research-focus Research Focus International Scientific Journal Research Focus 2181-3833 Ilm-fan va innovatsiyalar akademiyasi 10.66073/researchfocus.v3i2.906 REL-A-012495 14.00.00 THE VALUATION OF THE RESIDUAL AND SECONDARY DEFORMATION OF THE MEDIUM FACE ZONE IN PATIENTS WITH UNILATERAL CLEFT LIP ОЦЕНКА ОСТАТОЧНОЙ И ВТОРИЧНОЙ ДЕФОРМАЦИИ СРЕДНЕЙ ЗОНЫ ЛИЦА У ПАЦИЕНТОВ С ОДНОСТОРОННЕЙ РАСЩЕЛИНОЙ ГУБЫ BIR TOMONLAMA LAB YORIG‘I BO‘LGAN BEMORLARDA YUZNING O‘RTA QISMI QOLDIQ VA IKKILAMCHI DEFORMATSIYASINI BAHOLASH Ergasheva Niginabonu Ilkhomjon kizi Student of the 3rd course of master‘s degree, the department of Otorhinolaryngology and Dentistry, Tashkent Medical Academy Salomov Shoxabbos Nozimjon ogli Student of Andijan State Medical Institute. 05 03 2024 2024 3 2 234 238 https://creativecommons.org/licenses/by/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.

The treatment of patients with cleft lip and palate is a complicated medical-social problem. The residual and secondary deformations of the nose, upper lip, and dentoalveolar require surgical correction in these patients after undergoing complete reconstruction as a child.

Aim. To systematize the degree of severity of the residual secondary deformation of the medium face zone in adult patients after previous surgery.

Materials and methods. This scientific work was based on the results of 42 adult patients with unilateral cleft lip after undergoing complete reconstructive surgery as a child. The valuation of residual and secondary deformations of the nose, upper lip, and vestibule was performed in adults aged 25–40 years. The typical residual deformation at these locations was determined and separated into three groups and given a value.

Results. We observed that 91% of the patients with unilateral cleft lip had a deformation in the medium face; of these patients, 15% had severe deformation with an absolute indication for surgery.

Conclusion. The residual and secondary deformations of the medium face zone were diagnosed in 91% (80.6%–96.7%) of the patients operated using the Miro-Limberg-Obuyhov method in the remote period. Moreover, 15% of these deformations had an absolute indication for surgery. The three numbers used in the valuation system of the residual and secondary deformations of the medium face zone in patients with a unilateral cleft lip enable impartial and quick determination of the intensity of one or more deformations of the nose, lip, or vestibule of the mouth.

Фон. Лечение больных с расщелиной губы и неба представляет собой сложную медико-социальную проблему. Остаточные и вторичные деформации носа, верхней губы и зубочелюстного аппарата у этих пациентов после полной реконструкции в детстве требуют хирургической коррекции. Цель. Систематизировать степень выраженности остаточной вторичной деформации средней зоны лица у взрослых пациентов после предшествующих операций. Материалы и методы. Эта научная работа основана на результатах исследования 42 взрослых пациентов с односторонней расщелиной губы, перенесших в детстве полную реконструктивную операцию. Оценку остаточных и вторичных деформаций носа, верхней губы и преддверия проводили у взрослых в возрасте 25–40 лет. Типичная остаточная деформация в этих местах была определена, разделена на три группы и ей присвоено значение. Полученные результаты. Мы наблюдали, что у 91% пациентов с односторонней расщелиной губы наблюдалась деформация средней части лица; из этих больных у 15% наблюдалась выраженная деформация с абсолютным показанием к операции. Заключение. Остаточные и вторичные деформации средней зоны лица диагностированы у 91% (80,6–96,7%) пациентов, оперированных по методу Миро-Лимберга-Обуйхова в отдаленном периоде. При этом 15% этих деформаций имели абсолютные показания к операции. Три цифры, используемые в системе оценки остаточных и вторичных деформаций средней зоны лица у пациентов с односторонней расщелиной губы, позволяют беспристрастно и быстро определить выраженность одной или нескольких деформаций носа, губы или преддверия рта.

Fon. Lab va tanglay yorig‘i bo‘lgan bemorlarni davolash murakkab tibbiy-ijtimoiy muammo hisoblanadi. Bu bemorlarda bolalikda to‘liq rekonstruksiya o‘tkazilganidan keyin burun, yuqori lab va tish-jag‘ apparatining qoldiq hamda ikkilamchi deformatsiyalari jarrohlik yo‘li bilan tuzatishni talab qiladi. Maqsad. Oldingi operatsiyalardan keyin kattalarda yuzning o‘rta qismidagi qoldiq va ikkilamchi deformatsiyaning ifodalanish darajasini tizimlashtirish. Materiallar va usullar. Ushbu ilmiy ish bolalikda to‘liq rekonstruktiv operatsiya o‘tkazgan bir tomonlama lab yorig‘i bo‘lgan 42 nafar katta yoshli bemorni tekshirish natijalariga asoslangan. Burun, yuqori lab va og‘iz dahlizining qoldiq va ikkilamchi deformatsiyalari 25-40 yoshdagi kattalarda baholandi. Bu sohalardagi tipik qoldiq deformatsiya aniqlanib, uch guruhga bo‘lindi va unga qiymat berildi. Olingan natijalar. Bir tomonlama lab yorig‘i bo‘lgan bemorlarning 91% ida yuzning o‘rta qismi deformatsiyasi kuzatilganini aniqladik; bu bemorlarning 15% ida operatsiyaga mutlaq ko‘rsatma bo‘lgan ifodalangan deformatsiya kuzatildi. Xulosa. Yuzning o‘rta qismining qoldiq va ikkilamchi deformatsiyalari uzoq davrda Miro-Limberg-Obuyxov usuli bo‘yicha operatsiya qilingan bemorlarning 91% ida (80,6-96,7%) tashxislangan. Bunda bu deformatsiyalarning 15% i operatsiyaga mutlaq ko‘rsatmaga ega edi. Bir tomonlama lab yorig‘i bo‘lgan bemorlarda yuzning o‘rta qismi qoldiq va ikkilamchi deformatsiyalarini baholash tizimida qo‘llaniladigan uchta raqam burun, lab yoki og‘iz dahlizining bir yoki bir nechta deformatsiyasi ifodalanganligini xolisona va tez aniqlash imkonini beradi.

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