PHOTOPLETHYSMOGRAPHIC EVALUATION OF THE EFFECTIVENESS OF THE METHOD OF COMPACTOSTEOTOMY AND DEEPENING DURING CYSTECTOMY
DOI:
https://doi.org/10.35220/2523-420X/2023.3.2Keywords:
photoplethysmography, hemodynamics, cyst, cystectomy, method of perforations and deepening, regeneration, tissue microcirculationAbstract
The operation of treatment of jaw cysts is one of the most common in surgical dentistry. Among outpatient interventions, it is held in 40.6%. After surgical treatment of jaw cysts, cavities of various sizes remain, which reduce the strength of the jaw. Activation of the blood supply to the tissues of the bone cavity creates optimal conditions for its regeneration. The purpose of the study is to evaluate the effectiveness of improved methods of surgical treatment of cysts of the frontal areas of the jaws (cystectomy with the method of perforations and deepening) and to compare the results with the known method (cystectomy) based on the assessment of tissue microcirculation using the photoplethysmographic method. Materials and methods: to conduct the study, all patients were divided into three groups: the main group (25 patients with cysts of the frontal parts of the jaws, for whom were used advanced techniques); comparison group (treatment of 29 patients with cysts of the frontal parts of the jaws was carried out according to the standard method – cystectomy); control group (21 patients without pathological lesions of the frontal parts of the jaws). The blood vessel filling in the postoperative areas in both groups for three days did not differ much (126.5 um.units – comparison group; 133.3 um.units – the main group). Five days after the operation, the difference in blood vessel filling was observed in patients of the main group (177.4 units; p<0.05), for whom were used the improved treatment method, and patients in the comparison group (162.5 units; p<0.05). The effectiveness of the improved method of cystectomy with perforations and deepening of the bone cavity was determined by the percentage ratio of tissue microcirculation indicators in patients of the main group 10 days after the operation (95.77%) to the same indicator in patients of the comparison group (73.68%). Scientific novelty. For the first time, a comparison of the effectiveness of the methods of surgical treatment of jaw cysts: cystectomy and the method of compactosteotomy and deepening during cystectomy using the photoplethysmographic method was carried out. Conclusions. After the study, it was established that tissue microcirculation in the postoperative area during the treatment of cysts of the frontal areas of the jaws by using the improved technique of cystectomy with perforations and deepening of the bone cavity improves by 29.9% (p < 0.05), compared to the standard technique.
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