Modern tactics of follow-up care and treatment of patients with congenital maxillofacial defects combined with other comorbid conditions

Abstract

Relevance. Questions of methodology and organization of specialized treatment of patients with congenital maxillofacial defects do not lose their relevance and retain the interest of researchers and practitioners. This article covers the accumulated experience of centralized medical examination of patients with congenital maxillofacial defects combined with other comorbid conditions in the comparative evolutionary aspect of advancing the organizational structure and follow-up care regulation.Purpose. To improve the rehabilitation process efficiency in patients with congenital maxillofacial defects complicated by other comorbid conditions by advancing the tactics of organizational and therapeutic measures.Material and methods. The study conducted an analytical and quantitative-qualitative analysis of medical documentation of the comprehensive care organizational and rehabilitation process for 2475 patients with congenital cleft face and palate for 24 years (1998-2022) in the specialized Bonum Center (Yekaterinburg). Of 2475 medical records of patients with congenital cleft face and/or palate, 823 cases (33.25%) had comorbid conditions.Results. The analysis of the results of a complex, specialized practice of multifunctional treatment of patients with congenital maxillofacial defects of complex systemic origin shows ways to improve and optimize the functionality of the rehabilitation process.Conclusions. The presented practice of improving the system for organizing follow-up care and specialized treatment of patients with maxillofacial defects complicated by other comorbid conditions allowed for the successful health restorative process completion in 55.04% of cases, including surgical assistance within the recommended rehabilitation period. The presented experience, as a concept, can serve as a guide for practitioners of specialized medicine concerning the development of a system of rehabilitation processes for patients with congenital maxillofacial defects of a complex somatic status.