ALGOTITHM OF CHILDREN`S REHABILITATION WITH CLEFT LIP AND PALATE IN THE REGION WITH ECOTOXICANTS
Abstract and keywords
Abstract (English):
Subject: development of an algorithm for the rehabilitation of children with congenital cleft lip and palate in a region with petrochemical ecotoxicants. Objectives: optimization of the algorithm for the rehabilitation of children with congenital cleft lip and palate in the region with ecotoxicants. Methods. A retrospective analysis of the medical records of children with a diagnosis of congenital cleft lip and palate was conducted on the basis of the Republican Children's Clinical Hospital in Ufa in the department of maxillofacial surgery. In the period from January 1, 1985 on December 31, 2018 were surveyed 3463 children with congenital cleft lip and palate. Results. Children born and living in the region with the petrochemical industry have a high percentage of concomitant somatic diseases and deviations from the norm in blood tests. An algorithm was developed for the rehabilitation of children with congenital cleft lip and palate in the region with petrochemical ecotoxicants, optimized by including a toxicologist, anesthesiologist, immunologist, otorhinolaryngologist, gastroenterologist, and endocrinologist in the algorithm of consultation and treatment. The algorithm is aimed at improving the health of the child by increasing the effectiveness of prevention and treatment of somatic diseases in the preoperative period. Conclusions. The proposed algorithm for the rehabilitation of children with congenital cleft lip and palate has been developed taking into account the adverse effects on the body of emissions into the air of large petrochemical enterprises. Children with congenital cleft lip and palate, born and living in a region with petrochemical ecotoxicants, have a high percentage of somatic diseases and contraindications to surgical treatment according to accepted terms due to the presence of comorbidities and disorders in blood tests, and need additional treatment from a toxicologist, anesthesiologist and other specialists.

Keywords:
congenital cleft lip and palate, ecotoxicants, rehabilitation algorithm, prevention of somatic diseases, ecology, associated diseases
References

1. Bimbas, E. S., Blokhina, S. I., Menshikova, E. V., Ershova, O. Yu. (2018). Primeneniye sovremennykh ortodonticheskikh i khirurgicheskikh tekhnologiy v kompleksnoy reabilitatsii detey s vrozhdennoy rasshchelinoy verkhney guby, al'veolyarnogo otrostka i noba [The use of modern orthodontic and surgical technologies in the complex rehabilitation of children with congenital cleft lip, alveolar bone and palate]. Problemy stomatologii [Problems of dentistry], 14, 4, 71-76. (In Russ.)

2. Bogoroditskaya, A. V., Sarafanova, M. E., Radzig, E. Yu., Prityko, A. G. (2015). Taktika vedeniya detey s vrozhdennoy rasshchelinoy verkhney guby i noba: mezhdistsiplinarnaya problema [Tactics of conducting children with congenital cleft lip and palate: an interdisciplinary problem]. Pediatriya. Zhurnal im. G. N. Speranskogo [Pediatrics. Journal them. G.N. Speransky], 94, 3, 78-81. (In Russ.)

3. Vissarionov, V. A., Mustafayev, M. Sh. (2012). Kompleksnyy podkhod k organizatsii mediko-geneticheskoy pomoshchi detyam s vrozhdennymi rasshchelinami litsa v sovremennykh usloviyakh [An integrated approach to the organization of medical and genetic care for children with congenital facial clefts in modern conditions]. Vrozhdennaya i nasledstvennaya patologiya golovy, litsa i shei u detey: aktual'nyye voprosy kompleksnogo lecheniya : materialy mezhdunarodnoy konf [Congenital and hereditary pathology of the head, face and neck in children: Current issues of complex treatment : materials of the international conference], Moscow : MSMSU, 60-63. (In Russ.)

4. Gonchakova, S. G., Gonchakov, G. V. (2016). Preyemstvennost' etapov khirurgicheskogo lecheniya detey s vrozhdonnymi dvustoronnimi rasshchelinami verkhney guby [Continuity of the stages of surgical treatment of children with congenital bilateral clefts of the upper lip]. Vrozhdonnaya i nasledstvennaya patologiya golovy, litsa i shei u detey : aktual'nyye voprosy kompleksnogo lecheniya : materialy V Vserossiyskoy nauchno - prakticheskoy konferentsii [Congenital and hereditary pathology of the head, face and neck in children: current issues of complex treatment : proceedings of the V All-Russian Scientific Practical Conference], Moscow, 64-70. (In Russ.)

