scholarly journals Specialized medical care for patients with malignant neoplasms of the maxillofacial area in the Penza region of Russia

2021 ◽  
Vol 10 (3) ◽  
pp. 23-31
Author(s):  
M. V. Lebedev ◽  
Yu. A. Abdullina ◽  
I. Yu. Zakharova
Keyword(s):  
Oral Cavity ◽  
Clinical Manifestations ◽  
Interdisciplinary Approach ◽  
Diagnostic Methods ◽  
Malignant Neoplasms ◽  
Maxillofacial Region ◽  
Lower Lip ◽  
Endoscopic Gastrostomy ◽  
Results Of Treatment ◽  
Psychological Assistance

This article analyzes domestic and foreign sources, regulatory documents of the Russian Federation, in order to determine the etiological factors of oral cancer, assess the statistical data on morbidity and mortality from malignant neoplasms of the maxillofacial region in the Penza region. The results of changing the routing, an interdisciplinary approach to treating patients with malignant neoplasms of the maxillofacial region in the Penza region are presented. The epidemiology, clinical manifestations, main diagnostic methods, routing, treatment and rehabilitation of patients with head and neck oncology are considered. The results of treatment of patients with oral cavity and lower lip cancer using photodynamic therapy (PDT), both alone and in combination with radiation and chemotherapy, are analyzed. The study showed that PDT of tumors of the lower lip and buccal mucosa in mono-mode made allowed achieving 100% efficiency. After the completed treatment, all participants in the experiment were provided with a complex of rehabilitation, including nutritional support, psychological assistance, exercise therapy, training in correct swallowing tactics, percutaneous endoscopic gastrostomy, and a course of oral cavity massage. An interdisciplinary approach to treating malignant neoplasms of the maxillofacial region is the most correct in modern practice.

scholarly journals Rheumatic polymyalgia: clinic, diagnosis, principles of therapy (to help the primary care physician)

2021 ◽  
pp. 164-169
Author(s):  
M. S. Svetlova
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Primary Care Physicians ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Care Physician ◽  
Diagnostic Methods ◽  
Malignant Neoplasms ◽  
Adequate Treatment ◽  
Laboratory Activity

In recent decades, there has been an increase in the number of elderly people. Among the patients of the primary care physician, without a doubt, those who are over 60 years old predominate. A feature of the elderly is polymorbidity. Combined pathology, numerous complaints of patients make it difficult to diagnose diseases, require patience from the doctor, and, of course, knowledge. There are diseases that are peculiar only to the elderly, developing only after 50 years. These include rheumatic polymyalgia. This pathology is not frequent and, in this regard, is not very familiar to outpatient therapists. However, it is to them that elderly patients turn with complaints of pain and stiffness in the shoulder and/or pelvic girdle, in the neck, in the joints of the hands, fever, weight loss, sleep disorders, depression, general malaise (the main complaints of patients with rheumatic polymyalgia). The above-mentioned clinical manifestations, as well as the high laboratory activity inherent in this disease, make the doctor look for malignant neoplasms, infectious, systemic processes. This takes a long time, the diagnosis is delayed, the sufferings of the patient are prolonged. The article presents data on the prevalence, clinical features, methods of diagnosis of rheumatic polymyalgia and its differential diagnosis. The criteria of the disease, the principles of management of the patient at the outpatient stage  (step-by-step treatment with glucocorticoids, alternative approaches, prevention of side effects of therapy, which develop quite often) are also given. Awareness of primary care physicians about rheumatic polymyalgia, its manifestations and diagnostic methods will speed up the diagnosis, timely consultation of the patient with a rheumatologist, which will allow you to start adequate treatment, significantly improve the quality of life of an elderly patient, and prevent the destabilization of concomitant diseases.

scholarly journals Infectious Alertness in Removal Benign Neoplasms in the Maxillofacial Area

2020 ◽  
Vol 5 (5) ◽  
pp. 236-241
Author(s):  
V. N. Yadchenko ◽  
◽  
I. O. Pohodenko-Chudakova ◽  
E. S. Yadchenko ◽  
◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissues ◽  
Subcutaneous Tissue ◽  
Clinical Manifestations ◽  
Diagnostic Methods ◽  
Benign Neoplasms ◽  
Humid Climate ◽  
Maxillofacial Region ◽  
European Continent ◽  
Surgical Interventions

