[Delayed results of osteoplasty of the mandible].
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Biomedical subjects
Publications and source records attributed to B L Pavlov.
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Analysis of late results of treatment of carcinoma of the lower lip in 106 patients followed up for 4-5 years has confirmed that these results are worse if a patient consults a doctor late and if the process is disseminated. Our data evidence that late results do not depend on the method used to manage the primary focus on the lip, though radiotherapy may be considered as the optimal treatment modality. Histologic study of operation material after preventive surgery has not revealed metastases to regional lymph nodes, therefore if the lymph nodes are clinically intact, a dynamic follow-up is recommended after the primary focus is cured.
An original method for the diagnosis of and monitoring the course of the mandibular fracture healing is suggested, making use of a graded indirect load of the chin. Clear-cut quantitative objective regularities in the time course of the pain sensitivity threshold values during the load have been detected, depending on the fragment localization, dislocation, and methods for fragment fixation. The knowledge of these regularities helps assess the efficacy of treatment, the quality of the fragments fixation, and the scope of rehabilitation measures for patients with mandibular fractures.
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