5. Grichanyuk, D. A., Chuikin, S. V., Davletshin, N. A., Makusheva, N. V. (2018). Khirurgicheskoye lecheniye vrozhdennoy rasshcheliny verkhney guby u detey [Surgical treatment of congenital cleft lip in children]. Problemy stomatologii [Problems of dentistry], 14, 1, 99-105. (In Russ.)

6. Ershova, O. Yu., Leonov, A. G., Tkachenko, A. E., Dolgopolova, G. V. (2015). Kompleksnyy podkhod k reabilitatsii detey s vrozhdennoy rasshchelinoy verkhney guby i neba v usloviyakh spetsializirovannogo tsentra [An integrated approach to the rehabilitation of children with congenital cleft lip and palate in a specialized center]. Sistemnaya integratsiya v zdravookhranenii [System integration in healthcare], 1 (25), 26-35. (In Russ.)

7. Mamedov, A. A. (2016). Mezhdistsiplinarnyy podkhod v lechenii detey s rasshchelinoy, a guby i neba v sovremennykh usloviyakh razvitiya zdravookhraneniya Rossii [An interdisciplinary approach to the treatment of children with cleft, and lips and palate in modern conditions of development of health care in Russia]. Vrozhdennaya i nasledstvennaya patologiya golovy, litsa i shei u detey: aktual'nyye voprosy kompleksnogo lecheniya : materialy V Vserossiyskoy nauchno-prakticheskoy konferentsii. 24-25 noyabrya [Proceedings of the V All-Russian Scientific and Practical Conference Congenital and hereditary pathology of the head, face and neck in children : current issues of complex treatment. November 24-25], Moscow, 185-192. (In Russ.)

8. Mardanov, A. E., Mamedov, A. A., Ragimov, A. A., Dashkova, N. G., Matveev, A. V. (2017). Obosnovaniye khirurgicheskogo vmeshatel'stva u detey s rasshchelinoy guby i neba v periode novorozhdennosti [Justification of surgery in children with cleft lip and palate in the neonatal period]. Stomatologiya dlya vsekh [Dentistry for all], 4, 42-47. (In Russ.)

9. Mitropanova, M. N. (2018). Kompleksnaya reabilitatsiya detey s vrozhdennymi rasshchelinami guby i neba na etapakh stomatologicheskogo lecheniya [Comprehensive rehabilitation of children with congenital cleft lip and palate during the stages of dental treatment]. Stomatologiya [Dentistry], 97, 3, 48-53. (In Russ.)

10. Ostanin, A. V. (2006). Sovremennyy protokol lecheniya detey s vrozhdennoy rasshchelinoy verkhney guby i neba v usloviyakh dispansernogo nablyudeniya na primere Vladimirskoy oblasti [Modern protocol for the treatment of children with congenital cleft of the upper lip and palate under dispensary observation on the example of the Vladimir region]. Vrozhdennaya i nasledstvennaya patologiya golovy, litsa i shei u detey : aktual. vopr. kompleksnogo lecheniya [Congenital and hereditary pathology of the head, face and neck in children : relevant : vopr. comprehensive treatment], Moscow, 136-137.

11. Supiev, T. K., Mamedov, A. A., Negametzyanov, N. G. (2013). Vrozhdennaya rasshchelina verkhney guby i neba [Congenital cleft of the upper lip and palate]. Almaty : KazNMU, 496. (In Russ.)

12. Topolnitsky, O. Z., Chuikin, O. S. (2015). Reabilitatsiya detey s vrozhdonnoy rasshchelinoy verkhney guby i noba v respublike Bashkortostan [Rehabilitation of children with congenital cleft lip and palate in the Republic of Bashkortostan]. Sovremennyye problemy nauki i obrazovaniy [Modern problems of science and education], 4, 360. (In Russ.)

13. Topolnitsky, O. Z., Fedotov, R. N., Tutueva, T. A., Yakovlev, S. V. (2016). Trudnosti i oslozhneniya ortognaticheskogo khirurgicheskogo lecheniya u patsiyentov s vrozhdonnoy rasshchelinoy verkhney guby, al'veolyarnogo otrostka i noba i ikh profilaktika [The difficulties and complications of orthognathic surgical treatment in patients with congenital cleft lip, alveolar bone and palate and their prevention]. Vrozhdonnaya i nasledstvennaya patologiya golovy, litsa i shei u detey: aktual'nyye voprosy kompleksnogo lecheniya : materialy V Vserossiyskoy nauchno - prakticheskoy konferentsii [Congenital and hereditary pathology of the head, face and neck in children: current issues of complex treatment : proceedings of the V All-Russian Scientific Practical Conference], Moscow, 248-252. (In Russ.)

