PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS

Among acute odontogenic inflammatory diseases, a significant subset comprises purulent processes in soft tissues, including abscesses and phlegmons. Methods. The study encompassed 90 patients (both male and female) diagnosed with maxillofacial phlegmons, aged between 35 and 60 years. These patients...

Full description

Saved in:
Bibliographic Details
Main Authors: K. Lokes, M. Pérez Sayáns, V. Lychman, D. Steblovskyi, I. Boiko, D. Avetikov
Format: Article
Language:English
Published: Poltava State Medical University 2024-04-01
Series:Проблеми екології та медицини
Subjects:
Online Access:https://ecomed-journal.org/index.php/journal/article/view/291
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549721507364864
author K. Lokes
M. Pérez Sayáns
V. Lychman
D. Steblovskyi
I. Boiko
D. Avetikov
author_facet K. Lokes
M. Pérez Sayáns
V. Lychman
D. Steblovskyi
I. Boiko
D. Avetikov
author_sort K. Lokes
collection DOAJ
description Among acute odontogenic inflammatory diseases, a significant subset comprises purulent processes in soft tissues, including abscesses and phlegmons. Methods. The study encompassed 90 patients (both male and female) diagnosed with maxillofacial phlegmons, aged between 35 and 60 years. These patients were divided into three clinical groups, each comprising 30 individuals, further categorized into two subgroups based on circadian rhythms. Analyzing the obtained data, it can be asserted that the most significant changes in markers of lipid peroxidation in patients with superficial phlegmons of maxillofacial localization were experienced in both experimental groups when used against the background of treatment according to standard protocols of intravenous injections of the cryopreserved placenta without and in combination with local injection of the cryopreserved placenta as part of "Levomekol" ointment, in contrast to the control group. It was proved that the markers of lipid peroxidation underwent the most significant changes in both clinical groups compared to the control group, but the largest changes were visualized in the second clinical group. On the 5th day of treatment, SOD activity reliably increases by 15.7% in patients with the morning chronotype and 14.9% - with the evening chronotype. A significant decrease in erythrocyte catalase activity by 51.5% was noted in patients with the evening chronotype and 56.1% - with the morning chronotype. In the control group, significant changes were noted only in the late stages of treatment. The dependence of lipid peroxidation markers on the timing of surgical intervention on the patient's circadian rhythm was established, which is most clearly observed in the 2nd clinical group. Optimal healing of a purulent wound helps to reduce the duration of treatment, accelerate the rehabilitation of patients, and improve the formation of a postoperative scar. Conclusion. Thus, aligning the timing of surgical intervention for maxillofacial phlegmons with the patient's circadian rhythm, particularly when combined with intravenous injections and local application of placenta cryoextract alongside standard treatment, contributes to an optimal modulation of lipid peroxidation markers.
format Article
id doaj-art-70959d4b4af746858012b6bc49c52358
institution Kabale University
issn 2073-4662
2519-2302
language English
publishDate 2024-04-01
publisher Poltava State Medical University
record_format Article
series Проблеми екології та медицини
spelling doaj-art-70959d4b4af746858012b6bc49c523582025-02-03T06:09:48ZengPoltava State Medical UniversityПроблеми екології та медицини2073-46622519-23022024-04-0128151210.31718/mep.2024.28.1.01291PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONSK. Lokes0M. Pérez Sayáns1V. Lychman2D. Steblovskyi3I. Boiko4D. Avetikov5Poltava State Medical University, Poltava, UkraineUniversity of Santiago de Compostela, Santiago de Compostela, SpainPoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkraineAmong acute odontogenic inflammatory diseases, a significant subset comprises purulent processes in soft tissues, including abscesses and phlegmons. Methods. The study encompassed 90 patients (both male and female) diagnosed with maxillofacial phlegmons, aged between 35 and 60 years. These patients were divided into three clinical groups, each comprising 30 individuals, further categorized into two subgroups based on circadian rhythms. Analyzing the obtained data, it can be asserted that the most significant changes in markers of lipid peroxidation in patients with superficial phlegmons of maxillofacial localization were experienced in both experimental groups when used against the background of treatment according to standard protocols of intravenous injections of the cryopreserved placenta without and in combination with local injection of the cryopreserved placenta as part of "Levomekol" ointment, in contrast to the control group. It was proved that the markers of lipid peroxidation underwent the most significant changes in both clinical groups compared to the control group, but the largest changes were visualized in the second clinical group. On the 5th day of treatment, SOD activity reliably increases by 15.7% in patients with the morning chronotype and 14.9% - with the evening chronotype. A significant decrease in erythrocyte catalase activity by 51.5% was noted in patients with the evening chronotype and 56.1% - with the morning chronotype. In the control group, significant changes were noted only in the late stages of treatment. The dependence of lipid peroxidation markers on the timing of surgical intervention on the patient's circadian rhythm was established, which is most clearly observed in the 2nd clinical group. Optimal healing of a purulent wound helps to reduce the duration of treatment, accelerate the rehabilitation of patients, and improve the formation of a postoperative scar. Conclusion. Thus, aligning the timing of surgical intervention for maxillofacial phlegmons with the patient's circadian rhythm, particularly when combined with intravenous injections and local application of placenta cryoextract alongside standard treatment, contributes to an optimal modulation of lipid peroxidation markers.https://ecomed-journal.org/index.php/journal/article/view/291catalasechronotypeinflammatory diseasemaxillofacial phlegmonsuperoxide dismutase
spellingShingle K. Lokes
M. Pérez Sayáns
V. Lychman
D. Steblovskyi
I. Boiko
D. Avetikov
PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS
Проблеми екології та медицини
catalase
chronotype
inflammatory disease
maxillofacial phlegmon
superoxide dismutase
title PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS
title_full PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS
title_fullStr PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS
title_full_unstemmed PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS
title_short PATIENTS' CHRONOTYPE INFLUENCE IN TREATMENT EFFICIENCY OF PLACENTA CRYERXTRACT CHANGES IN MAXILLOFACIAL PHLEGMONS
title_sort patients chronotype influence in treatment efficiency of placenta cryerxtract changes in maxillofacial phlegmons
topic catalase
chronotype
inflammatory disease
maxillofacial phlegmon
superoxide dismutase
url https://ecomed-journal.org/index.php/journal/article/view/291
work_keys_str_mv AT klokes patientschronotypeinfluenceintreatmentefficiencyofplacentacryerxtractchangesinmaxillofacialphlegmons
AT mperezsayans patientschronotypeinfluenceintreatmentefficiencyofplacentacryerxtractchangesinmaxillofacialphlegmons
AT vlychman patientschronotypeinfluenceintreatmentefficiencyofplacentacryerxtractchangesinmaxillofacialphlegmons
AT dsteblovskyi patientschronotypeinfluenceintreatmentefficiencyofplacentacryerxtractchangesinmaxillofacialphlegmons
AT iboiko patientschronotypeinfluenceintreatmentefficiencyofplacentacryerxtractchangesinmaxillofacialphlegmons
AT davetikov patientschronotypeinfluenceintreatmentefficiencyofplacentacryerxtractchangesinmaxillofacialphlegmons