A clinical case of rehabilitation of a patient with odontogenic phlegmon of the maxillofacial region
https://doi.org/10.33667/2078-5631-2025-30-117-122
Abstract
Due to the growing number of patients with odontogenic phlegmons of the maxillofacial region, the search for new methods of local and general treatment remains relevant today, allowing not only to reduce the risk of infection, but also to improve the course of the wound process. The present study presents a clinical case of treatment of a patient with odontogenic phlegmon of the maxillofacial region using vacuum therapy. After a comprehensive examination of the patient, surgical intervention was performed, during which vacuum therapy was used to drain the wound, in combination with antibacterial, desensitizing, antithrombotic, detoxification therapy and pain medications. After surgery on days 1, 3, and 5, the local wound status was assessed based on dynamic visual observation and a photocall: the presence of hyperemia, edema, and tissue infiltration, and a general blood analysis and biochemistry were performed, paying special attention to hemogram and C-reactive protein parameters. The results of complex treatment of odontogenic phlegmon of the maxillofacial region have shown that the use of vacuum therapy improves the drainage of wound exudate, cleansing and perfusion of the wound, thereby accelerating its healing, as well as shortening the period of inpatient treatment.
About the Authors
I. S. Novikova
Kuban State Medical University
Russian Federation
Russian Federation
Irina Sergeevna Novikova – Senior Laboratory Assistant at the Department of Surgical Dentistry and Maxillofacial Surgery
Krasnodar
O. V. Gulenko
Kuban State Medical University
Russian Federation
Russian Federation
Gulenko Olga Vladimirovna – MD, Associate Professor, Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Krasnodar
T. V. Gerbova
Kuban State Medical University
Russian Federation
Russian Federation
Gerbova Tatiana Vitalievna – PhD, Assistant Professor at the Department of Surgical Dentistry and Maxillofacial Surgery
Krasnodar
S. K. Shafranova
Kuban State Medical University
Russian Federation
Russian Federation
Shafranova Svetlana Konstantinovna – Candidate of Medical Sciences, Associate Professor, Associate Professor of Surgical Dentistry and Maxillofacial Surgery
Krasnodar
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For citations:
Novikova I.S., Gulenko O.V., Gerbova T.V., Shafranova S.K. A clinical case of rehabilitation of a patient with odontogenic phlegmon of the maxillofacial region. Dentistry. 2025;(30):117-122. (In Russ.) https://doi.org/10.33667/2078-5631-2025-30-117-122
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