ПРИМЕНЕНИЕ ЛАЗЕРНОЙ ДОППЛЕРОВСКОЙ ФЛОУМЕТРИИ В ОЦЕНКЕ ЭФФЕКТИВНОСТИ ПРЕДОПЕРАЦИОННОЙ ПОДГОТОВКИ У ДЕТЕЙ К РЕОПЕРАЦИИ ДЕФЕКТА НЕБА ПОСЛЕ УРАНОПЛАСТИКИ

Abstract

Objectives. The results of the state of microcirculation in the region of the defect of the palate and periodontal mucosa after preoperative preparation in children with congenital cleft palate for the planned reoperation of the defect of the palate are presented.
 Purpose. To monitor the state of microcirculation according to laser Doppler flowmetry and evaluate the effectiveness of preoperative preparation for reoperation of a palate defect in children with congenital cleft palate and a defect after uranoplasty.
 Methodology. The article presents data on the state of microcirculation of periodontal tissues and in the region of the palate defect before and after preoperative preparation for reoperation of the palate defect in 109 children aged 6–12 years with congenital cleft palate and a defect after uranoplasty, which were divided into 4 groups depending on from the methodology used.
 Results. Introduction into the algorithm of preoperative preparation for reoperation of a palate defect in children with congenital cleft palate and a defect after uranoplasty of alternating a course of laser therapy of the periodontal mucosa, mucous membrane in the region of the palate defect from the oral cavity and nasal cavity in combination with ultraphonophoresis with an antibacterial gel based on metronidazole and chlorhexidine, with the subsequent use of a dissociating palatal plate, has a positive effect on the state of microcirculation of periodontal and mucosal tissues in the region of the palate defect, namely, it leads to a decrease in the average perfusion index and an improvement in the intensity of blood flow.
 Conclusions. After monitoring the state of microcirculation of periodontal tissues and in the region of the palate defect in children with congenital cleft palate, deviations from the norm were noted, indicating a weakening of the arteriolar vascular tone and stagnation in the venular link. The use of alternating laser therapy with a diode laser and ultraphonophoresis with an antibacterial gel made it possible to achieve an improvement in microcirculation in a short time, which is the optimal condition for reoperation.