Monitoring of Maxillofacial Hemangioma Prevalence Among Children
The objective of this work was to monitor the prevalence of hemangiomas in comparison with various nosological units of morbidity in childhood. Materials and Methods: — method of systematic approach was used for quantitative and qualitative analysis, identifying the problems in the organization of dental care for children; — epidemiological method was used to establish the causes of the disease and ways to prevent them; — clinical examination methods were used for diagnosis; — additional research methods include X-ray examination; — statistical method was used to determine the morbidity level and indicators of dental care for children’s population, data processing was carried out by methods of variation statistics using standard office software package MS Excel for Windows XP Professional. Results and their Discussion. This study was conducted by a continuous method and included a study of 443 medical records of inpatients (F-№ 003/o), who were treated in the pediatric maxillofacial department of Central clinical hospital № 1 in Donetsk in 2010–2012, with a final diagnosis of hemangioma of various localization. The analysis allowed us to establish that hemangiomas in girls are twice more likely than in boys, the incidence of vascular tumors was 2-fold higher in preterm infants compared with full-term. Prevalence of maxillofacial hemangiomas in children in the Donetsk region was 86.0–115.0 cases per 100,000 of child population. The study showed that single hemangioma amounted to 82 %, and multiple — within 18 %. The results showed that by histological features capillary tumors accounted for 51 %, cavernous — 42 %, combined — 4 %, mixed — 3 % of cases. In histological findings we revealed proliferation of newly formed capillaries, small arterial and venous vessels. Conclusions. The findings of the monitoring and survey of the child population confirm the need to develop new algorithms for the management of patients with this pathology with the improvement of quality indicators. Organization of medical institutions’ and doctors’ work should be built by the proposed algorithm (educative activities with parents + complex treatment + dispensary observation + prevention).