medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-22-50-54medalphabet-2783Research ArticleСтатьиВлияние локальной контролируемой гипотермии на течение послеоперационного периода при удалении дистопированных зубов мудростиThe influence of local controlled hypothermia on the postoperative period in the removal of wisdom teethhttps://orcid.org/0000-0001-7160-2023ГусейновН. А.GuseynovN. A.

Гусейнов Ниджат Айдын оглы - аспирант, кафедра челюстно-лицевой хирургии и хирургической стоматологии.

Москва.

SPIN-код: 9417-7948. AuthorID: 15841455600

Nidjat A. Guseynov - postgraduate, the department of oral and maxillofacial surgery.

Moscow.

SPIN: 9417-7948. AuthorID: 15841455600

nid.gus@mail.ruhttps://orcid.org/0000-0002-0886-9160ХаммориМ. Х.HammouriM. H.

Хаммори Марина Хишамовна - аспирант; кафедра челюстно-лицевой хирургии и хирургической стоматологии.

Москва.

SPIN-код: 5987-3291. AuthorID: 1112214

Marina H. Hammouri - postgraduate, the department of oral and maxillofacial surgery.

Moscow.

SPIN: 5987-3291. AuthorID: 1112214

Dr.hmarina@gmail.comМураевА. А.MuraevA. A.

Мураев Александр Александрович – доктор медицинских наук, профессор; кафедра челюстно-лицевой хирургии и хирургической стоматологии.

Москва.

SPIN-код: 1431-5936. AuthorID: 611838

Alexandr A. Muraev - DDS, professor, the department of oral and maxillofacial surgery.

Moscow.

SPIN: 1431-5936. AuthorID: 611838

muraev_aa@pfur.ruhttps://orcid.org/0000-0001-5458-0192ИвановС. Ю.IvanovS. Y.

Иванов Сергей Юрьевич - доктор медицинских наук, профессор, член-корреспондент РАН, заведующий кафедрой челюстно-лицевой хирургии и хирургической стоматологии, заведующий кафедрой челюстно-лицевой хирургии.

Москва.

SPIN-код: 2607-2679. AuthorID: 615227

Sergey Yu. Ivanov - DDS, professor, corresponding Member of the Russian Academy of Sciences, the department of oral and maxillofacial surgery, The department of maxillofacial surgery.

Moscow.

SPIN: 2607-2679. AuthorID: 615227

syivanov@yandex.ruЛежаваН. Л.LezhavaN. L.

Лежава Нино Леонидовна – кандидат медицинских наук, ассистент кафедры челюстно-лицевой хирургии и хирургической стоматологии.

Москва.

Author ID: 613520. SPIN-код 7637-3974.

Nino L. Lezhava - assistant of the department, Oral and Maxillofacial surgery department.

Moscow.

Author ID: 613520. SPIN-код 7637-3974

pincho72@yandex.ruЛукьяноваЕ. А.LukyanovaE. A.

Москва.

Moscow.

https://orcid.org/0000-0003-2347-5378ЗолотаевК. Е.ZolotaevK. E.

Золотаев Кирилл Евгеньевич - соискатель кафедры стоматологии общей практики и детской стоматологии.

Ставрополь.

Kirill E. Zolotaev - Postgraduate of the Department of general and pediatric dentistry.

Stavropol.

kzolotaev@yandex.ruРоссийский университет дружбы народовРоссияOral and Maxillofacial surgery department, The Peoples’ Friendship University of RussiaRussian FederationСтавропольский государственный медицинский университетРоссияStavropol State Medical University, Stavropol, Russia, Postgraduate of the Department of general and pediatric dentistryRussian Federation202215102022022Стоматология (3)5054Copyright © Гусейнов Н.А., Хаммори М.Х., Мураев А.А., Иванов С.Ю., Лежава Н.Л., Лукьянова Е.А., Золотаев К.Е., 20222022Гусейнов Н.А., Хаммори М.Х., Мураев А.А., Иванов С.Ю., Лежава Н.Л., Лукьянова Е.А., Золотаев К.Е.Guseynov N.A., Hammouri M.H., Muraev A.A., Ivanov S.Y., Lezhava N.L., Lukyanova E.A., Zolotaev K.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2783