Human dirofilariasis is a parasitic disease, transmissible helminthiasis caused by parasitizing nematodes of the genus Dirofilaria, most often D. repens and D. immitis which occurs with a predominant lesion of the skin (63%), conjunctiva (50%), mucous membranes, subcutaneous tissue and less often – internal organs. The most frequent incidence of dirofilariasis is observed in regions with a warm, humid climate, and at temperatures below 14℃, dirofilariae stop developing. Human cutaneous dirofilariasis on the European continent is most often diagnosed in representatives of southern and eastern Europe. There are confirmed cases of dirofilariasis on the territory of the Republic of Belarus and neighboring countries. Quite often, this disease affects the maxillofacial region. The purpose of the work was to initiate infectious alertness when planning operations for the removal of benign neoplasms in the maxillofacial region and inform medical specialists about the possibility of developing dirofilariasis of the specified localization, its clinical manifestations and objective diagnostic methods. Material and methods. The object of observation was a 34-year-old female patient R. with maxillofacial dirofilariasis. The subject of the study is the medical record of an inpatient patient R. Results and discussion. At the pre-hospital stage, patient R. underwent a general clinical examination. All indicators of the tests were within the age norm. According to the results of radiation examination methods, no data confirming the parasitic etiology of the disease was obtained. Taking into account the presence of a rounded formation about 1.0-1.2 cm in diameter which is slightly displaced relative to the underlying and surrounding soft tissues, the patient was offered surgical treatment. During the operation, a rounded self-moving helminth was extracted from the formation, about 11.0 cm long and 0.15 cm in diameter. After the helminth was identified, the patient was diagnosed with dirofilariasis. This should be taken into account in the diagnostic and therapeutic aspects when working with patients who have tumor processes in the maxillofacial region. Conclusion. The presented clinical observation shows that in the practice of a dental surgeon and a maxillofacial surgeon, it is increasingly possible to deal with the localization of helminth in the maxillofacial region which simulates a neoplasm which must be taken into account when conducting diagnostics, differential diagnosis and preoperative preparation. The results of the described case are aimed at developing infectious alertness when planning surgical interventions to remove benign neoplasms in the maxillofacial region, developing a rational diagnostic scheme and differential diagnosis for patients with suspected dirofilariasis and other parasitic lesions of the maxillofacial region

scholarly journals Interdisciplinary approach to the rehabilitation of patients with a need for complete dental reconstruction: a clinical case

2020 ◽  
Vol 24 (4) ◽  
pp. 240-246
Author(s):  
A. S. Utyuzh ◽  
Fatima К. Dzalaeva ◽  
S. O. Chikunov ◽  
M. V. Mikhailova ◽  
M. K. Budunova
Keyword(s):  
Case Report ◽  
Load Distribution ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Interdisciplinary Approach ◽  
Rehabilitation Program ◽  
Diagnostic Methods ◽  
Instrumental Analysis ◽  
Joint Function ◽  
Therapeutic Procedures

This study aimed to test the algorithm of complex clinical, functional, and instrumental analysis in the context of treatment for patients with a need of complete dental reconstruction. Materials and methods. A rehabilitation program for patients with adentia was proposed, which was based on the objective examination data obtained comprehensively with multiple diagnostic methods. Particular attention was paid to the temporomandibular joint function and symptoms of maxillofacial muscle abnormalities. Results. The clinical case report covers the results of the examination and treatment of a patient who previously received implants in one of the clinics without an appropriate examination and an operating template. A set of diagnostic and therapeutic procedures was defined that included clinical, functional, and instrumental analysis of condylographic and cephalometric data. The outcomes from treatment and rehabilitation allowed the optimal occlusal load distribution, and the oral hygiene improved. The approach that was used here enabled a timely correction of functional and esthetic disorders. Conclusions. The algorithm to treat patients who need complete dental reconstruction should include asking the medical history, clinical instrumental analysis (condylography), recording and evaluating the static and dynamic occlusal characteristics, and assessing cephalometric and esthetic characteristics. The algorithm is anatomically and pathogenetically justified, since it takes into account all alterations and interconnections between dentofacial structures and other body systems that underlie the clinical manifestations in patients with adentia who have a need for complete dental reconstruction.

