SU957873A1 - Method of treating upper jaw phlegmon and abscess - Google Patents

Description

one

The invention relates to medicine, namely to surgical dentistry.

HaBecTerf is a method of treating an abscess and phlegmon of the upper jaw by cutting, opening the suppurative focus and subsequent drainage. In the implementation of the known method, a 2-4 cm long incision is made through the mucous membrane in the place of the protruding posteriorly of the zygomatic alveolar crest, with a distance of 0.5 cm from the transition fold to the outside. After dissection of the mucous membrane, a curved probe or curved scissors is inserted into the incision and, advancing the tool upward and inward and thus bypassing the upper jaw, open the abscess. Drainage from thin rubber is introduced into the incision for 1-2 days. In view of the fact that in this way it is impossible to achieve complete emptying of the suppurative focus, an additional incision is made. To this end, cut through the skin and subcutaneous tissue, temporal fascia and under the edge of the temporal lobe (or spreading its fibers) penetrate to the bottom of the temporal lobe, and then, turning around

succulent rows, are passed by a curved instrument into the temporal cavity 1.

However, when carrying out the known method, two cuts are made, which leads to a significant injury. Due to the prolonged contact of the drainage with the tubercle of the upper jaw and the zygomatic bone, contact osteomyelitis develops. As a result, the patient has to be treated for developing osteomagia and the period of treatment is delayed by

to 30-40 days.

The purpose of the invention is to reduce postoperative 1X complication and decrease traumatic effects.

The goal is achieved by the

15 of the method of treating an abscess and phlegmon of the upper jaw by cutting, opening a purulent focus and subsequent solution, a distinctive feature is that the incision is made in the mouth cavity

20 of the outer temporal wing of the palatal arch in the direction of the 8th tooth or the projection, then drift directly into the cavity of the hearth.

The method is carried out as follows.

The patient is cut open in the oral cavity, indented from the hole of the extracted tooth by the projection of it, on the alveolar process posteriorly and outwards by 0.5-1.0 cm, the mucous membrane is dissected and, with a bluntly curved clip, penetrates directly into the wing-palatal and hinged mki (to the bone) that communicate with each other. Spreading out the cheeks with a tool, they open the abscess. The wound is dredged, the insertion of tubular drainage is directly into the cavity of the mine venture and rinsed with an antiseptic solution. Finish the operand with a known method.

Example. Sick S. Diagnosis: phlegmon of the cranioceptic-jaw space.

Locally: asymmetry of the face due to swelling of the right half. The skin is clean. A dense, painful infiltrate in the temporal region with spread downward is determined by palpation. From the side of the oral cavity, the hole of the upper 8th tooth of the 8th tooth is covered with a greyish gray patina, the mucous membrane in the region of the upper jaw tuber is hyperemic and edematous. The mouth opens 2-2.5 cm. The palpation of the posterior part of the mouth cavity is painful.

Operation: under the anesthesia by anesthesia, a 1.5-cm-long mucous membrane incision was made

posterior and outward 0.5 cm. Dissected mucous membrane. Then, with a bluntly curved clip, they go directly into the pterygo-penis and infrateal temples, which coo between them. Spreading out the instrument's cheeks, they opened an abscess. The wound was dredged by inserting tubular drainage directly into the wing of the palatal membrane and washed with an antiseptic solution.

The patient underwent anti-inflammatory therapy after 11 days was administered in satisfactory condition.

Thus, with this dissection of a purulent focus, the drainage does not contact the bone of the upper jaw and the zygomatic bone, without causing the development of contact osteomyelitis, significantly (three times) reduces the duration of treatment, eliminates the possibility of a purulent process spreading to the skull cavity (through a round hole),. the eye socket (through the lower eyed dust). The method is less traumatic;

Claims (1)

1. Guide to dental surgery, ed. A.I. Evdokimova, M., Medicine, 1972, p. 171.