RESUMEN
A total of 136 patients with open mandibular fractures were examined, 53 of these at risk of inflammatory complications in the posttraumatic period. Analysis of the wound cytology, hematological changes, local and system immunity reactions suggest that phagocytosis dysfunction, imbalance of local immunity factors (primarily production, complex formation, and secretion of serum IgA) are significant factors in the development of posttraumatic immune deficiency. Statistical analysis showed clear-cut correlation between local immunity parameters (serum IgA, salivary IgG, levels of circulating immune complexes and medium-weight molecules in the saliva) and hematological values (leukocyte and lymphocyte counts, leukocytic intoxication index, and Rietes coefficient), which confirmed the reliability of prediction of inflammatory complications and necessity of immunocorrection in this patient population.
Asunto(s)
Curación de Fractura/inmunología , Fracturas Abiertas/diagnóstico , Fracturas Abiertas/inmunología , Fracturas Mandibulares/diagnóstico , Fracturas Mandibulares/inmunología , Adolescente , Adulto , Complejo Antígeno-Anticuerpo/sangre , Fracturas Abiertas/complicaciones , Humanos , Inmunoglobulina A/sangre , Inmunoglobulina G/análisis , Masculino , Fracturas Mandibulares/complicaciones , Persona de Mediana Edad , Pronóstico , Reproducibilidad de los Resultados , Saliva/inmunologíaRESUMEN
Studies of surgical anatomy of the sternocleidomastoid muscle with the adjacent skin and clavicle site helped determine the variants of entry of the major neurovascular bundle into the muscle in surgical repair of mandibular defects with complex transplants on a mobile neurovascular pedicle. The location of "portae" does not depend on the patient's sex and is determined by age and constitutional type. The location of muscular port determines the pattern of the transplant.
Asunto(s)
Enfermedades Mandibulares/cirugía , Procedimientos Quirúrgicos Orales/métodos , Colgajos Quirúrgicos , Cadáver , Femenino , Estudios de Seguimiento , Humanos , Masculino , Colgajos Quirúrgicos/irrigación sanguínea , Colgajos Quirúrgicos/inervaciónRESUMEN
Study of surgical anatomy of musculus trapezius with the adjacent skin and spine of the scapula helped determine the main neurovascular "port" of the muscle. The data were used for developing a method for treating mandibular defects with complex grafts on a mobile neurovascular pedicle. The site and port do not depend on sex but are related to age and constitution and determine the type of the transplant cut.