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A Lower Lip Infection (Furuncle) Complicated by Abscess of the Lip, Suppurative Cheilitis Glandularis, Lip Necrosis, Septic Bilateral Multilobar Necrotizing (Destructive) Pneumonia, and Pleurisy (Pleuritis): A Case Report and Literature Review
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-09-30) Morkotun, Vasyl; Tymofieiev, Oleksii; Fesenko, Ievgen; Chaikovskyi, Ihor; Kuzmenko, Fedir
Infection of the lower lip can manifest differently. The likelihood of such prompt life-threatening septic complications, as thrombophlebitis, pneumonia, pleurisy, etc, may be underestimated due to the small size of the local inflammation of the lip. We present a 21-year-old Caucasian female with a Staphylococcus epidermidis infection of the lower lip (furuncle) complicated by lip abscess, suppurative cheilitis glandularis, lip necrosis, septic bilateral multilobar necrotizing (destructive) pneumonia, pleurisy (pleuritis), and pulmonary insufficiency of the first degree (type I). Clinical photos of the report demonstrate all stages of the course of inflammation and treatment of the severe lower lip infection from the moment of admission. Preoperative condition, the period of formation and demarcation of necrosis, cleaning of the wound from purulent content, demonstration of fibrinous exudate (also known as fibrinous plaques), the appearance of granulations, and visualization of lip scars as of the day of discharge from the hospital (day 26) are presented. The article also includes a chest X-ray at the time of admission, on the second day, and on the seventh day of hospital stay. The report is enriched as well by three-dimensional multi-slice computed tomography (3D MSCT) images on the eighth, eighteenth, and fortieth days from the moment of admission to our hospital. 3D MSCT of the lungs is showing the areas of pulmonary tissue necrosis and the healing phase. The article contains two videos (cine images) with a duration of 21 seconds and 2 minutes 11 seconds, which demonstrate chest MSCT on the hospital day 8 and 18. The patient was discharged on the 27th day of admission. According to our English-language literature search, it's a first ever reported case of the lower lip furuncle which led such a unique combination of severe local and septic complications documented at all stages of treatment from both aspects clinical and radiological. An update of the classification of uncomplicated and complicated forms of development of furuncles (i.e., boils) and carbuncles is done and presented. More than 37 literary sources were analyzed, and their key aspects complemented our report. Articles with necrotizing fasciitis of the lips were also analyzed. Інфекція нижньої губи може проявлятися по-різному. Вірогідність виникнення таких швидко загрозливих для життя септичних ускладнень, як тромбофлебіт, пневмонія, плеврит тощо, може бути недооцінена через невеликі розміри локального запалення губи. Представляємо вашій увазі 21-річну жінку європеоїдної раси з інфекцією нижньої губи (фурункул), спричиненою епідермальним стафілококом (Staphylococcus epidermidis), ускладненою абсцесом губи, гнійним гландулярним хейлітом, некрозом губи, септичною двобічною полісегментарною некротичною (деструктивною) пневмонією, плевритом і легеневою недостатністю I ступеня. Клінічні фотографії звіту демонструють усі етапи перебігу запалення та лікування важкої інфекції нижньої губи з моменту надходження пацієнтки. Представлено передопераційний стан, період утворення і відмежування некрозу, очищення рани від гнійного вмісту, виявлення нальоту фібрину, появу грануляцій, вигляд рубців на губі на день виписки зі стаціонару (26-й день). У статтю включено також рентгенографію органів грудної клітки під час госпіталізації, на другу добу та на сьому добу перебування в лікарні. Також звіт доповнено зображеннями тривимірної мультиспіральної комп’ютерної томографії (3D МСКТ) на восьму, вісімнадцяту та сорокову добу з моменту надходження до нашої лікарні. 3D МСКТ легенів показує ділянки некрозу легеневої тканини та фазу загоєння. У статті подано два відеоматеріали (кінокадри) тривалістю 21 секунда та 2 хвилини 11 секунд, які демонструють МСКТ грудної клітки на 8 та 18 день стаціонару. Пацієнтка виписана на 27 день госпіталізації. Згідно з нашим пошуком англомовної літератури, це перший в історії випадок фурункула нижньої губи, який спричинив таке унікальне поєднання важких місцевих і септичних ускладнень і які були задокументовані на всіх етапах лікування з обох аспектів, клінічного та радіологічного. Зроблено та подано оновлення класифікації неускладнених та ускладнених форм розвитку фурункулів (тобто фурункулів) і карбункулів. Було проаналізовано більш ніж 37 літературних джерел, основні аспекти яких доповнили наш звіт. Статті з некротизуючим фасціїтом губ також проаналізовані.
