360

The study is aimed at demonstrating the usefulness of the rehabilitation program after extensive surgeries in patients with maxillofacial area (MFA) and neck tumors. Data from patients who underwent surgery in the clinics of the Republican Oncological Research Center and the Tashkent Institute of Postgraduate Medical Education for MFA and neck tumors were retrospectively analyzed. The patients were enrolled to the rehabilitation program, which consisted of a threestaged technique involving a complex prosthesis, and several physical therapies for damaged functions, such as chewing, swallowing and breathing. A total of 107 oncological patients with postsurgical defects were fitted with various types of prosthesis. The introduction of the rehabilitation program was performed at an interval between initial surgery and prosthesis formation of 10-15 days, and between initial surgery and preparation of the final prosthesis of 26–30 days. A restoration of the Karnofsky performance status to 80–85 % was observed. The present study demonstrates that the proposed rehabilitation program is useful for shortening the postoperative con-valescent period and improving the quality of life of patients with defects of the MFA and neck.

  • O'qishlar soni 360
  • Nashr sanasi 26-02-2021
  • Asosiy tilIngliz
  • Sahifalar16-22
Ўзбек

Муаллифлар жарроҳлик операцияларидан кейин юз-жағ соҳасидаги нуқсонларни реабилитация қилиш самарадорлигини ўрганиб, нуқсонни бартараф этиш учун мураккаб эндо- ва экзоортопедик протезлардан фойдаланган. Жарроҳлик амалиётидан сўнг юз-жағ соҳасида хавфли ўсмалари бўлган беморларни реабилитация қилиш жараёнида комплекс протезлаш усули ишлаб чиқилган ва жорий қилинган. Юз-жағ соҳасида нуқсонлари бўлган 107 нафар саратон касаллиги билан оғриган беморларнинг касаллик тарихи ва амбулатор карталари таҳлил қилинди, уларда протезлашнинг турли усуллари қўлланилди. Тадқиқот натижаларига кўра, полиуретан пластмассадан фойдаланган ҳолда, юз-жағ соҳасида нуқсонларни комплекс протезлаштириш методикаси яхшиланди, бу эса жарроҳлик кунида ҳимоя пластиналарини ишлаб чиқиш имконини берди. Кенг қамровли реабилитациядан сўнг хавфли ўсмалар ва юз-жағ соҳасида нуқсонлари бўлган беморлар доктор Карновскийнинг ўлчови бўйича 80-85 %гача соғайди.

Русский

Авторами изучена эффективность восстановительного лечения дефектов челюстно-лицевой области после хирургических вмешательств с использованием сложных эндо- и экзоортопедических протезов для устранения дефектов. В процессе реабилитации больных со злокачественными новообразованиями челюстно-лицевой области после хирургического вмешательства разработан и внедрен комплексный метод протезирования. Проанализированы истории болезни и амбулаторные карты 107 онкологических больных с дефектами лица и челюсти, в них использованы различные методы протезирования. По результатам исследования усовершенствована методика комплексного протезирования дефектов лица и челюсти с использованием полиуретановой пластмассы, что позволяет изготовлять защитные пластины в день операции. Пациенты со злокачественными опухолями и поражениями лица и челюстно-лицевой области выздоравливают после обширной реабилитации на 80-85 % по шкале доктора Карновского.

English

The study is aimed at demonstrating the usefulness of the rehabilitation program after extensive surgeries in patients with maxillofacial area (MFA) and neck tumors. Data from patients who underwent surgery in the clinics of the Republican Oncological Research Center and the Tashkent Institute of Postgraduate Medical Education for MFA and neck tumors were retrospectively analyzed. The patients were enrolled to the rehabilitation program, which consisted of a threestaged technique involving a complex prosthesis, and several physical therapies for damaged functions, such as chewing, swallowing and breathing. A total of 107 oncological patients with postsurgical defects were fitted with various types of prosthesis. The introduction of the rehabilitation program was performed at an interval between initial surgery and prosthesis formation of 10-15 days, and between initial surgery and preparation of the final prosthesis of 26–30 days. A restoration of the Karnofsky performance status to 80–85 % was observed. The present study demonstrates that the proposed rehabilitation program is useful for shortening the postoperative con-valescent period and improving the quality of life of patients with defects of the MFA and neck.

№ Muallifning F.I.Sh. Lavozimi Tashkilot nomi
1 Ubaydullayev X.A. tibbiyot fanlari nomzodi, “Onkologiya va stomatologiya” kafedrasining ilmiy xodimi Rossiya va O'zbekiston Respublikasi onkologlari va stomatologlari uyushmasi a'zosi
2 Gafforov S.A. tibbiyot fanlari doktori, professor “Stomatologiya, bolalar stomatologiyasi va ortodontikasi” kafedrasi mudiri
3 Gafur Oxunov M.A. tibbiyot fanlari doktori, professor, “Onkologiya” kafedrasi mudiri Toshkent vrachlar malakasini oshirish instituti, Respublika ixtisoslashtirilgan onkologiya va radiologiya ilmiy-amaliy tibbiyot markazi
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