Prognosis of complications by infrared thermography in treatment of children with facial bites


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Abstract

Background. The treatment of facial wounds after dog bites in children is a problem of surgery. Reconstructive and plastic
operations in damaged tissues are associated with high risk of complications. The prognosis of reparative process in area
of operation in postoperative period is discussed question. Infrared thermography is known as a way of monitoring after
surgical procedure but importance of this method for prognosis of complications in urgent facial surgery in children at present
is not estimated. Methods. In 2010-2011 in the Department of Maxillofacial Surgery (Nizhny Novgorod Regional Children
Hospital) the prospective controlled study of treatment facial bites in children is carried out (n = 33). By all patients we have
undertaken standard surgical procedures to complete correction of facial injuries. In first group were included all patients
with a smooth postoperative period (n = 22), in two group - those who developed complications (n = 11). In postoperative
period we have used the infrared thermography (CEM ThermoDiagnostics) and compared data by Kolmogorov-Smirnov.
When thermographic differences were no more than 1,5° C, a smooth postoperative period was observed. When the
temperature was higher in zone of operations more than 1,5° in comparison to contrlateral area, we have noted inflammatory
complications. In cases with the local temperature low than 1,5° in comparison to intact zone were observed necrosis of skin
flap. Distinction of thermographic results between analyzed groups was significant: p=0,0000001, Z=0,35249, D=0,95455
(Kolmogorov-Smirnov). Reliable correlation between thermographic changes and complications development was found:
r=0,816, p=0,0000001 (Spearmen). Local hypothermia more than 1,5° C was associated with formation of skin flap necrosis.
Increased local temperature more than 1,5° C was associated with the development of inflammatory complications. The use
of thermography can predict possible variants of postoperative period

About the authors

Нижегородская государственная медицинская академия Нижегородская областная детская клиническая больница

Author for correspondence.
Email: author@vestnik-surgery.com

врач–дет-ский челюстно-лицевой хирург, Нижегородская
областная детская клиническая больница; e-mail:
pv1610@mail.ru

Нижегородская государственная медицинская академия Нижегородская областная детская клиническая больница

Email: author@vestnik-surgery.com

д.м.н., проф.
кафедры госпитальной хирургии им. Б.А.Королева
Нижегородской государственной медицинской ака-демии; e-mail: pv1610@mail.ru

Нижегородская государственная медицинская академия Нижегородская областная детская клиническая больница

Email: author@vestnik-surgery.com

д.м.н., проф. кафе-дры нормальной физиологии им. Н.Ю.Беленкова;
e-mail: pv1610@mail.ru

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