A Rare Odontogenic Subperiosteal Abscess That Involved Entire Lateral Aspect of the Mandibular Body and Medial Aspect to the Level of Mylohyoid Ridge: Ultrasound Examination
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-02-28) Cherniak, Olha; Fesenko, Ievgen
Management of odontogenic subperiosteal abscess (SPA) is one of routine procedures at daily oral surgery and dental practice. Typically, SPA is manifested as a one-side-of-the-jaw collection of purulent material between bony surface and periosteum. In contrast to the data published in numerous literary sources, we present a case reported for the first time in the English-language literature. A 42-year-old male patient with odontogenic SPA that involved two surfaces (aspects) of the mandibular body—lateral and medial aspect to the level of mylohyoid ridge—and inferior margin of the mandible is highlighted. Also, this article is designed to educate oral and maxillofacial surgeons on ultrasonographic possibilities for diagnostics of perimandibular subperiosteal infection highlighting an extremely rare case in the field.
Bridging the Gap: A New Publication Dedicated to Languages and Human Communication Has Been Launched
(Linguistic Cues to Social Meaning, 2021-10-18) Fesenko, Ievgen
Certification of Ukrainian Doctors of All Eight Stomatological Specialties: Analysis of Certification Sheet, Personal Educational Portfolio with Continuing Professional Development Results, and Certificate
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2024-07-31) Fesenko, Ievgen; Hermanchuk, Serhii; Maksymcha, Serhii; Ukharska, Oksana; Nozhenko, Oleksandr
Certification of doctors-stomatologists (i.e., dentists) in Ukraine is a procedure that is not sufficiently covered in English-language articles. Understanding Ukrainian legislation in matters of сertification is extremely important both for foreign colleagues and for stomatologists in Ukraine. The purpose of this paper is to present the original and translation of three main documents of the Procedure for Certification of Doctors of the Order of the Ministry of Healthcare of Ukraine dated February 22, 2019, No. 446 (as amended by the Order of the Ministry of Healthcare of Ukraine dated August 18, 2021, No. 1753). Namely, certification sheet, personal educational portfolio with continuing professional development (CPD) results, and certificate. Each of the documents is detailed. Document templates can be found in Appendices 1, 2, and 3 to the Order of the Ministry of Health of Ukraine No. 446, freely available on the official website of the Verkhovna Rada of Ukraine. Personal educational portfolio deserves special attention, in which the doctor who is undergoing certification must chronologically indicate the CPD activities for the past year, the place of their implementation, the duration or/and bibliographic reference and the number of accrued CPD points. Also, this document requires to indicate the number of medical services provided by doctor during the reporting period (except for the specialties specified in Appendix 5 to the Procedure for the Certification of Doctors and the specialty “Organization and Management of Health Care”). Another purpose of this article is to provide samples of certificates on the assignment and confirmation of qualification categories to doctors-stomatologists-surgeons. The presented certificates were issued by certification commissions at various health care bodies of Ukraine, namely, at (1) the Department of Healthcare of the Kyiv Regional State Administration and (2) the Ministry of Healthcare of Ukraine. All three certificates were issued in 2021.
