Stomatologii͡a
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Comparative Study
[The differential diagnosis of avascular necrosis of the temporomandibular joint in systemic lupus erythematosus].
Eight patients with facial skull abnormalities with systemic lupus erythematosus (SLE) and temporomandibular involvement were examined. In 4 patients mandibular deformation was caused by erosive arthritis and in 4 others by aseptic necrosis of the temporomandibular joint. Clinical and x-ray characteristics, magnetic resonance and computer tomography findings in the two groups are compared. A detailed protocol for differential diagnosis of temporomandibular joint involvement in SLE is developed.
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Case Reports
[The results of using a compression-distraction method for eliminating mandibular defects and deformities].
Intraoral supraosseous compression-distraction devices (CDA) have been used for repair of mandibular underdevelopment and defects of different etiology at Central Institute of Stomatology since 1997. The distraction regenerates have been examined by ultrasonography, roentgenography, and echo-osteometry. These methods allow timely correction of the course of distraction and rule out formation of wrong hypotrophic distraction regenerates.
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A total of 283 patients with odontogenic sepsis, in 66 of these complicated with septic shock, were observed in 1983-1995. A program for rapid assessment of the main clinical laboratory parameters is proposed for differentiating the phases of shock development. Combined use of hemoperfusion and extracorporeal perfusion oxygenation of the blood with preliminary or simultaneous intraarterial infusion of plasma substitutes possessing hemodynamic effects is pathogenetically justified in septic shock.