14. Fomenko, I. V., Kasatkina, A. L., Filimonova, E. V., Kraevskaya, N. S., Shishkina, V. I. (2016). Tridtsatipyatiletniy opyt raboty tsentra dispanserizatsii detey s vrozhdennoy patologiyey litsa v volgogradskom regione [Thirty-five years experience of the center of clinical examination of children with congenital facial pathology in the Volgograd region]. Vrozhdonnaya i nasledstvennaya patologiya golovy, litsa i shei u detey: aktual'nyye voprosy kompleksnogo lecheniya : materialy V Vserossiyskoy nauchno - prakticheskoy konferentsii [Congenital and hereditary pathology of the head, face and neck in children: current issues of complex treatment : proceedings of the V All-Russian Scientific Practical Conference], Moscow, 317-320. (In Russ.)

15. Chuikin, S. V., Persin, L. S., Davletshin, N. A. (2008). Vrozhdennaya rasshchelina verkhney guby i neba [Congenital cleft of the upper lip and palate]. Moscow : Medical news agency, 362. (In Russ.)

16. Chuikin, S. V., Topolnitsky, O. Z., Persin, L. S. (2012). Vrozhdennaya rasshchelina guby i neba [Congenital cleft lip and palate. Monograph]. LAP LAMBERT Academic Publishing, 584. (In Russ.)

17. Chuikin, S. V., Bilak, A. G., Davletshin, N. A., Dzhumartov, N. N. (2014). Kliniko-anatomicheskiye formy vrozhdonnoy rasshcheliny verkhney guby i neba [Clinical and anatomical forms of congenital cleft of the upper lip and palate]. Ural'skiy meditsinskiy zhurnal [Ural Medical Journal], 5 (119), 85-87. (In Russ.)

18. Chuikin, S. V., Bilak, A. G., Davletshin, N. A., Chuykin, O. S., Dzhumartov, N. N. (2015). Rasprostranennost', klinikoanatomicheskiye formy vrozhdennoy rasshcheliny verkhney guby, neba i soputstvuyushchiye zabolevaniya u detey s dannoy patologiyey [Prevalence, clinical and anatomical forms of congenital cleft of the upper lip, palate and associated diseases in children with this pathology]. Stomatologiya detskogo vozrasta i profilaktika [Pediatric dentistry and prevention], 14, 3 (54), 17-21. (In Russ.)

19. Chuikin, O. S., Topolnitsky, O. Z. (2015). Etiologiya, patogenez, klinika, reabilitatsiya detey s vrozhdennoy rasshchelinoy verkhney guby, neba v regione s neftekhimicheskoy promyshlennost'yu [Etiology, pathogenesis, clinic, rehabilitation of children with congenital cleft lip, palate in the region with the petrochemical industry]. Uspekhi sovremennogo yestestvoznaniya [Successes of modern science], 6, 70-76. (In Russ.)

20. Chuikin, S. V., Topolnitsky, O. Z. (2017). Lecheniye vrozhdennoy rasshcheliny guby i neba [Treatment of congenital cleft lip and palate]. Moscow : Moscow Publishing House, 585. (In Russ.)

21. Chuikin, S. V., Chuikin, O. S., Kuchuk, K. N., Dzhumartov, N. N., Grin, E. A. (2019). Algoritm reabilitatsii detey s vrozhdennoy rasshchelinoy verkhney guby i neba v regione s ekotoksikantami [Algorithm for the rehabilitation of children with congenital cleft lip and palate in the region with ecotoxicants]. Sbornik tezisov VII Mezhdistsiplinarnogo kongressa po zabolevaniyam organov golovy i shei s mezhdunarodnym uchastiyem. Moskva, 30-31 maya, 1 iyunya [Proceedings of the VII Interdisciplinary Congress on Diseases of Head and Neck Organs with International Participation Moscow, May 30-31, June 1], 70. (In Russ.)

22. Chuykin, S. V., Davletshin, N. A., Chuykin, O. S., Bilak, A. G., Dzhumartov, N. N. (2015). Epidemiology, congenital cleansing lip and palate in the region from the petrochemical industry. Cleft Palate Journal, 31, 55.

23. Kharkov, L. V., Egorov, R. I. (2016). The potential of the stem cells. Azerbaijan Medical Journal, 4, 147-154.

24. Kummer, A. W.(2014). Cleft palate & Craniofacial anomalies: Effect on Speech and Resonance.

25. Gosudarstvennyy doklad o sostoyanii prirodnykh resursov i okruzhayushchey sredy Respubliki Bashkortostan v 2017 godu [State report on the state of natural resources and the environment of the Republic of Bashkortostan in 2017].


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