Continuing Professional Development (CPD) for Ukrainian Stomatologists (Dentists) and Maxillofacial Surgeons: Criteria for Awarding CPD Points as of 2024
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2024-05-31) Fesenko, Ievgen; Marchenko, Natalia; Irkha, Serhii
Continuing professional development (CPD) of Ukrainian doctors-stomatologists (dentists) and maxillofacial surgeons is a continuous process of learning and improving the professional competencies of stomatologists and maxillofacial surgeons, which enables them to maintain or increase the level of professional activity in accordance with the needs of the health care sector. CPD can be both voluntary and mandatory, depending on the dental legislation of each European country. The purpose of this paper is to highlight the key legislation aspects of CPD related with criteria for awarding CPD points to the Ukrainian doctors of all eight stomatological specialties. The number of required CPD points and criteria for awarding CPD points are regulated by (1) Order of the Ministry of Healthcare of Ukraine of February 22, 2019, No. 446 “Some Issues of CPD of Doctors” and by (2) the Resolution of the Cabinet of Ministers of Ukraine of July 14, 2021, No. 725 “On Approval of the Regulation on the System of CPD of Healthcare Workers”. In 2024, at least 100 CPD points obtained in 2020, 2021 and at least 50 CPD points obtained in 2022, 2023 must be submitted by stomatologist for certification. In 2025 and subsequent years, at least 50 CPD points for each previous year must be submitted for certification. All 10 types of professional activities from the criteria for awarding CPD points are described. CPD points are awarded for obtaining formal, informal (type 1) and informal (type 2) education in the field of healthcare. The biggest number of points (namely, 100 CPD points) can be awarded to a stomatologist for obtaining educational and scientific levels of higher education in the field of knowledge “Health Care” (Doctor of Philosophy and Doctor of Science). The smallest number of points, namely three CPD points, can be obtained for a professional medical internship in Ukraine outside the institution where the employee works. Modern Ukrainian legislation provides ample opportunities for doctors-stomatologists and maxillofacial surgeons for their CPD and certification. The criteria for awarding CPD points from Order No. 446 contain a complete list of educational opportunities in Ukraine and in other countries. This article has the potential to become a guide to Ukrainian CPD legislation both for dental specialists from other countries and Ukraine.
Management of the Bone Deformity Caused by Congenital Cyst of the Periorbital Area: Analysis of the Surgical Technique and a Short-term Outcome
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-03-31) Tymofieiev, Oleksii; Fesenko, Ievgen; Cherniak, Olha; Zaritska, Valentyna; Snisarevskyi, Pavlo; Shelest, Oksana
The congenital periorbital cysts like dermoids/epidermoids, in rare cases, can require not only its’ excision but also correction/camouflage of the caused bone deformity. This management can require virtual surgical planning, osteotomy, and placement of the custom-made patient implant. In this report, the ultrasonography (USG) was proved as a highly effective imaging for the presurgical verification of the mass’s structure and establishment of the clinical diagnosis. The multi-slice computed tomography (MSCT), even on a two-slice MSCT machine, provided high-quality three-dimensional reconstruction of the area of bone deformation caused by the cyst and allowed for accurate surgical planning. A 20-year-old male patient with a congenital periorbital epidermoid cyst that led to the deformation of the lateral orbital rim was treated using the soft tissue volume-increasing technique for the correction of bone deformation following cyst removal. Analysis of the terminological diversity related with dermoid/epidermoid cysts is presented. Early diagnostics and management of congenital periorbital cysts can decrease the visual, orbital, and esthetic complications, as well as the need to perform bone reconstructive surgeries or other corrective surgical procedures.
“No Abstract Available.” Maybe It’s a Time to Integrate Abstracts into Editorials?
