Subject of the study: cases of temporary disability among patients with the maxillofacial neoplasms, who received treatment in the conditions of dental medical organizations within 10 years. The purpose is to study a group of maxillofacial neoplasms as a factor influencing on the duration of temporary disability in the Republic of Tatarstan (RT) for the period of 2007-2016. Material and methods: analysis of accounting and reporting forms 16-BH, 036/y, 035/y, 043/y in dental medical organizations for the period of 2007-2016. Results: there was determined the structure of benign maxillofacial neoplasms, resulting in temporary disability; there was found a link between benign maxillofacial tumors and other factors influencing on the duration of temporary disability of patients. Among the group of benign maxillofacial neoplasms resulting in temporary disability, we have revealed the following nosologies: Atheroma (D23.0) - 11% of cases; Fibroma (D10.0) - 14.2%; Papiloma (D10.0) - 9.8%; Hemangioma (D18.0) - 2%; Odontoma (D16.4) - 48%; Ameloblastoma (D16.4) - 8%; Fibrous dysplasia (K10.83) - 1%; Sublingual cysts (D11.0) - 2%; Lipoma (D17.0) - 4%. Depending on the gender, the maxillofacial neoplasms resulting in temporary disability are divided as follows: male patients - 43.0%, female patients - 57.0%. Most cases of temporary disability associated with a group of tumors was identified in 2014-2015, the lowest number – in 2007-2009. However, the average length of temporary disability was 7.83 ± 0.63 days, differed by statistically significant positive dynamics, increasing for the study period from 4 to 17 days. Conclusion: the analysis of the data obtained during the study showed statistically significant differences in the structure of cases of temporary disability due to benign maxillofacial neoplasms depending on gender, age, seasonality and year of observation.
Subject of the study: current state of the organization and provision of specialized care to patients with pathology of the maxillofacial region in Kazan, the problems of improving the quality of this type of medical care and their solutions. The purpose — is to study organization and provision of specialized surgical care to patients with pathology of the maxillofacial region based on the results of work the Department of maxillofacial surgery of the city clinical hospital No. 7 of Kazan. The volume and nature of the care provided in the conditions of the round-the-clock dental hospital are defined. To determine the factors that reduce the quality of specialized surgical care for patients by analyzing data from the medical records of hospitalized and outpatient patients over the past 3 years. Material and methods. Uses analytical and quantitative-qualitative methods of retrospective study of the main indicators of medical work of the Department of maxillofacial surgery of the Kazan city clinical hospital No. 7 and patient records for 2016-2018. Results. Based on the analysis of the results of specialized Department of maxillofacial surgery determined the evolution of the number of patients according to nosological groups for 3 years, assess the volume of aid, to change its structure in favor of increasing the volume of outpatient surgical care while maintaining the number and structure of hospital morbidity. The evaluation of low efficiency of interaction between dental clinics and hospital, organizational and methodological approaches to the provision of this type of care. Conclusion. Analysis of the data obtained in the course of the study revealed a number of problems in routing patients for urgent and planned indications, in providing assistance at the prehospital stage in dental clinics, in posthospital rehabilitation of patients.
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