Structure and nature of inflammatory processes of the maximum-facial region in children
Aim. To study the nature and structure of the inflammatory processes of the patients of the department of maxillofacial surgery of the Children's Emergency Hospital. Materials and methods. The structure and nature of inflammatory pathology was studied on the basis of analysis of statistical reports, operating journals, and case histories of patients with inflammatory diseases treated in the Department of Maxillofacial Surgery of the City Children's Clinical Emergency Hospital in Novosibirsk for a five-year period. Clinical materials for 5225 patients with inflammatory processes undergoing treatment in the maxillofacial hospital at the age of 3 months to 14 years were subjected to analytical studies. Results. Over the past 5 years there has been a trend towards a general increase in inflammatory diseases in the structure of all patients in the maxillofacial hospital. In the structure of the inflammatory processes of the maxillofacial region, the incidence of diseases of the jaws, salivary glands, phlegmon and abscesses of the oral cavity, furuncles, lymphadenitis changed insignificantly. At the same time, the number of patients with exacerbation of chronic periodontitis increased significantly, in 5 years from 158 (9.2%) to 632 (36.9%). In the structure of inflammatory diseases of the jaw bones over the years, there is no obvious growth or decrease in this pathology, and acute serous and purulent periostitis occupies 92% of the total pathology. Growth of salivary gland diseases was not noted. In the pathology structure, serous sialadenitis occurs more often (68%), and purulent sialadenitis occurs in 28% of cases. Lymphadenitis in children is diagnosed in 17,7% of patients. In this case, acute serous lymphadenitis was noted in 539 patients, and purulent - in 333 patients. Treatment of serous lymphadenitis in children with the use of effective methods of antibacterial and immunomodulating therapy resulted in recovery without surgery. Conclusion. Over the past five years, the incidence of purulent-inflammatory diseases of the maxillofacial region in children has gradually increased by 45%. In the structure of inflammatory diseases, chronic periodontitis prevailed. On their share accounted for in different years from 9.2 to 36.9%, i. е. Their number has grown almost 4 times, which can speak of insufficient prevention of complicated caries.