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-05-31) Tymofieiev, Oleksii; Fesenko, Ievgen
Abstract of the peer-reviewed article is a short description of its main sections and simultaneously with the title is the most visible part of the paper. Articles of such types as case reports, case series, original research, review, essays, and many other types have their own abstract. Many, except of editorials. Considering the fact that as of 2023, the science unfortunately has been replaced by the pursuit of citations, the insufficient number of citations of editorial articles may be caused by the lack of an open abstract in them. We oppose discrimination of editorials. Editorial articles are permanently evolving and the number of editorials in which the number of pages reaches 9 is increasing. And an article with so many pages should have its own abstract. We demand that editorials be given the right to have their abstracts. The problem of the absence of an abstract in editorials is like a coin—it has two sides. On the one side, scientist, or editor of other journal, especially in the case of closed (i.e., paid) editorial, may not understand from the editorial title alone the details of what the article is about and whether this article can be useful in their research, practice, or editorial office work. On the other side, the article lacks visitors and, as a result, its authors do not receive dividends in the form of citations. Let’s not forget about the publishers, who in turn receive less revenue in the case of closed editorials, which in turn does not allow reinvesting in technological innovations of journals. In this editorial, we analyze and present the advantages of integrating abstracts into such an important type of article as editorial.
Odontogenic Cutaneous Fistula and Abscess of the Superficial Peri-Zygomatic Area
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2022-10-26) Fesenko, Ievgen
Purulent processes of the zygomatic and peri-zygomatic area are not common. Among etiologies are: otitis media, complication of zygomatic implantation, osteomyelitis, medication-related osteonecrosis of the jaw, drug-related osteonecrosis, and odontogenic infection. This article highlights the first literature reported case of clinical presentation of odontogenic abscess and cutaneous fistula of the superficial peri-zygomatic area from the upper third molar. The preoperative and follow-up photographs of a 76-year-old Caucasian male patient are demonstrated. The uniqueness of this case is that until now the upper third molars never been published as a source of abscesses of the peri-zygomatic area.
Partially Edentulous Arches and Bilateral Mandibular Fracture: Application of Condensation-Silicone Bite Block-Splint, Mandibulo-Maxillary Fixation Screws, and Elastics for Intraoral Immobilization
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2024-03-31) Fesenko, Ievgen; Rybak, Vasyl; Mastakov, Oleg
Each mandibular fracture is unique. It requires individual treatment solutions due to different number of fracture sites, fracture terms, level of dislocation, presence/absence of the infection, number, location, and condition of teeth, etc. Management of jaw fractures in partially edentulous arches are even more complicated and typically can involve assistance of dental technician. Published English literature lacks information about application of condensation silicone (C-silicone) bite block-splint with mandibulo-maxillary fixation (MMF) screws and elastics for management of bilateral mandibular fracture. This is why we present this novel technique developed by our team based on fracture treatment in a 38-year-old male partially edentulous patient. Also, we introduce a Kyiv’s Modification of the Kennedy Classification System of the partially edentulous arches useful for mandible fracture cases. The Kennedy–Kyiv Classification System considers the non-treated teeth roots as supporting locking points (temporary additional retention points) that increase the stability of the bite block-splint and decrease probability of micromovements. Moreover, it contraindicates extracting such teeth roots immediately before the block-splint fixation as extraction of such roots can provoke the alveolar osteitis upon the fracture site(s) healing and immobilization period what will increase the risk of the block removal for the treatment of osteitis. A review of published MMF techniques and appliances designed for mandible fracture treatment is performed. Multiple appliances for partially and totally edentulous mandibles are considered as well as for the dentulous jaws. The Gunning-type splints and its modifications were considered. An in-chair fabrication of C-silicone bite block-splint and its combined application with MMF screws and elastics is a novel alternative for the Gunning splint. This appliance allows to decrease the time typically required for the Gunning splints fabrication, decreases number of the involved specialists, decreases cost of treatment, and easy for performance.
Penetrating Trauma and Facial Fractures: Topics that Cannot Be Ignored During Wartime, A New Section Editor
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-10-31) Fesenko, Ievgen
The development of a peer-reviewed journals in the profile of oral and maxillofacial surgery is impossible without the leadership of professionals in each of the sections. One such section is the trauma section. In the conditions of a large-scale war on the European continent and numerous military conflicts of varying intensity in many parts of the globe, the experience of surgeons in the treatment of combat, explosive and gunshot injuries is one of the most relevant areas of head and neck surgery. Among the many types of injuries of the maxillofacial area, fractures of the mandible remain one of the most numerous conditions. In this paper, we will present to your attention a new section and its founding editor, namely Professor Coulthard.
