Browsing by Author "Pavlenko, Ruslan"

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1st Kyiv Round Table Dedicated to TMJ Fractures Treatment (1st Kyiv TMJ Round Table): 27, 28 December 2018 – Kyiv – Ukraine
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2019-01-31) Pavlenko, Ruslan; Romanova, Anna; Fesenko, Ievgen
Case Report: Eyelid and Periorbital Necrotizing Fasciitis: Experience from the Kyiv Regional Clinical Hospital
(Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology, 2024-02-29) Pavlenko, Ruslan; Fesenko, Ievgen; Ashotuni, Tamara
Necrotizing fasciitis (NF) is an extremely severe infection that can lead to cosmetic and functional problems. It is characterized by rapidly progressing necrotizing infection of the superficial fascia with secondary necrosis of the overlying skin. According to a systematic review by Amrith and colleagues (2013), periorbital NF resulted in death in 8.5% of cases. Overall, the mortality rate from NF, usually due to multisystemic shock, ranges from 12% to 57%. In the literature, the following synonyms of the term NF may be used: streptococcal gangrene, hospital gangrene, gangrenous erysipelas, necrotising erysipelas, Fournier's gangrene, and purulent-necrotic process. The purpose of this article is to present to the public the experience of the staff of the Kyiv Regional Clinical Hospital in the treatment of NF of the eyelids and periorbital area in a 38-year-old male patient with the presentation of the result of treatment after one month. Summing up our experience in treating NF, we note that despite extensive areas of necrosis of the eyelid skin, its regenerative capabilities remain at an extremely high level due to existing vascularization and appropriate comprehensive treatment.
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, Viktoriia
Odontogenic 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.