FIELD: medicine.
SUBSTANCE: during treatment of combined phlegmons of the submandibular and submental areas, the anatomical type of the patient's skull is determined. For dolicho- and mesocephalic forms of the skull, a combination of two incisions is used. The phlegmon cavity of is opened from these incisions by separation of the tissues of the maxillofacial muscle and the anterior abdomen of the digastric muscle. For the brachycephalic form of the skull, a combination of three incisions is used. Through them, the phlegmon cavity is opened by separation of the tissues of the maxillofacial muscle and subperiosteal clipping of the anterior abdomen of the digastric muscle from the hyoid bone. In the postoperative period, the patient's head is fixed for two days in an extension position at an angle of 60° for the brachycephalic form of the skull and at an angle of 45° for the dolicho- and mesocephalic form of the skull.
EFFECT: method allows to improve the results of treatment, to reduce the risk of complications.
2 cl
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Authors
Dates
2017-12-26—Published
2016-03-02—Filed