ABSTRACT
An analysis of causes of bleedings in 19 patients with malignant tumors of the head and neck has been made. The combined treatment was performed for the III-IV degree tumorous process. As a rule, the bleeding was of erosive character due to ingrowth of the tumor into the walls of major vessels. Alterations of the vascular wall after radiation therapy make the arrest of bleeding in the wound impossible. So, the most reliable method is ligation of the vessels at length.
Subject(s)
Head and Neck Neoplasms/surgery , Hemorrhage/surgery , Vascular Surgical Procedures/methods , Aged , Emergencies , Head and Neck Neoplasms/blood supply , Hemorrhage/etiology , Hemostasis, Surgical , Humans , Intraoperative Care , Intraoperative Complications/etiology , Intraoperative Complications/surgery , Ligation , Male , Middle Aged , Radiotherapy DosageABSTRACT
The microcirculation changes were detected in tissues within and beyond the irradiated area. The changes were marked to a different degree depending on the ionizing irradiation dose and the time since its termination. The microcirculatory changes were less pronounced in the major cerebral vessels' body. The data suggest that microcirculation could provide an objective test in planning the local plastic surgery in the zones of irradiated skin malignant tumors in maxillofacial and haired regions of the head.
Subject(s)
Head and Neck Neoplasms/radiotherapy , Patient Care Planning/methods , Radiation Injuries/surgery , Skin/blood supply , Surgery, Plastic/methods , Head and Neck Neoplasms/complications , Head and Neck Neoplasms/physiopathology , Humans , Microcirculation/physiopathology , Microcirculation/radiation effects , Oxygen Consumption/radiation effects , Partial Pressure , Polarography , Radiation Injuries/etiology , Radiation Injuries/physiopathology , Radiotherapy Dosage , Skin/radiation effects , Surgical FlapsABSTRACT
Variations in arterial systolic (APs) and diastolic (APd) pressure, heart rate (HR) and electrocardiograms (ECG) were investigated in 22 normal men, 28 patients with arterial hypertension and 10 patients with chronic ischemic heart disease. Measurements were made during active orthostatic tests applied before and after submaximal exercises. In all three groups, APs diminished after exercise to a greater extent than before exercise. In hypertensive patients, APd increased significantly after exercise but changed insignificantly before exercise. In hypertensive patients with depressed T and ST, the level of ECG changes after exercise diminished by more than 50% as compared to the pre-exercise value.
Subject(s)
Blood Pressure , Coronary Disease/physiopathology , Heart Rate , Hypertension/physiopathology , Physical Exertion , Posture , Adult , Aged , Electrocardiography , Exercise Test , Female , Humans , Male , Middle Aged , Reference ValuesSubject(s)
Head and Neck Neoplasms/surgery , Surgical Flaps , Adult , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Skin Temperature , Surgery, Plastic/methods , Time Factors , Tissue SurvivalABSTRACT
An analysis of outcomes of the surgical treatment of patients with malignant tumors of the hairy part of head has shown expediency of using pedicle flaps from neighbouring and remote parts. When planning the procedures the esthetic effect of the operation should be taken into consideration because of the necessity to restore the hair of the scalp.
Subject(s)
Patient Care Planning/methods , Scalp/surgery , Skin Neoplasms/surgery , Esthetics , Humans , Surgical FlapsSubject(s)
Bone Regeneration , Electric Stimulation Therapy , Mandibular Fractures/immunology , Animals , B-Lymphocytes/immunology , Fractures, Ununited/immunology , Fractures, Ununited/physiopathology , Fractures, Ununited/therapy , Immunoglobulins/analysis , Mandibular Fractures/physiopathology , Mandibular Fractures/therapy , Rabbits , T-Lymphocytes/immunology , Time Factors , Wound HealingABSTRACT
The authors observed 53 patients with odontogenous inflammatory processes of the maxillary sinus. In 27 patients there was a neurocirculatory dystonia. The surgical treatment gave an improvement in the course of neurocirculatory dystonias and in a number of cases a complete recovery of the patients was achieved.
Subject(s)
Focal Infection, Dental/complications , Neurocirculatory Asthenia/etiology , Sinusitis/complications , Adult , Chronic Disease , Focal Infection, Dental/surgery , Humans , Maxillary Sinus , Neurocirculatory Asthenia/therapy , Sinusitis/surgery , Tooth ExtractionABSTRACT
On the basis of an analysis of results of the surgical treatment of 97 patients with different forms of acute leukosis with the hemorrhagic syndrome the authors make a conclusion that the application of hemostatic means of the general and local action, the thrombotic mass included, allows preventing hemorrhage in operative procedures in the maxillofacial area (extraction of teeth, opening of abscesses and phlegmons, interventions on the maxillary sinus etc).
Subject(s)
Dentistry, Operative , Hemorrhage/prevention & control , Leukemia/complications , Surgery, Oral , Acute Disease , Hemostasis, Surgical , Humans , Intraoperative Complications/prevention & control , Preoperative Care , Syndrome , Thrombocytopenia/complicationsABSTRACT
The authors analyze the experience with the reinfusion of the autoblood subjected to ultraviolet irradiation to 25 patients with inflammatory diseases of the maxillofacial area. The positive curative effect of this method of hemotherapy is demonstrated.
