Received 08.08.2023
DOI: 10.35556/idr-2023-3(104)40-45
New approaches to determining the degree of risk of development and prevention of postoperative complications in intermuscular phlegmon of the maxillofacial region

Nersesyants T.S., ORCID ID: 0009-0005-4616-5665, Tatyanchenko V.K., ORCID ID: 0000-0002-7407-2686, Korobka V.L., ORCID ID: 0000-0002-6519-0162, Nersesyants S.A., ORCID ID: 0009-0002-2673-9498, Kononenko V.I., ORCID ID: 0000-0002-8400-8063
Federal State Budgetary Educational Institution of Higher Education “South-Urals State Medical University” of the Ministry of Health of the Russian Federation
344022, Russia, Rostov-na-Donu, Nakhichevanskiy Ln, 29

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Purpose of the work: to improve the results of treatment of soft tissue phlegmon of the maxillofacial region, by using an individual approach in determining the risk of postoperative complications and their prevention.
Material and methods. The analysis of the results of treatment of 106 patients with soft tissue phlegmon of the maxillofacial region for the period from 2015—2022 was carried out. To determine the severity of the course of the pathological process, to develop tactics for managing patients in the postoperative period, an individual rating scale was proposed (RF patent No. 2617065*). Three degrees of phlegmon flow are distinguished. According to the treatment-diagnostic and rehabilitation algorithms, the patients were divided into two groups (I — main, n=54; II — control, n=52). Surgical treatment of phlegmon was carried out according to the original technique (RF patent No. 2557414**). The complex of diagnostic and treatment methods included, in addition to traditional ones, the method of monitoring tissue pressure, EMG of masticatory muscles, assessment of myofascial pain syndrome according to the method of F.A. Khabirov.

Keywords: phlegmon, surgery, masticatory muscle dysfunction, tissue hypertension, rehabilitation.

For citation: Nersesyants T.S., Tatyanchenko V.K., Korobka V.L., Nersesyants S.A., Kononenko V.I. New approaches to determining the degree of risk of development and prevention of postoperative complications in intermuscular phlegmon of the maxillofacial region. Stomatology for All / Int. Dental Review. 2023; no.3(104): 40-45 (in Russian). doi: 10.35556/idr-2023-3(104)40-45

1. Abaev Yu.K. Modern features of surgical infection. Bulletin of Surgery. 2005; no.3(164): 107—111 (in Russian).
2. Belousova M.A., Goncharenko A.D., Ermoliev S.N. The use of a soft chewing test for electromyography of masticatory muscles. Bulletin of modern clinical medicine. 2014; no.2(7): 56—61 (in Russian).
3. Boyan A.M. The results of the study and treatment of dental patients with an altered state of masticatory muscles. Bulletin of dentistry. 2016; no.4(97): 28—31 (in Russian).
4. Vagina I.L., Helminskaya N.M., Istomina I.S., Grubova L.V., Glazkov Yu.B. Evaluation of the effectiveness of the use of EHF and combined EHF-laser exposure in the complex treatment of patients with purulent-inflammatory diseases of the maxillofacial region. Russian medical journal. 2014; no.2: 23—26 (in Russian).
5. Gubin M.A., Kharitonov Yu.M., Gromov A.L. Systematics and classification of severe purulent complications in patients with inflammatory diseases of the maxillofacial region and neck. Russian Dental Journal. 2010; no.5: 34—36 (in Russian).
6. Evstratov V.V., Rekhtin V.V., Fomin I.A., Pak R.Yu. Features of the course of odontogenic phlegmon of the maxillofacial region in the elderly. Modern problems of science and education. 2013; no.6: 234 p. (in Russian).
7. Urakov A.L., Soikher M.I., Soikher M.G. Chronic facial pain associated with hypertonicity of the masticatory muscles. Russian journal of pain. 2014; no.2: 22—24 (in Russian).
8. Khabirov F.A., Khabirova Yu.F. Myofascial pain – modern problems of diagnosis and treatment in the practice of a primary care physician. Practical Medicine. 2019; 17(7): 8—17 (in Russian).
9. Shargorodsky A.G. Clinic, diagnosis, treatment and prevention of inflammatory diseases of the face and neck. M.: GEOTAR-Med. 2002; 515 p. (in Russian).
10. Alegbeleye B.J. Deep neck infection and descending mediastinits as lethal complications of dentoalveolar infection: two rare case reports. J. Med case Rep. 2018; 12: 195—198.
11. Bertossi D. Odontogenic orofacial infection. The Journal of Craniofacial Surgery. 2017; no.1(28): 197—202.
12. Dabiri D. Applications of sensory and physiological measurement in oral-facial dental pain. Spee Care Dentist. 2018; no.6(38): 395—404.
13. Miranda-Rius J., Brunet-Llobet L., Lahor-Soler E. The periodontium as a potential cause of orofacial pain: a comprehensive review. The Open Dentistry Journal. 2018; 12: 520 p.
14. Poluha R. L. et al. Myofascial trigger points in patients with temporomandibular joint disc displacement with reduction: a cross-sectional study. Journal of Applied Oral Science. 2018; 26.