2023, volume 19

Objective: to identify the features of oncological examination in dental practice. Material and methods. A survey of patients (n=417) and dentists of various specialties (n=402) was conducted to identify the practice and features of preventive oncological examination of the lips, oral cavity and pharynx. Results. When questioning, 50% of patients noted the incomplete implementation of various constituent elements of a comprehensive oncological examination of the lips, oral cavity and pharynx when visiting a dentist. When questioning dentists, it was revealed that 33% of respondents conduct oncological examinations. Conclusion. According to the results of a sociological study of patients and dentists, a discrepancy between the volume of preventive oncological examination of the lip, oral cavity and pharynx was revealed with the algorithm recommended by the World Health Organization. The Procedure for providing medical care to adults with dental diseases approved by the Ministry of Health of the Russian Federation regulates preventive examinations once every six months, but does not determine the purpose of the examination —the identification of visual forms of malignant neoplasms and precancerous diseases. The card of an outpatient dental patient (Form №043u) requires amendments regarding the inclusion of an algorithm for conducting oncological examination in it.

Objective: to evaluate the frequency, structure and severity of adverse events (AEs) likely associated with computerized electroacupuncture (CEAP) in the complex treatment of diseases of internal organs. Metodology of review. Nine own studies were analyzed, which involved 639 patients suffering from bronchial asthma (BA), chronic obstructive pulmonary disease (COPD) and irritable bowel syndrome (IBS). Patients of the main groups, in addition to standard therapy, received courses of CEAP according to a certain scheme. The frequency, severity, structure and relationship of AEs with CEAP were assessed. Conclusion. The use of CEAP in the treatment of patients with IBS is not associated with an increase in the number of AEs. The frequency of AEs, probably associated with the use of CEAP, did not exceed 2.5 cases per 100 people per one course of CEAP.

Objective: to demonstrate the result of successful treatment of a patient with cystic vestibular schwannoma. Currently, there is no single approach to choosing a surgical treatment method of cystic vestibular schwannoma. When choosing tactics, neurosurgeons are guided, as a rule, by the location of the tumor and the thickness of its walls. Emptying the cyst can also lead to a change in the existing relationship of the tumor with neighboring structures, especially with the facial nerve. The chosen method of treatment of this disease in the form of total removal of cystic vestibular schwannoma under the control of neurophysiological monitoring made it possible to achieve early activation of the patient and avoid postoperative complications, preserve the function the facial and trigeminal nerves involved in the tumor capsule.

Objective: to adapt the Russian version of the 1998 Oxford Knee Score (OKS) to assess the level of pain and function of the knee joint in patients both before and after primary knee arthroplasty. Material and methods. Validation and cross-cultural adaptation of the Russian version of OKS has been completed. A patient survey was conducted, and according to its results, the filling rates of both Russian-language versions of OKS were assessed, based on the criteria developed in the course of the current study. The following parameters were also evaluated in our study: validity, internal fit (Cronbach's a), reproducibility, ceiling/floor effect, filling rate, mean score, mean age of patients. Results. The study involved 200 patients hospitalized for primary knee arthroplasty. 167 of them (83%) were women, mean age 64.4 (SD 8.2) and 33 (17%) men, mean age 64 (SD 9.7). Validity index — 0.73, p<0.001, Cronbach's a — 0.864, reproducibility — 0.93 (0.76-0.98), ceiling effect in questions 1, 2, 3, 4; gender effect in questions 5, 7, 10, 11. Conclusion. The new Russian version of OKS, in comparison with the previous version, showed an improvement in the examined criteria for the comparison of the occupancy rates by 6, 9, 11 and 16%, respectively (p<0.05 for each of the criteria).

Objective: to assess the possible effect of excess body weight on the results of surgical treatment of osteoarthritis of the ankle. Material and methods. 134 patients with moderate to advanced ankle osteoarthritis who underwent supramallear osteotomy or ankle arthrodesis. Patients were divided into 4 groups according to Body Mass Index: A) underweight (BMI<18.5 kg/m2), B) normal weight (18.530 kg/m2). All patients were followed up for more than 6 months. All patients were evaluated physically, as well as by VAS (Visual Analog Scale) and AOFAS (American Orthopaedic Foot and Ankle Society). Results. The AOFAS and VAS at 3 months and 6 months after surgery were significantly better in all four groups compared to the preoperative scores. A comparison of the preoperative AOFAS and VAS scores showed no significant difference between the four groups (p=0.505, p=0.779). A comparison of the AOFAS and VAS 6 months after surgery revealed no significant difference between the four groups (p=0.313, p=0.711). Conclusions. For the middle and late stages of osteoarthritis, regardless of the level of the patient's Body Mass Index, supramalleolar osteotomy, as well as ankle arthrodesis, showed the greatest effectiveness. During the early rehabilitation period, an increase in Body Mass Index had no negative effect on pain and functional recovery after ankle surgery.

