Вивчення змін стану місцевої та загальної неспецифічної резистентності організму у хворих на одонтогенний гайморит за гальванічної патології в порожнині рота

Abstract

Purpose: to determine the state of local and general nonspecific resistance to the body in the dynamics of surgical treatment of patients with odontogenic maxillary sinusitis in the presence of galvanic pathology in the oral cavity and to clarify the causes of postoperative inflammatory complications. Methods: 56 examined subjects with chronic odontogenic maxillary sinusitis were divided into two observation groups, which were subjected to immunological and general clinical examination methods. Results. In 30 patients with chronic odontogenic maxillary sinusitis with oral galvanism (compensated and decompensated forms), no decrease in local and general nonspecific resistance was observed. In 26 patients with oral galvanism (atypical and typical forms), a decrease in immunity was observed. Conclusions. Based on the examination of 56 patients with chronic odontogenic maxillary sinusitis in the presence of galvanic pathology in the oral cavity, it was found that in the case of galvanosis, there is a decrease in local and general nonspecific resistance of the body, which, in turn, in all patients leads to the development of inflammatory complications in the periosteal soft tissues and in the bone wound of the jaw, i.e., osteomyelitis (34.6%). Key words: chronic maxillary sinusitis, maxillary sinus, galvanic pathology, functional activity of neutrophils, phagocytic activity of leukocytes, contact thermometry, galvanism, galvanosis, metal inclusions.