December 27, 2017
J Diagn Treat Oral Maxillofac Pathol 2017;1:168−74.
Under a Creative Commons license
Komskyi MP, Romanenko OH, Buzoveria OA, Makohon MV. The integral indicator of the evaluation of the general state severity in patients with inflammatory processes of the mandibular bone according to the data of peripheral clinical blood analysis. J Diagn Treat Oral Maxillofac Pathol 2017;1(3−4):168−174.
Purpose: To study the possibility of using a clinical blood analysis for the mathematical determination of the severity level in patients with inflammatory processes in the maxillofacial area.
Materials and Methods: Under our supervision were 150 patients with acute (50), subacute (50) and chronic (50) inflammatory processes in the lower jaw area. 170 blood tests were analyzed for 11 signs: Blood sedimentation rate, white blood cells (cytosis and leukopenia), myelocyte, juvenile, stub, segmented neutrophil, eosinophile, lymphocyte, monocytes, plasma cell, which are conditionally divided according to the degree of severity from 0 to 3 points in the form of a table.
Results and Discussion: From the archive were selected 300 case histories of patients hospitalized in the clinic for acute, subacute and chronic stages of odontogenic and traumatic osteomyelitis of the mandible (50 patients for each nosology). Laboratory analyses of peripheral blood were taken from the patient upon admission to the department. 300 blood analyses were analyzed in accordance with the scale of patients developed by us in assessing the severity of the patient’s condition with the inflammatory processes of the maxillofacial area by peripheral blood analysis. As a result, sum of points were obtained that corresponded to three degrees of severity in patients with odontogenic and traumatic osteomyelitis of the mandibular bone: mild stage from 1 tо 7; medium stage from 8 to 15 and severe stage from 16 to 27 points.
Conclusion: The proposed methodology for the integral calculation of the evaluation of the degree of severity of general status in terms of indicators of peripheral blood in patients with inflammatory processes of the maxillofacial area allows for early diagnosis of the severity of the pyoinflammatory process of the maxillofacial area.