Objective: to determine the species composition of pathogens of acute odontogenic inflammatory processes of the jaws in children, to determine the sensitivity and resistance of the isolated microflora to antibiotics of various groups, as well as to determine the dependence of the characteristics of the clinical course of the disease on the type of dominant pathogen. Material and methods. The analysis of the results of microbiological methods for the study of exudate from purulent odontogenic foci of 900 children, due to periostitis and osteomyelitis of the jaws, was carried out. Results. In 65.6% of cases, the causative agent was Pyogenic streptococcus or group A beta-hemolytic streptococcus (BHSA) ith a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %) and the highest percentage of resistance to macrolides (41%). Streptococcus viridans (6.1%), Streptococcus pneumoniae (4.3%) and others were also isolated; mixed microflora (14.3%). The syndrome of endogenous intoxication of the body was manifested in 56% of cases by fever, in 38% by leukocytosis, in 57.4% by accelerated ESR. There was no statistically significant difference in the degree of endogenous intoxication in groups with different types of streptococcus. Conclusions. The cause of the inflammatory process of the jaws in 65.6% of cases was BHSA with a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %).

Objective: to compare the characteristics of the periodontal condition in three categories of patients: smokers of electronic cigarettes, smokers of tobacco heating systems and non-smokers, taking into account age and gender. Material and methods. A comprehensive analysis of 1754 patient-smoker records was carried out: 1122 — electronic cigarettes (ES), 632 —tobacco heating systems (SNT). Data from 566 non-smokers were used as a control group (GC). Patients of all groups were divided into subgroups depending on age and gender. The clinical condition of the periodontium was assessed by dental indices and indicators. Statistical data analysis was performed using Microsoft Excel and Statistica 64 ver. 20.0 programs. Results. Gingivitis prevailed in the groups of persons with ES, SNT and GS. The frequency of gingivitis in the ES group decreases with age, while in the SNT group it increases. Among HS patients, gingivitis was recorded in all age groups. The frequency of acute periodontitis was highest in patients of the ES and SNT groups aged 35-39 years. In the Civil Code — at the age of 30-34 years. The frequency of gingivitis and acute periodontitis in persons of the SNT and ES group is more pronounced in women. In GS, these figures are almost equal. The frequency of registration of chronic localized periodontitis in persons of the SNT group is more pronounced in women, in the ES group these figures are higher in men. The frequency of registration of chronic general periodontitis in persons of all groups is more pronounced in women. Conclusion. The results of the study proved that the use of ES and SNT is a negative factor causing the occurrence of periodontal diseases.

Objective: to analyze the clinical effectiveness of apparatus rehabilitation in patients with maxillofacial pathology. Review writing methodology. The review of 15 publications is given in the article, where the results of research work of the employees of the Department of Dentistry of Surgical and Maxillofacial Surgery of V. I. Razumovsky Saratov State Medical University in the development of rehabilitation methods for patients with maxillofacial pathology during the period of thirty years (from 1995 to 2022) are presented. Employees of the Department of Dentistry of Surgical and Maxillofacial Surgery have substantiated the use of apparatus rehabilitation methods in the treatment of patients with the most widespread maxillofacial pathology. Conclusion. With the participation of staff of the Department of Dentistry of Surgical and Maxillofacial Surgery were created apparatus rehabilitation for physiotherapy, which meet the requirements of our time, which showed high efficiency in treating patients with the most common in the practice of the doctor's pathology of maxillofacial region. Patents for apparatus rehabilitation and methods of treatment of patients with head and neck diseases were received.

Objective: to conduct a comparative analysis of the parameters of the optic nerve head, retinal ganglion cells and microcirculation parameters in patients with primary open-angle glaucoma (POAG) of various stages in achieving the target intraocular pressure using the method of optical coherence angiotomography. Material and methods. 87 patients (87 eyes) with POAG were examined. Group 1 — 26 patients (26 eyes) with stage I POAG, group 2 — 19 patients (19 eyes) with stage II glaucoma, group 3 — 24 patients (24 eyes) with stage III glaucoma. Group 4 (control group) — 18 patients (36 eyes) without signs of glaucoma. Optical coherence tomography was performed on patients, angio-OCT scans 6.4x6.4 of the macula and optic nerve head were used. Results. The thickness of the nerve fiber layer (RNFL) was 94.00±10.54 urn in patients with stage I POAG, 48.00±1.00 urn and 41.00±1.73 urn in patients with stage II and III POAG, respectively, moreover, a more sensitive indicator is the RNFL in the lower peri-papillary zone (Inf RNFL). The thickness of the layer of retinal ganglion cells (RGCs) in patients with stage I POAG was 96.33±4.62 urn, with II — 70.33±1.53 urn, with III — 64.33±11.93 urn. The density of blood vessels in the area of the optic disc differed from the norm in patients with stages II and III of POAG (42.23±4.95 and 35.10±1.80, respectively). Conclusion. In patients with different stages of POAG, the greatest differences were found in RNFL in the lower segment, the area of the neuroretinal rim, the values of focal and global GCS loss, and the density of the vascular bed in the lower half of the peripapillary zone.

Objective: to present current data on the efficacy and safety of phakic intraocular lenses in keratoconus to correct ametropia in patients with stabilized keratoconus. Methods. The PubMed and Google Academy databases were used to search for articles. Queries were formulated taking into account the main topic of the review; the main key search phrases were: "phakic intraocular lenses", "keratoconus" in Russian and English. These keywords were used to find 72 articles. A total of 26 literature references published between 2003 and 2021 were used in this review. Conclusion. The studies presented so far indicate sufficient predictability and efficacy of the above technique. However, there are certain difficulties and possible side effects associated with this method. One of the main problems in the use of phakic intraocular lenses in patients with keratoconus is the difficulty in calculating the lens power, especially the toric component.