Browsing by Author "Cherniak, Olha"
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Item 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, IevgenManagement 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.Item Accuracy of Ultrasound in Diagnostics of Odontogenic Infection in Layers of Temporal and Parotid Masseter Region(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2019-09-30) Cherniak, Olha; Ripolovska, Oksana; Nozhenko, Oleksandr; Fesenko, IevgenThe current study presents the case of a first well described profound ultrasound (US) soft tissues examination in a 65-year-old female with odontogenic phlegmon of the masticator space. Consecutive preoperative clinical images, sonograms and US cine loops in comparison with asymptomatic side are presented and described. Terminology related with head and neck purulent conditions in the area of temporal and a masseter region is fundamentally analyzed.Item Analysis of a First Unilateral and Then Bilateral Internal Jugular Vein Thrombosis in a Heroin User(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2019-10-31) Borodavko, Dmytro; Abramenko, Artem; Borodavko, Stepan; Cherniak, Olha; Fesenko, IevgenThis report documents a first unilateral and then bilateral internal jugular vein (IJV) thrombosis as a result of repeated injections of heroin, which is rare in a practice of oral and maxillofacial surgeon. The patient was a 21-year-old male who was referred to a hospital with the diagnosis of phlegmon of the right neck. Emergency non-contrast computed tomography (5 images and 1 Supplemental Video are presented) revealed a hyperattenuating content in the lumen of expanded right IJV which fills its entire length. The patient received initial treatment according to the protocol. Ultrasound (US) (2 images and 2 Supplemental Videos are presented) in a first 24 hours supported the diagnosis describing a case as occlusive acute thrombosis. After 4 days of a positive dynamic the patient was transferred to outpatient mode. In a 10 day US examination (2 images and 2 Supplemental Videos are presented) simultaneously with positive changes in the lumen of a right IJV (partial clot lysis) an appearance of a left IJV thrombosis was noted. Analysis of thrombotic conditions of the neck, diagnostics methods, treatment options, and complications are performed.Item Effectiveness of Ultrasound in Verification of the Mucus Plugs and Sialoliths of the Wharton’s Duct(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2019-05-31) Cherniak, Olha; Fesenko, IevgenMucus plugs1, 2 (synonyms: mucous plugs3, mucin plugs4, fibromucinous plugs5, 6 and mucosal plugs7) and sialoliths (synonyms: salivary stones, salivary calculi1, and concrements8, 9) belong to the one of the common causes of the obstructive salivary gland disease (synonyms: obstructive sialadenitis10 and obstructive sialadenopathy8). Among other etiologies of obstructive sialadenitis are: foreign bodies, inflammation, kinks, strictures, anatomic malformations, polyps or even tumors.11 Those causes are found in different percentages. The radiographic investigation e.g. X-ray and computed tomography (CT) are very useful in detection of the salivary stones. Nevertheless, as approximately 80-90 percent of the sialoliths are opaque on a standard review X-ray and CT, and in 10-20% radiolucent.12, 13 But these methods are not useful in the detection of mucus plugs due to the non-contrast features of the last. There are a lot of studies which described ultrasound features of the sialoliths.14, 15 Also, there are some studies that demonstrate endoscopic view of the mucosal plugs in a ductal system1, 7, 16 and in some cases the authors during sialendoscopy noted the floating mucous plugs.17 But we cannot find articles in PubMed which demonstrate ultrasound and clinical appearance of the obstructive salivary gland disease caused by sialoliths with mucus plugs simultaneously. The purpose of our article is to describe a first and precise description of ultrasound pattern of the mucus plugs comparing with sialolith and their clinical presentation after removal. We report the consecutive gray scale and color Doppler sonograms with a supplemental video.Item Features of Diagnostics, Clinical Course and Treatment of the Branchial Cleft Cysts(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2017-02-18) Tymofieiev, Oleksii; Fesenko, Ievgen; Cherniak, Olha; Zaritska, ValentynaPurpose: The aim of the present study was to determine the features of diagnostics, clinical course and treatment of the branchial cleft cysts. Patients and Methods: The study composed of the branchial cleft cysts investigation and their complications in patients of different age groups, methods of diagnostics, anatomical features, surgical stages and pathomorphological study. Results: Diagnostic value of sonography, MDCT and