Наукові статті

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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.
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.
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.
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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