Локальная гипотермия применяется для контроля воспалительного процесса, боли, отека, нейропротекции и снижения тризма мышц. Несмотря на частое использование охлаждения в неврологии, кардиологии, ортопедической реабилитации и физиотерапии, мало научной литературы по использованию контролируемой ЛГ в практике хирургической стоматологии и челюстно-лицевой хирургии. Целью нашего исследования являлась разработка и обоснование клинической эффективности метода контролируемого охлаждения мягких тканей околоушно-жевательной и щёчной областей в качестве противовоспалительного физиотерапевтического средства у пациентов после операции удаления дистопированных зубов мудрости. Для этого проводилось локальное контроллируемое охлаждение жевательно-щечной и подчелюстной областей при помощи аппарата «ViThermo» у исследуемой группы, а криотерапия проводилась у контрольной. В результате локальная контролируемая гипотермия мягких тканей околоушно-жевательной и щёчной областей при внешней постоянной температуре маски 18 °С позволяет достигать 32–34,2 °С мягких тканей указанной области и слизистой оболочки, что является безопасным и достаточным для обеспечения противовоспалительного действия в послеоперационном периоде при сложном удалении зубов мудрости.

Local hypothermia is used to control inflammation, pain, edema, neuroprotection, and reduce muscle lockjaw. Despite the frequent use of cooling in neurology, cardiology, orthopedic rehabilitation, and physiotherapy, there is little scientific literature on the use of controlled hypothermia in oral and maxillofacial surgery. The aim of our study was to develop and substantiate the clinical effectiveness of the method of controlled cooling of the soft tissues of the parotid-masticatory and buccal areas as an anti-inflammatory physiotherapeutic agent in patients after surgery for the removal of dystopic wisdom teeth. For this, local controlled cooling of the masticatory-buccal and submandibular regions was carried out using the ViThermo apparatus in the study group, and cryotherapy was carried out in the control group. As a result, local controlled hypothermia of the soft tissues of the parotid-masticatory and buccal areas at an external constant temperature of the mask of 18 °С allows you to reach 32–34.2 °С of the soft tissues of the specified area and mucous membrane, which is safe and sufficient to provide anti-inflammatory action in the postoperative period with complex tooth extraction wisdom.