MRI, pathomorphological study in verification of branchial cleft cysts and their complications have been proved. Surgical treatment technique is presented. Conclusion: Presented methods of diagnostics of the branchial cleft cysts and their complications, variants of clinical course and treatment can reduce the risk of failure at the pre-, intra- and post-operative stages.Item 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, OksanaThe 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.Item Maxillofacial Surgery Specialization in Ukraine: A New Order and Step in the Growth of the Specialty: Analysis of Qualification Categories(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2021-04-30) Tymofieiev, Oleksii; Ushko, Natalia; Fesenko, Ievgen; Cherniak, OlhaItem Periorbital Abscessing Furuncle(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2021-01-29) Cherniak, Olha; Fesenko, IevgenItem Sialoliths in Ipsilateral Bartholin’s and Wharton’s Duct: The First Clinical and Ultrasound Report(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2020-07-31) Nikulin, Dmytro; Fesenko, Ievgen; Cherniak, OlhaSialoliths in sublingual gland is the rarest condition among sialolithiasis in other major salivary glands.1,2 Only in 0.4 percent of cases the salivary stone notes in sublingual gland. In our English literature review we count 8 articles which describe sialoliths located within or around the sublingual glands. Nevertheless, in none of those cases a simultaneous sialolithiasis of the submandibular and sublingual gland was noted. Although in one case the authors described a sonogram of sialolith in the sublingual gland, the sonogram of the gland and its ductal system was not presented. Here we present the first ever published clinical and ultrasound report of combined ductal sialolithiasis of sublingual and submandibular glands in a 78-yearold female. Also, Zhang et al`s classification of duct system patterns of the sublingual glands based on 60 cadaveric and 63 clinical cases is analyzed.Item Single and Multiple Odontogenic Cutaneous Sinus Tracts(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2020-11-30) Cherniak, Olha; Zaritska, Valentyna; Snisarevskyi, Pavlo; Fesenko, Ievgen; Blinova, Viktoria; Koba, Nataliia; Pavlenko, Ruslan; Holodenko, ViktoriiaOdontogenic cutaneous sinus tract (OCST) (synonyms: odontogenic cutaneous fistula, odontogenic subcutaneous granuloma, etc.) is an abnormal tube-shape formation which serves as a pathway for pus drainage from the locus of tooth–associated infection to the cutaneous lesion. OCST is a collective term and commonly is manifested in six cutaneous forms: as dimpling with fistula, cutaneous infiltration, nodule, suppurated nodule, abscess, or even cyst-like cutaneous formation. The purpose of this paper is to present the diverse clinical and radiological appearance (cone-beam computed tomography [CBCT] and ultrasound [US]) of single and multiple OCSTs based on the literature and our four cases. As long as limited publications present the ultrasound appearance of the OCSTs, we will focus on meticulous description of sonograms as well, giving a possibility for oral and maxillofacial surgeons to understand all advantages of that type of non-ionizing radiation diagnostics, avoiding misdiagnosis and mistreatment of OCSTs. Case 1: A 24-year-old male with OCST to the left mandibular region from the lower left first molar. Cutaneous lesion of OCST manifested as a transition stage from cutaneous infiltration to abscess. Case 2: A 41-year-old male with odontogenic cutaneous fistula of the right mandibular body region from the lower right second molar. It`s manifested as deep dimpling with active fistula. Case 3: A 45-year-old male with unilateral multiple OCSTs: 1) odontogenic cutaneous fistula of the left cheek from the left second maxillary molar and 2) a scar from a surgically treated OCST located in the projection of the left mandible from the tooth #3.6. Case 4: An 18-year-old male with OCST to left nasolabial fold and cheek from the upper left first molar. The pathology manifested as a subcutaneous abscess first and a nodule after the abscess lancing. These cases highlight the diverse cutaneous manifestations of the OCSTs. The US appearances of different parts of the OCST are presented, the popular terminology for the same cutaneous lesions are discussed, the new terms are proposed, and the treatment strategies based on histologic results are debated.Item 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, OlhaMastoid 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.Item 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, OlenaBackground: 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.Item Ultrasound in the Detection of Floating Sialoliths(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2019-08-31) Tymofieiev, Oleksii; Cherniak, Olha