RU2547079C1 - Method of treating sublingual cysts - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method of treating sublingual cysts consists in removing a pre-dissected cyst envelope from the sublingual region by liquid nitrogen crysdestruction, evacuating the cyst content by washing the cavity with an antiseptic until the water runs clear and introducing a haemostatic membrane into the cavity. The cryodestruction involves the three cyst wall exposures for 20-30 by means of a spherical cryodestructor of 0.5-2.0 cm in diameter.

EFFECT: method of treating enables avoiding the surrounding tissue involvement, reducing the length of treatment, and eliminating a recurrent cyst.

Description

The invention relates to medicine, in particular to dentistry, and can be used in the treatment of wounds.

There is a method of treating wounds, which consists in dissecting and partially excising the cyst membrane, followed by tucking the edges of the wound and suturing them to the bottom of the cyst and filling it with iodoform turunda, which periodically changes until the wound heals (VV Afanasyev. "Salivary glands. Diseases and injuries ”, 2012. M .:“ GEOTAR-Media ”, 258-267 p.).

The closest in technical essence is a method of treating wounds, which consists in dissecting the tissues of the sublingual region, isolating and removing the cyst membrane from the sublingual region together with the remnants of the cyst and subsequent layer-by-layer suturing of the tissues of the hyoid region (VV Afanasyev et al. “Salivary glands. Diseases. and injuries ”, 2012. M.:“ GEOTAR-Media ”, 257-260 p.).

The common disadvantages of the known methods are a large amount of damage, including the development of bleeding, trauma of the lingual nerve, the development of traumatic stricture of the warton duct, suppuration of the wound, long healing periods of the wound, and cyst recurrence is possible.

The technical result of the proposed method is the exclusion of damage to surrounding tissues, the reduction of treatment time, the exclusion of relapse of the cyst.

The technical result is achieved by the fact that in the method of treating wounds of the sublingual salivary gland, which consists in removing the cyst membrane from the sublingual region, according to the invention, the cyst membrane is removed by cryodestruction with liquid nitrogen with its preliminary dissection, removal of the contents of the cyst by washing the cavity with an antiseptic to clean water and subsequent administration into the cavity of the hemostatic membrane, and cryodestruction is carried out by exposing the cyst walls to three times in an exposure mode of 20-30 with the performed and h porous titanium nickelide with a spherical cryodestructor with a diameter of 0.5-2.0 cm. The hemostatic membrane, adhering to the wound surface, isolates it from the effects of infection and ensures wound healing within 7-10 days

Treatment using the proposed method and the achievement of a technical result is illustrated by the example of a specific implementation.

Clinical example No. 1.

Patient T., 63 years old, is directed to the operation to remove the wound in the left sublingual region. In an objective study, a tumor-like formation in the left hyoid region of a round shape with clear boundaries of -2.5 cm in the largest dimension, painless, soft-elastic, mucous bluish-transparent color. Diagnosis: wounded left hyoid area. On an outpatient basis, under anesthesia with a 2% lidocaine solution, the cyst membrane was dissected according to Lukomsky. Stand out up to 3 ml of viscous mucus-like saliva, washing with 0.05% chlorhexidine solution to clear water. Liquid nitrogen was introduced into the cyst cavity by a spherical cryodestructor of porous titanium nickelide with a diameter of 2.0 for 20 s, then the exposure was repeated in the same exposure. Then introduced "Tahoe-Comb", applications of vinyl. Appointed cold according to the scheme, analgesics, antiseptic baths.

Subsequent examination showed the presence of slight edema, slight soreness on the next day, the disappearance of edema on 3-4 days, epithelialization of the wound on the 9th day after surgery.

Clinical example No. 2.

Patient E, 45 years old, is referred for the treatment of a wound of the left hyoid area. An objective examination confirmed the diagnosis - in the left sublingual region, a tumor-like oval formation up to 2.0 cm in size, bluish-transparent in color, soft-elastic, painless with fairly clear boundaries. Treatment: under anesthesia with a 2% lidocaine solution, the cyst membrane was dissected according to Lukomsky. Stand out up to 3 ml of viscous mucus-like saliva, washing with 0.05% chlorhexidine solution to clear water. Liquid nitrogen was introduced into the cyst cavity by a spherical cryodestructor of porous titanium nickelide with a diameter of 2.0 cm for 20 s, then the exposure was repeated in the same exposure.

Then introduced "Tahoe-Comb", applications of vinyl. Appointed cold according to the scheme, analgesics, antiseptic baths. Subsequent examination showed the presence of slight edema, mild soreness on the next day, the disappearance of edema on 4-5 days. Wound healing 10 days after surgery.

The proposed method of treatment can minimize surgical trauma, eliminate damage to surrounding tissues, reduce treatment time, and avoid relapse of the cyst.

Claims (1)

A method of treating injuries of the sublingual salivary gland, which consists in removing the cyst membrane from the sublingual region, characterized in that the cyst membrane is removed by cryodestruction with liquid nitrogen with its preliminary dissection, removing the contents of the cyst by washing the cavity with an antiseptic to clean water and then introducing a hemostatic membrane into the cavity, moreover, cryodestruction is carried out by exposing the cyst walls to three times in an exposure mode of 20-30 with a cryodestruction made of porous titanium nickelide spherical shape with a diameter of 0.5-2.0 cm.