scholarly journals Peutz-Jeghers syndrome: what has been known for 125 years of research? (review)

2021 ◽  
Vol 20 (2) ◽  
pp. 85-96
Author(s):  
Tatiana A. Savelyeva ◽  
D. Yu. Pikunov ◽  
A. M. Kuzminov ◽  
A. S. Tsukanov
Keyword(s):  
Autosomal Dominant ◽  
Clinical Manifestations ◽  
Hereditary Disease ◽  
Diagnostic Methods ◽  
Research Review ◽  
Malignant Neoplasms ◽  
Stk11 Gene ◽  
Hamartomatous Polyps ◽  
Increased Risk ◽  
Peutz Jeghers Syndrome

Peutz-Jeghers syndrome (PJS) is an extremely rare autosomal dominant hereditary disease characterized by the growth of hamartomatous polyps in the gastrointestinal tract, mucocutaneous pigmented macules and an increased risk of malignant neoplasms of various localizations. In most cases the development of PJS is associated with the presence of a mutation in the STK11 gene, but not all patients have this mutation. This review presents the historical aspects of the first data on PJS, considers the clinical manifestations of the disease, current diagnostic methods, as well as recent knowledge about the genetic causes, about the risk of malignant neoplasms in patients with PJS, existing guidelines for screening and treatment of patients with PJS. However, the presence of a number of unresolved issues in genetics, monitoring and treatment indicates the need for further research.

scholarly journals Odontogenic maxillary sinusitis: current state of the problem

2018 ◽  
Vol 20 (4) ◽  
pp. 169-173
Author(s):  
V V Dvoryanchikov ◽  
G A Grebnev ◽  
V S Isachenko ◽  
A V Shafigullin
Keyword(s):  
Maxillary Sinusitis ◽  
Effective Means ◽  
Clinical Manifestations ◽  
Interdisciplinary Approach ◽  
Invasive Technique ◽  
Results Of Treatment ◽  
Current State ◽  
Dental Diseases ◽  
Odontogenic Sinusitis ◽  
Relationship Of

Odontogenic maxillary sinusitis is a problem that is at the junction of two specialities: otorhinolaryngology and dentistry. According to domestic and foreign authors in the structure of dental diseases, odontogenic maxillary sinusitis is6-24%. According to doctors-otorhinolaryngologists among all types of sinusitis about 40% is odontogenic maxillary sinusitis. Currently, there is a gradual increase in the number of odontogenic maxillary sinusitis. This is due to the improved diagnosis of this pathology. The use of dental computed tomography usually allows establishing reliably the cause of odontogenic maxillary sinusitis. Unsatisfactory results of treatment of some dental diseases, the increase in the number of odontogenic maxillary sinusitis determines the relevance of the study. The problem of odontogenic maxillary sinusitis is considered, modern views on the aetiology, pathogenesis, clinic, diagnosis and treatment according to domestic and foreign authors, as well as some issues of the relationship of pathology of intraosseous structures and the course of odontogenic maxillary sinusitis, the principles of an interdisciplinary approach in the treatment of odontogenic maxillary sinusitis are presented. The search for new methods of treatment of odontogenic maxillary sinusitis is dictated by some differences in clinical manifestations of odontogenic sinusitis from rhinogenic. The approach based on the joint primary examination and treatment of patients with suspected odontogenic maxillary sinusitis by an otorhinolaryngologist and maxillofacial surgeon, as well as the development of further tactics for the management of this category of patients, is, in our opinion, promising. The use of modern methods of functional endoscopic surgery is an effective means of prevention and treatment of odontogenic maxillary sinusitis, as it is a minimally invasive technique that allows you to create conditions for further rational prosthetics of the oral cavity.

scholarly journals Aotric esophageal fistula: etiopathogenesis and diagnostics (review of literature)