локальная гипотермияаппаратная гипотермияконтролируемая гипотермияпослеоперационое воспалениепротивовоспалительная терапияlocal hypothermiahardware hypothermiacontrolled hypothermiapostoperative inflammationanti-inflammatory therapyReferencesStangel L. The value of cryotherapy and thermotherapy in the relief of pain. Physiotherapy (Canada) 1975: 27: 135–139.Stangel L. The value of cryotherapy and thermotherapy in the relief of pain. Physiotherapy (Canada) 1975: 27: 135–139.Cameron MH. Physical Agents in Rehabilitation – From Research to Practice. Philadelphia: WB Saunders 1999: 129–148.Cameron MH. Physical Agents in Rehabilitation – From Research to Practice. Philadelphia: WB Saunders 1999: 129–148.Courage GR, Huebsch RF. Cold therapy revisited. JADA 1971: 83: 1070–1073.Courage GR, Huebsch RF. Cold therapy revisited. JADA 1971: 83: 1070–1073.Greenstein, Gary. Therapeutic efficacy of cold therapy after intraoral surgical procedures: a literature review. Journal of periodontology vol. 78,5 (2007): 790–800. doi:10.1902/jop.2007.060319.Greenstein, Gary. Therapeutic efficacy of cold therapy after intraoral surgical procedures: a literature review. Journal of periodontology vol. 78,5 (2007): 790–800. doi:10.1902/jop.2007.060319.Lateef, Thair A et al. Evaluation the Efficacy of Hilotherm Cooling System in Reducing Postoperative Pain and Edema in Maxillofacial Traumatized Patients and Orthognathic Surgeries. The Journal of craniofacial surgery vol. 29,7 (2018): e697-e706. doi:10.1097/SCS.0000000000004951.Lateef, Thair A et al. Evaluation the Efficacy of Hilotherm Cooling System in Reducing Postoperative Pain and Edema in Maxillofacial Traumatized Patients and Orthognathic Surgeries. The Journal of craniofacial surgery vol. 29,7 (2018): e697-e706. doi:10.1097/SCS.0000000000004951.Cook, D K, and K Georgouras. Complications of cutaneous cryotherapy. TheMedical journal ofAustralia vol. 161,3 (1994): 210-3. doi:10.5694/j.1326-5377.1994.tb127385.x.Cook, D K, and K Georgouras. Complications of cutaneous cryotherapy. TheMedical journal ofAustralia vol. 161,3 (1994): 210-3. doi:10.5694/j.1326-5377.1994.tb127385.x.Hermann, J. Kryotherapie [Cryotherapy]. Zeitschrift fur Rheumatologie vol. 68,7 (2009): 539-41. doi:10.1007/s00393-009-0446-2.Hermann, J. Kryotherapie [Cryotherapy]. Zeitschrift fur Rheumatologie vol. 68,7 (2009): 539-41. doi:10.1007/s00393-009-0446-2.Oneda, Ester et al. Innovative Approach for the Prevention of Chemotherapy-Induced Peripheral Neuropathy in Cancer Patients: A Pilot Study With the Hilotherm Device, the Poliambulanza Hospital Experience. Integrative cancer therapies vol. 19 (2020): 1534735420943287. doi:10.1177/1534735420943287.Oneda, Ester et al. Innovative Approach for the Prevention of Chemotherapy-Induced Peripheral Neuropathy in Cancer Patients: A Pilot Study With the Hilotherm Device, the Poliambulanza Hospital Experience. Integrative cancer therapies vol. 19 (2020): 1534735420943287. doi:10.1177/1534735420943287.Moro, Alessandro et al. Hilotherm efficacy in controlling postoperative facial edema in patients treated for maxillomandibular malformations. The Journal of craniofacial surgery vol. 22,6 (2011): 2114-7. doi:10.1097/SCS.0b013e31822e5e06.Moro, Alessandro et al. Hilotherm efficacy in controlling postoperative facial edema in patients treated for maxillomandibular malformations. The Journal of craniofacial surgery vol. 22,6 (2011): 2114-7. doi:10.1097/SCS.0b013e31822e5e06.Hanci, Deniz et al. Evaluation of the Efficacy of Hilotherapy for Postoperative Edema, Ecchymosis, and Pain After Rhinoplasty. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons vol. 78,9 (2020): 1628.e1-1628.e5. doi:10.1016/j.joms.2020.03.032.Hanci, Deniz et al. Evaluation of the Efficacy of Hilotherapy for Postoperative Edema, Ecchymosis, and Pain After Rhinoplasty. