Furuncles and carbuncles of maxillo-facial region

Abstract

Introduction: The data from modern literature shows a steady increase in the number of patients with purulent inflammatory diseases of the maxillofacial region and neck, including furuncles and carbuncles, which are accompanied by an increasing percentage of the serious forms of diseases, characterized by the espousal of complications such as facial vein thrombophlebitis, cavernous sinus thrombosis, septic pneumonia, sepsis, mediastenitis, meningitis, meningoencephalitis, etc. Mortality in complicated forms of purulent-inflammatory diseases of maxillofacial area, varies between 30-40% and has no downward trend. The development of septic complications is accompanied not only by hemodynamic and metabolic disorders, but also by immune disorders. They often occur in the form of immune deficiency with different levels of severity. Purpose of this work is to enrich theoretical knowledge and practical skills in the diagnosis, treatment and prevention of furuncles and carbuncules. Another objective of the work is to study the clinical course of disease occuring in patients who have furuncles and carbuncles in the maxillo-facial region. The other one is to carry out clinical and epidemiological analysis of morbidity in patients who have furuncles and carbuncles in maxillo-facial region according to data from the National Center for Maxillo-Facial Surgery and Public Health from Chisinau Emergency Hospital in 2011. And the third objective is to study the diagnosis and treatment methods of furuncles and carbuncles in the oro-maxillo-facial region. Materials and methods of study used in this purpose: To achieve these objectives, a complex treatment was made of 45 patients with furuncles in the Oro-Maxilo-Facial region and of another 2 patients with carbuncles in the same OMF region in the National Center for Maxillofacial Surgery and Public Health of the Chisinau Emergency Hospital, from September 2011 till December 2011.24 patients were males, and 23 females, so that the ratio of males and females was 51.06% and 48.93% respectively. The average age of patients without any diseases was 18-23 years. A furuncle in the infiltrative phase was registered in 4 patients (8.51%), furuncle (carbuncle), and in necrosis and suppuration phase, was registered in 43 patients (91.49%). Results: The complex treatment, including also the therapy of immunomodulation (sol. Imunofani), independent of the purulent infection allows to increase the rate of favorable evolution even in patients with severe clinical forms. Use of the produced algorithm for the choice of methods diagnosis and treatment in patients with furuncles and carbuncles of the face and neck has allowed to optimize the process of diagnosing and complex treatment of these patients.