2021 ◽  
Vol 179 (6) ◽  
pp. 89-93
Author(s):  
R. Sh. Muslimov ◽  
Sh. N. Danielyan ◽  
I. E. Popova ◽  
N. R. Chernaya
Keyword(s):  
Surgical Treatment ◽  
Clinical Manifestations ◽  
Diagnostic Methods ◽  
Malignant Neoplasms ◽  
Esophageal Fistula ◽  
Aortic Diseases ◽  
Intravenous Contrast ◽  
Surgical Interventions ◽  
Advantages And Disadvantages ◽  
Unified Protocol

Aortic esophageal fistula (AEF) is a rare but extremely life-threatening condition requiring immediate surgical treatment. The mortality rate among such patients may exceed 60 %, including after surgical treatment. Etiological and pathogenetic mechanisms of AEF are complex and various, but in most cases, they are associated with chronic aortic diseases. The second group of etiological factors of AEF includes trauma of esophagus wall by foreign bodies, malignant neoplasms of the esophagus or mediastinum. AEF may also occur as a result of surgical interventions on the aorta and esophagus. The difficulties of early diagnosis are primarily associated with non-specific clinical manifestations of AEF and the lack of unified protocol for the examination of patients with the first-time upper gastrointestinal tract bleeding. The described reasons in some cases can lead to an inaccurate diagnosis, which entails a loss of time. Among the instrumental diagnostic methods, the most informative is the combination of esophagogastroduodenoscopy and computed tomography of the chest with intravenous contrast enhancement. Each of these methods has its advantages and disadvantages, and allows to identify a number of direct and indirect signs of pathological communication between the aorta and the esophagus.

scholarly journals Application of the complex algorithm for rehabilitation of patients needing a full reconstruction of dentition (clinical case)

2020 ◽  
Vol 24 (3) ◽  
pp. 158-163
Author(s):  
Fatima K. Dzalaeva ◽  
S. O. Chikunov ◽  
A. S. Utyuzh ◽  
Z. K. Dzhagaeva ◽  
A. V. Yumashev
Keyword(s):  
Clinical Case ◽  
Myofascial Pain ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Diagnostic Methods ◽  
Instrumental Analysis ◽  
Results Of Treatment ◽  
Full Reconstruction ◽  
Complex Algorithm

Introduction. Aim of the study is testing the algorithm of complex clinical, functional and instrumental analysis in the treatment of patients with the need for total restoration of the dentition with manifestations of myofascial pain syndrome. Material and methods. A system for the rehabilitation of patients with adentia is proposed, in which, when planning occlusion correction, objective examination data for patients obtained using a set of diagnostic methods should be taken into account. Particular attention is paid to assessing the function of the temporomandibular joint and the presence of pathological signs of disorders of maxillofacial muscles. Results. A clinical case is described a patient who has been diagnosed with a set of indicators of clinical, functional and instrumental analysis obtained using methods of condylography and cephalometry. The results of treatment and rehabilitation measures allowed achieving the optimal distribution of loads on the dentition, while reducing the risk of ceramic chipping and improving oral hygiene. The approach used allowed timely correction of functional and aesthetic disorders. Conclusions. The algorithm for working with patients who need total restoration of the dentition should include a thorough history taking, clinical functional analysis using condylography methods, model analysis to register and evaluate the static and dynamic ratios of the dentition. As well as performing cephalometric analysis and other manipulations, in accordance with standard criteria for clinical examination. The developed algorithm is anatomically and pathogenetically justified, since it takes into account the entirety of changes and interconnections of the structures of the dentofacial system and other body systems that underlie the clinical manifestations in this category of patients.

scholarly journals FEATURES OF DENTAL STATUS IN PATIENTS WITH CANCER

2019 ◽  
Vol 15 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Ольга Успенская ◽  
Ol'ga Uspenskaya ◽  
Ирина Фадеева ◽  
Irina Fadeeva
Keyword(s):  
Oral Cavity ◽  
Cancer Patients ◽  
Mucous Membrane ◽  
Clinical Manifestations ◽  
The Body ◽  
Dental Status ◽  
Malignant Neoplasms ◽  
Patients With Cancer ◽  
Periodontal Tissues ◽  
Dental Diseases

