Bitten wounds of the maxillofacial area in children

The aim of the work is to determine the frequency, structure, features of clinical manifestations and treatment of bitten wounds of the face and neck in children of Poltava region. Materials and methods: It has been analyzed 91 histories of disease of thematic patients undergone treatment at the Surgical Department of Pediatric town clinical hospital of Poltava. Results: In the structure of traumatic injuries of maxillofacial area in children 5.3% were patients with bitten wounds of the face and neck. Among the injured were children of the age 7-12 years old (30.2%). In 74.7% of cases, the bites were complicated by acute inflammatory processes. Urban residents accounted for 71.8% of the total number of cases, while rural residents accounted for 28.2%. Boys were injured by 53.6% and girls by 46.4%. Sharps (74.5%), punctures (19.3%) and lacerations (6.2%) differed in form. The comprehensive treatment of patients with bitten maxillofacial area wounds was carried out according to the protocol of care. Conclusions: The clinical picture and severity of bitten wounds of maxillofacial area in children have individual features, which are largely due to topographic and anatomical localization of injuries. The choice of the optimal variant of primary surgical treatment of wounds and the amount of surgery should be determined individually depending on the severity of the injury, the time of injury. Special attention should be paid to normalization of psycho-emotional state of patients and prevention of scar formation

Clinical-morphological characteristics and peculiarities of treatment of paraururicular fistulas in children

The aim: Determining the frequency of occurrence of paraauricular fistula in children and comparing the results of their own experience regarding their clinical manifestations, treatment principles and morphological features with existing scientific data. Materials and methods: The results of a comprehensive examination and surgical treatment of 25 children with paraauricular fistulas. Results: Most often, para-auricular fistula was observed in infants 22 – (88%). In 18 persons (72%), they were unilateral, in 10 – (40%) hereditary. In 8 – (32%), fistula was diagnosed immediately after birth. In 17 – (68%) the pathology was not clinically manifested, but was an accidental finding during the next medical examination. Morphological research has shown that congenital paraauricular fistula is a formed canal intimately associated with the epithelium and cartilage, and the presence of epithelial lining on the fistula wall with constant support of the inflammatory process makes it impossible to heal even against the background of multicomponent treatment. Conclusions: Due to the topographic-anatomical localization, features of the clinic of the born fistula, surgical treatment does not always allow to achieve the desired results, and requires repeated interventions during recurrence. It is possible to prevent recurrence by the extensive use of additional diagnostic manipu

Використання інноваційних навчальних технологій в навчальному процесі на кафедрі ортопедичної стоматології з імплантологією

Автори статті наголошують на тому, що проблема інновацій стала центральною ланкою численних психолого-педагогічних досліджень як в нашій країні, так і за кордоном. Зважаючи на важливість та актуальність тематики пропонуються на розгляд результативні форми та методи інноваційного навчання: інтерактивні (імітаційні та не імітаційні), інтеграційні (технологія подвійної петлі) та комп’ютерні технології

Peculiarities of antenatal and postnatal periods of child development with inflammatory maxillofacilal localization processes

За 7 років обстежено 537 дітей з гострими гнійними одонтогенними і неодонтогенними процессами щелепно-лицевої ділянки. Встановлено , що в їх структурі превалювали гострий гнійний лімфаденіт (29 %) та аденофлегмона і одонтогенний остеомієліт, на долю яких припадало по 18 %. Аналіз перебігу вагітності засвідчив, що в цей період у матерів обстежених дітей досить часто простежувалися випадки гострих інфекційних захворювань, наявність патологічних станів і це певною мірою відображалося на пологовій діяльності. Характерним є також те, що діти , які знаходилися на штучному та змішаному вигодуванні з місячного та шестимісячного віку частіше хворіли. Така ситуація вказує на необхідність включення цих дітей до групи ризику з метою своєчасно оздоровлення, що може звести нанівець вплив несприятливих чинників, дію яких вони відчували як в анте - так і постнатальному періодах їх розвитку.For the period of 7 years, 537 children with acute purulent odontogenic and non-odontogenic processes of maxillofacial area were examined. Acute purulent lymphadenitis (29 %) and adenoflegmon and odontogenic osteomyelitis, which accounted for 18 %, were found to be predominant in their structure. Noteworthy is the fact that a large number of children and their relatives seek specialized care behind time and are often treated for the wrong diagnosis. There are also certain age differences depending on the nosological form of the disease. Analysis of pregnancy showed that in this period, in the examined children’s mothers cases of acute infectious diseases, the presence of pathological conditions were quite frequently observed, and this has reflected in childbirth. It is also noteworthy that infants who were in artificial and mixed feeding from the age of one month and six months were more likely to fall ill. This situation indicates the need to include these children to the risk group in order to timely recover, which can negate the impact of adverse factors that they have experienced in both the ante- and post-natal periods of their development