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Reabilitarea postchirurgicală a copiilor cu leziuni tumorale ale regiunii maxilo-faciale.

Authors: Railean, S.C.; Poştaru, C.G.; Poshtaru, K.; Granciuc, G.N.; Volovei, M.;

Reabilitarea postchirurgicală a copiilor cu leziuni tumorale ale regiunii maxilo-faciale.

Abstract

Introduction. Tumors in children have a specific and constantly current topic. With the advent of new diagnostic technologies, there is an increasing incidence of tumors in children. The peculiarities of the growth and development of the child from newborn to adolescent highlight new and new problems of morphofunctional and psycho-emotional rehabilitation, both immediately after treatment and at a distance. The purpose of the study was to find out the problems that appear in children after the surgical removal of benign tumors from the jaw region. Results. During 2020 year, 66 children with benign tumors of the jaws were found. The children underwent surgical treatment to remove the tumors. It has been found that tumors located in the mandible are two times more common than those located in the upper jaw. The period of morphofunctional rehabilitation of the child after the removal of the tumor depending on the growth of the tumor and the peculiarities of the dentomaxillary system, we have three categories of children. Children with tumor removal in the block. Children with tumor removal by curettage. Children with palliative tumor removal. Rehabilitation methods include restoring the dental arch with removable applines. In group two, remodeling the growth of the jaws with the positioning of the permanent teeth. Group three includes tooth repositioning, jaw remodeling, and tooth eruption stimulation. Conclusion. Tumors with localization in the jaws during the growth and development of the child require complex rehabilitation, immediately after treatment and at a distance, with a personalized character depending on the postoperative defects and the age of the child.

Tumorile la copii prezintă o temă specifică și permanent actuală. Odată cu apariția noilor tehnologii de diagnostic se constată o incidență crescândă a tumorilor la copii. Particularitățile de creștere și dezvoltare a copilului de la nou-născut la adolescent pun în evidență noi și noi probleme de reabilitare morfofuncțională și psihoemoțională, atât imediat după tratament, cât și la distanță. Scopul studiului a fost de a constata problemele care apar la copii după înlăturarea chirurgicală a tumorilor benigne din regiunea maxilarelor. Rezultate. Pe parcursul anului 2020 au fost constatați 66 copii cu tumori benigne ale maxilarelor. Copii au suportat tratament chirurgical cu înlăturarea tumorilor. S-a constatat că tumorile cu localizare la mandibulă sunt de două ori mai frecvente decât cele cu localizare la maxilar. Perioada de reabilitarea morfofuncțională a copilului după înlăturarea tumorului în funcție de creșterea tumorii și particularitățile sistemului dentomaxilar, avem trei categorii de copii. Copiii cu înlăturarea tumorii în bloc. Copii cu înlăturarea tumorii prin chiuretaj. Copii cu înlăturarea paliativă a tumorii. Metodele de reabilitare includ restabilirea arcadei dentare cu proteze mobilizabile. În grupul doi remodelarea creșterii maxilarelor cu repoziționarea dinților permanenți. Grupul trei include repoziționarea dinților, remodelarea maxilarelor și stimularea erupției dentare. Concluzie. Tumorile cu localizare în maxilare în perioada de creștere și dezvoltare a copilului necesită reabilitare complexă, imediat după tratament, cât și la distanță, cu caracter personalizat în funcție de defectele postoperatorii și vârsta copilului.

Актуальность. Опухоли у детей имеют конкретную и постоянно актуальную тему. С появлением новых диагностических технологий растет число опухолей у детей. Особенности роста и развития ребенка от новорожденного до подросткового возраста высвечивают все новые и новые проблемы морфофункциональной и психоэмоциональной реабилитации как сразу после лечения, так и на расстоянии. Целью исследования было выяснить проблемы, возникающие у детей после хирургического удаления доброкачественных новообразований в области челюсти. Полученные результаты. В течение 2020 года обнаружено 66 детей с доброкачественными новообразованиями челюстей. Детям проведено хирургическое лечение по удалению новообразований. Было обнаружено, что опухоли, расположенные в нижней челюсти, встречаются в два раза чаще, чем в челюсти. В период морфофункциональной реабилитации ребенка после удаления опухоли в зависимости от роста опухоли и особенностей зубочелюстной системы у нас есть три категории детей. Дети с удалением опухоли в блоке. Дети с удалением опухоли кюретажем. Дети с паллиативным удалением опухоли. Методы реабилитации включают восстановление зубной дуги съемными протезами. Во второй группе реконструкция роста челюстей с установкой постоянных зубов. Третья группа включает репозицию зубов, ремоделирование челюсти и стимуляцию прорезывания зубов. Заключение. Опухоли с локализацией в челюсти в период роста и развития ребенка требуют комплексной реабилитации сразу после лечения и дистанционно, с индивидуальным характером в зависимости от послеоперационных дефектов и возраста ребенка.

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Keywords

ортопедическая реабилитация, children, опухоль челюстно-лицевой области, tumor oro-maxillofacial, orthopedic rehabilitation, дети, tumoră oro-maxilo-facială, copii, reabilitare ortopedică

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green