Procedure for Certification of Stomatologists (Dentists) and Maxillofacial Surgeons in Ukraine as of 2024: Analysis of General Provisions and Provisions on Certification Commissions
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2024-06-30) Fesenko, Ievgen; Patalakha, Olena; Zhdanova, Tetiana
Each country has different legislative features of continuing professional development (CPD) of doctors and corresponding state сertification. The purpose of this paper is to highlight and to make the quick analysis of two aspects of the Procedure for Certification of Stomatologists and Maxillofacial Surgeons of the Order of the Ministry of Healthcare of Ukraine dated February 22, 2019, No. 446 (as amended by the Order of the Ministry of Healthcare of Ukraine dated August 18, 2021, No. 1753). First aspect is General Provisions of the Procedure for Certification of Doctors and second ascpect is Provision on Certification Commissions. The General Provisions include seven clauses, and the Provisions on Certification Commissions include 11 detailed clauses. Clauses of the General Provisions include such topics as (1) the mechanism for the сertification of doctors, (2) tasks of conducting certification, (3) terminology, (4) types of certifications, (5) the List of medical positions in health care institutions, according to which certification is carried out, (6) the main place of work and part-time work during the certification, and (7) deadlines for submitting documents for the next voluntary certification. Clauses of the Provisions on Certification Commissions include information about (1) state bodies under which certification commissions are created, (2) the procedure for approving the personal composition of the certification commission, (3) composition of the Central Certification Commission, (4) composition of the certification commissions and its subcommittees, (5) the periodicity of renewal is not less than 1/3 of the composition of certification commissions, (6) quantitative composition of certification commissions at their meetings, (7) frequency of meetings of certification commissions, (8) the decision-making mechanism of commissions, (9) functions of the Central Certification Commission, (10) list of doctors certified by the Central Certification Commission, and (11) places of certification of doctors working in health care institutions that are part of the management of central executive bodies, other bodies where relevant certification commissions have been established. This certification procedure in Ukraine applies to doctors of all eight stomatological (dental) specialties, namely (1) doctors-stomatologists, (2) pediatric-doctors-stomatologists, (3) doctors-stomatologists-orthodontists, (4) doctors-stomatologists-prosthodontists, (5) doctors-stomatologists-periodontists, (6) doctors-stomatologists-therapists, (7) doctors-stomatologists-surgeons, and (8) maxillofacial surgeons (also known as maxillofacial doctors-stomatologists). Certificate of assignment of a higher qualification category to a doctor-stomatologist-surgeon in the specialty “Surgical Stomatology” (also known as “Oral Surgery”) has been added to the article for clarity. This article provides a detailed analysis of the translation of the General Provisions and the Provisions on Certification Commissions as two basic parts of the Procedure for the certification of doctors in Ukraine.
Suppurative mastoid lymphadenitis mimicking mastoiditis: a case report
(Journal of the Korean Association of Oral and Maxillofacial Surgeons, 2021-10-31) Tymofieiev, Oleksii; Ushko, Natalia; Fesenko, Ievgen; Tymofieiev, Olexander; Yarifa, Maria; Cherniak, Olha
Mastoid lymph node inflammation is a rare entity. Pathological conditions in the vicinity of the mastoid processes can be challenging for maxillofacial head-neck surgeons to address. We report a case of suppurative mastoid lymphadenitis in an 18-year-old Caucasian male. To our knowledge, there are no publications that highlight the clinical, ultrasonographic, intra-, and postoperative data for any pathologic process that presented as mastoiditis.
The Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology and History of State Registration of the Peer-Reviewed Journals in Modern Ukraine
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-12-31) Fesenko, Ievgen
Summing up the seventh year of publication of the Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology (JDTOMP), we would like to open the veil before readers and colleagues, which often covers many legislative and production processes in the existence of peer-reviewed journals published in Ukraine. In this article, not only our own path in registration and re-registration of the JDTOMP for 8 years, but also the state institutions which register journals from 1991, are analyzed. For this purpose, samples of issued certificates of state registration of print mass media, peer-reviewed journals, since August 24, 1991, to October 25, 2023 are pesented, and its analysis was conducted. The method of registration of exclusively electronic peer-reviewed journals (i.e., online-only journals) from August 24, 1991, to March 30, 2023, and from March 30, 2023 to nowadays was also analyzed. The following open access databases and lists were used for the analysis: (1) Ukrainian Scientific Periodicals (also known as the Register of Scientific Publications of Ukraine or the Register of Scientific Professional Publications of Ukraine) of the State Scientific Institution “Ukrainian Institute of Scientific and Technical Expertise and Information,” (2) Scientific Periodicals of Ukraine of the Vernadsky National Library of Ukraine, and (3) list of scientific professional publications and list of electronic scientific professional publications of Ukraine, in which the results of dissertations for obtaining the scientific degrees of Doctor of Science, Candidate of Science, and Doctor of Philosophy can be published dated October 25, 2023 (No. 1309). Based on the study of issued certificates of state registration of print mass media (namely, peer-reviewed journals), it was found that one of the first certificates was issued to the Functional Materials journal in 1993 by the State Committee of Ukraine on Affairs of Publishing Houses, Printing, and Book Distribution. The article presents Certificates and Decisions for all years issued by different state institutions from 1993 to 2023. Summarizing the review of the issued Certificates and Decisions on the registration of journals, it is worth noting that in the period from 1993 to 2023, the registration bodies that were given the function of state registration/re-registration of peer-reviewed journals changed at least 18 times. The important nuances of the Law of Ukraine “On Media,” adopted by the Verkhovna Rada on December 13, 2022, which replaced six outdated laws regulating the media sphere in Ukraine since the 1990s, are highlighted. The new procedure for registration/re-registration of peer-reviewed journals (as print and online media) in the National Council on Television and Radio Broadcasting of Ukraine starting from March 31, 2023, is described in detail. The recommendations that may be useful to other publishers and editorial teams of the peer-reviewed journals are provided.
The Time Has Come: Journal of Endodontic Microsurgery: A First Peer-Reviewed Open Access Publication Focused on Microsurgery in Endodontics
(Journal of Endodontic Microsurgery, 2021-12-03) Fesenko, Ievgen
Ultrasonographic Assessment of Masseter Muscle Region and Minimally Invasive Treatment of Post-Extraction Osteomyelitis
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2023-04-28) Tymofieiev, Oleksii; Fesenko, Ievgen; Cherniak, Olha; Serha, Olena
Background: Mandibular osteomyelitis is commonly associated with invasive surgery and sequestrectomy. Here, we report a unique case in which it was possible to choose minimally invasive treatment during the exacerbation of osteomyelitis at the stage of sequestrectomy owing to the use of and correct assessment with ultrasonography (USG). This report aimed to present wide possibilities of USG for accurate diagnosis and minimally invasive management of chronic osteomyelitis. Case Presentation: A 50-year-old woman presented with significant swelling in the left masseteric region, trismus, and severe pain in the area of a previously extracted lower third molar. The imaging protocol included panoramic radiography, USG, and cone-beam computed tomography. Using USG, it was possible to identify the intermediate stage of abscess/phlegmon formation in the masseteric area, which would require an extraoral incision to drain the purulent focus. Conclusion: USG allows oral and maxillofacial surgeons to obtain a precise understanding of the condition of the tissues (e.g., bone surface, masseter muscle, subcutaneous tissue) and pathologic changes (e.g., periosteal reaction, bony defects) due to purulent processes in the area of the lateral mandibular ramus surface and surrounding soft tissues. The presence of purulent material and its motion on sonopalpation can be clearly identified using USG. Therefore, it is possible to plan for a less invasive surgical strategy.

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