Subject. In the modern world, the prevalence of cancer is growing every year, in this regard, this pathology is one of the most pressing problems in medicine. There is no doubt that malignant neoplasms have a complex interaction with the body. The General mechanisms of occurrence and progression of the tumor process are intensively studied, and to date, a huge amount of material on molecular and clinical Oncology has been accumulated, it is used in related disciplines. The most important sections of dentistry are the diagnosis and treatment of diseases of the mucous membrane. Often, clinical manifestations in the oral cavity are one of the first symptoms indicating a General somatic disease. This article covers the study of the dental status of patients with different localizations of cancer. Objective ― to study the incidence of dental diseases of patients with cancer. Methodology. To conduct a study medical examination of patients with different localizations of cancer was held to determine dental: the definition of DMF-Index, PMA-index, Parodontal Index, and the condition of the mucous membrane of the oral cavity and periodontal tissues. Cancer patients receiving chemotherapy and radiation therapy, patients who refused to participate in the survey were excluded from the survey. Results. The study included 526 patients. The predominance of certain types of dental diseases among patients with a particular cancer pathology was revealed. Conclusions. Our study showed that all patients had decompensated forms of caries. The most common dental diseases combined with cancer are hyperplasia filiform papillae (K14.3), the "geographic" language (K14.1). Periodontal disease occurred in 69,5 % of cases among cancer patients.

POSTOPERATIVE PERICARDIAL EFFUSION SYNDROME

2012 ◽  
pp. 66-71
Author(s):  
Quang Thuu Le
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Diagnostic Methods ◽  
Open Heart ◽  
Cross Sectional ◽  
Pericardial Drainage ◽  
Results Of Treatment ◽  
Intraoperative Management ◽  
Minimal Problems

Objective: Today, despite many recent improvements in intraoperative management and postoperative care, late pericardial effusions remain an important cause of morbidity after cardiac surgery. Because of widespread use of chronic anticoagulation and increased complexity of operations, the incidence of effusion may be higher. Thus we need to update the information on the symptoms, risk factors, diagnostic methods and treatment of Postoperative pericardial effusion syndrome. Patients and methods: A cross-sectional and prospective study of all patients admitted to hospital because of pericardial effusion after open heart surgery from 1/2010 to 9/2012. Study the clinical characteristics, paraclinicals, evaluate the results of treatment of pericardial effusion after open heart surgery. Results: Symptoms of pericardial effusion are nonspecific. Some patients with pericardial effusion report minimal problems. In the present study, few patients have the classic presentation of tamponade. Echocardiography is the diagnostic accuracy pericardial effusion after open heart surgery. This treatment mainly is pericardial drainage with 100%. Conclusion: Pericardial effusion is a common complication after open-heart surgery, symptoms of pericardial effusion are nonspecific to diagnostic method is echocardiographic surveillance.patients can be treated with internal medicine if has no tamponade and less fliuds. Pericardial drainage is absolute only in patients with pericardial effusion with signs of cardiac tamponade or pericardial many of effusion.

scholarly journals Oral and Maxillo-Facial Manifestations of Systemic Diseases: An Overview

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 271
Author(s):  
Saverio Capodiferro ◽  
Luisa Limongelli ◽  
Gianfranco Favia
Keyword(s):  
Early Diagnosis ◽  
Oral Cavity ◽  
Head And Neck ◽  
Clinical Outcomes ◽  
Systemic Disease ◽  
Clinical Manifestations ◽  
Systemic Diseases ◽  
Special Issue ◽  
Hard Tissues ◽  
Current Special Issue

Many systemic (infective, genetic, autoimmune, neoplastic) diseases may involve the oral cavity and, more generally, the soft and hard tissues of the head and neck as primary or secondary localization. Primary onset in the oral cavity of both pediatric and adult diseases usually represents a true challenge for clinicians; their precocious detection is often difficult and requires a wide knowledge but surely results in the early diagnosis and therapy onset with an overall better prognosis and clinical outcomes. In the current paper, as for the topic of the current Special Issue, the authors present an overview on the most frequent clinical manifestations at the oral and maxillo-facial district of systemic disease.

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