METHOD OF TREATING NECK PHLEGMON IN POSTOPERATIVE PERIOD Russian patent published in 2024 - IPC A61B17/00 A61K33/08 A61P31/04 A61F13/05 

FIELD: medicine.

SUBSTANCE: invention relates to otorhinolaryngology. After opening the neck phlegmon, silicone drains are inserted into the postoperative wound, and the postoperative wound is washed along the silicone drains with 0.9% sodium chloride. Starting from the next postoperative day, the neck phlegmon cavity is exposed through the drainage system using the NO-therapy and plasma surgery apparatus in the cooled NO-containing gas flow mode at maximum air flow rate for 60 seconds for each drainage and for 60 seconds on a postoperative wound for 3–4 days. When using a double-lumen silicone drainage, the gas flow into the cavity is directed through a narrow drainage channel, in which a needle connected to a tip of the NO-therapy and plasma surgery apparatus is inserted. When using a single-lumen silicone drainage, the gas flow into the cavity is directed along a catheter which is pre-inserted into the drainage. Gas from the cavity is removed passively through the drainage channel. After cessation of purulent discharge, silicone drains are removed, and latex drains with antibacterial ointment are installed in their place along the wound canal. For 2–3 days, exposure to exogenous NO is carried out along the latex drains using a biologically inert sterile catheter with a closed vacuum controller also in the mode of supply of cooled NO-containing gas flow at maximum air flow rate for 60 seconds for each drainage and for 60 seconds on a postoperative wound. Wound is washed along each drainage with an aqueous solution of antiseptic and 3% hydrogen peroxide in ratio of 2:1. A bandage with an antibacterial ointment is applied.

EFFECT: method enables higher clinical effectiveness in postoperative neck phlegmon, accelerates recovery of the patients.

3 cl, 6 tbl, 4 ex