplastic Syndrome and Diabetes Mellitus. Intern Med. 2023;62(15):2279-2283. DOI: 10.2169/internalmedicine.0741.
9. Suehara AB, Gonçalves AJ, Alcadipani FA, Kavabata NK, Menezes MB. Deep neck infection: analysis of 80 cases. Braz J Otorhinolaryngol. 2008;74(2):253-9. DOI: 10.1016/s1808-8694(15)31097-1.
10. Luan CW, Liu CY, Yang YH, Tsai MS, Tsai YT, Hsu CM, et al. The Pathogenic Bacteria of Deep Neck Infection in Patients with Type 1 Diabetes, Type 2 Diabetes, and Without Diabetes from Chang Gung Research Database. Microorganisms. 2021;9(10):2059. DOI: 10.3390/microorganisms9102059.

Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 1, 176, 492-499 pages, index UDC 616-002.36-092-085

DOI:

10.29254/2077-4214-2025-1-176-492-499