Steblovskyi D. V., Kopchak A. V., Lokes K. P., Bilokon S. O., Voloshyna L. I., Popovych I. Yu.
PREVALENCE OF INFLAMMATORY DISEASES OF THE NOSE AMONG PATIENTS WITH ODONTOGENIC PURILENT-INFLAMMATORY DISEASES OF MAXILLO-FACIAL LOCATION
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About the author:
Steblovskyi D. V., Kopchak A. V., Lokes K. P., Bilokon S. O., Voloshyna L. I., Popovych I. Yu.
Heading:
DENTISTRY
Type of article:
Scientific article
Annotation:
Many patients with these diseases of the paranasal sinuses have pathological changes both on the side of the maxillofacial area and on the side of the nasal cavity. There is a steady annual increase in the number of patients with acute, inflamed or exacerbations of patients (and generally latent) odontogenic maxillary sinusitis and their share among all inflammatory and dystrophic diseases of the ENT organs and the maxillofacial area. The purpose of study was to determine the frequency of admission to the maxillofacial department of the Poltava Regional Clinical Hospital of patients with odontogenic inflammation of the maxillary sinus, to study the informativeness of the methods used to diagnose odontogenic sinusitis at the pre-hospital stage, and to evaluate the treatment methods used in the hospital. Research objects and methods. A retrospective analysis of 456 case histories of patients with odontogenic maxillary sinusitis, who were treated in the maxillofacial department of the Department of Public Health, was carried out - for the period 2017-2023. The peak of admissions of patients with odontogenic sinusitis to the Department of Maxillofacial Surgery of Poltava Regional Clinical Hospital occurred in 2019 - 272 (16.7%) cases of sinusitis, the lowest rate of hospitalization was recorded in 2008 - 195 (about 11.9%). The most common diagnosis was: "Exacerbation of chronic odontogenic sinusitis" - 817 (50.2%) cases, which is consistent with the literature data. Patients with the diagnosis: "Acute odontogenic sinusitis" accounted for the minimum rate - 2.4% of cases. Recurrence of sinusitis was observed on average in 2017-2023 in 5.2% of cases. In 19.3% of cases, there was a discrepancy between the diagnosis of the referring institution and the clinical diagnosis. In 2.6% of cases, the clinical diagnosis did not correspond to the described clinical data. 59.2% of patients were referred from dental polyclinics and offices; 15.7% of patients were referred by related specialists (ENT, neurologist); 14.7% went to the hospital themselves; in 10% of cases, data on the sending institution were missing. Thus, the problem of prevention, diagnosis (including differential) and treatment of odontogenic sinusitis is an urgent task of dentistry. Among the causes of the development of the disease, a significant part is pathological processes, the development of which was facilitated by inadequate medical tactics for the treatment of chronic inflammatory processes in the area of molars of the maxilla. The use of traditional methods of radical surgical treatment is often accompanied by chronicity of the process.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2024 Issue 1, 172, 518-522 pages, index UDC 616.716-002.36:616.211-002