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons vol. 78,9 (2020): 1628.e1-1628.e5. doi:10.1016/j.joms.2020.03.032.Kurisu, Kota, and Midori A Yenari. Therapeutic hypothermia for ischemic stroke; pathophysiology and future promise. Neuropharmacology vol. 134,Pt B (2018): 302–309. doi:10.1016/j.neuropharm.2017.08.025.Kurisu, Kota, and Midori A Yenari. Therapeutic hypothermia for ischemic stroke; pathophysiology and future promise. Neuropharmacology vol. 134,Pt B (2018): 302–309. doi:10.1016/j.neuropharm.2017.08.025.Badjatia, N. Therapeutic hypothermia protocols. Handbook of clinical neurology vol. 141 (2017): 619-632. doi:10.1016/B978-0-444-63599-0.00033-8.Badjatia, N. Therapeutic hypothermia protocols. Handbook of clinical neurology vol. 141 (2017): 619-632. doi:10.1016/B978-0-444-63599-0.00033-8.Abramson DI, Chu LS, Tuck S, et al: Effect of tissue temperature and blood flow on motor nerve conduction velocity. JAMA 198:1082, 1996.Abramson DI, Chu LS, Tuck S, et al: Effect of tissue temperature and blood flow on motor nerve conduction velocity. JAMA 198:1082, 1996.Lehman JF. Therapeutic Heat and Cold. Baltimore: Williams and Wilkins 1990: 590–632.Lehman JF. Therapeutic Heat and Cold. Baltimore: Williams and Wilkins 1990: 590–632.Comroe Jr JH. The Lung: Clinical Physiology and Pulmonary Function Tests. 2nd edn. Chicago: Year Book 1962.Comroe Jr JH. The Lung: Clinical Physiology and Pulmonary Function Tests. 2nd edn. Chicago: Year Book 1962.Lewis T. Observations upon the reaction of vessels of the human skin to cold. Heart 1930: 15: 177–208.Lewis T. Observations upon the reaction of vessels of the human skin to cold. Heart 1930: 15: 177–208.Weston M, Taber C, Casagranda L, Cornwall M. Changes in local blood volume during cold gel application to traumatized ankles. J Orthop Sports Phys Ther 1994: 19: 197–199.Weston M, Taber C, Casagranda L, Cornwall M. Changes in local blood volume during cold gel application to traumatized ankles. J Orthop Sports Phys Ther 1994: 19: 197–199.Ernst E, Fialka V. Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J Pain Symptom Manage 1994: 9: 56–59.Ernst E, Fialka V. Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J Pain Symptom Manage 1994: 9: 56–59.Lee JM, Warren MP, Mason SM. Effects of ice on nerve conduction velocity. Physiotherapy 1978: 64: 2–6.Lee JM, Warren MP, Mason SM. Effects of ice on nerve conduction velocity. Physiotherapy 1978: 64: 2–6.Price R, Lehmann JF, Boswell-Bessette S, Burleigh A, deLateur BJ. Influence of cryotherapy on spasticity at the human ankle. Arch Phys Med Rehabil 1993: 74: 300–304.Price R, Lehmann JF, Boswell-Bessette S, Burleigh A, deLateur BJ. Influence of cryotherapy on spasticity at the human ankle. Arch Phys Med Rehabil 1993: 74: 300–304.Wolf SL, Letbetter WD. Effect of skin cooling on spontaneous EMG activity in triceps surae of the decerebrate cat. Brain Res 1975: 91: 151–155.Wolf SL, Letbetter WD. Effect of skin cooling on spontaneous EMG activity in triceps surae of the decerebrate cat. Brain Res 1975: 91: 151–155.Bierman W, Friedlander M. The penetrative effect of cold. Arch Phys Ther 1940: 21: 585–592.Bierman W, Friedlander M. The penetrative effect of cold. Arch Phys Ther 1940: 21: 585–592.LOW J, REED A. Cold therapy. In: Low J, Reed A, eds: Electrotherapy Explained. Principles and Practice. Oxford: Butterworth-Heinemann 1990: 202–220.LOW J, REED A. Cold therapy. In: Low J, Reed A, eds: Electrotherapy Explained. Principles and Practice. Oxford: Butterworth-Heinemann 1990: 202–220.Oosterveld FGJ, Rasker JJ, Jacobs JWG, Overmars HJA. The effect of local heat and cold therapy on the intraarticular and skin surface temperature of the knee. Arthritis Rheum 1992: 35: 146–151.Oosterveld FGJ, Rasker JJ, Jacobs JWG, Overmars HJA. The effect of local heat and cold therapy on the intraarticular and skin surface temperature of the knee. Arthritis Rheum 1992: 35: 146–151.Album B, Olsen I, Løkken P. Bilateral surgical removal of impacted mandibular third molar teeth as a model for drug evaluation: a test with oxyphenbutazone (Tranderil). Int J Oral Surg 1977: 6: 177– 189.Album B, Olsen I, Løkken P. Bilateral surgical removal of impacted mandibular third molar teeth as a model for drug evaluation: a test with oxyphenbutazone (Tranderil). Int J Oral Surg 1977: 6: 177– 189.Merrick MA, Jutte LS, Smith ME. Cold modalities with different thermodynamic properties produce different surface and intramuscular temperatures. J Athl Train 2003;38:28-33.Merrick MA, Jutte LS, Smith ME. Cold modalities with different thermodynamic properties produce different surface and intramuscular temperatures. J Athl Train 2003;38:28-33.

The authors declare that there are no conflicts of interest present.