Section: 
Reviews
ReviewsSearch for optimal and effective postoperative treatment for neck phlegmon
V. I. Egorov (1), D. M. Mustafaev (2), V. E. Arevina (3)
(1), (2), (3) Moscow Regional Research and Clinical Institute (MONIKI), Moscow, 129110, Russian Federation
UDK: УДК 617.53-002.36-035-089.168.1
DOI: https://doi.org/10.18692/1810-4800-2025-4-115-123
ABSTRACT
Аbstract. Today, postoperative treatment of patients with phlegmon of the neck remains one of the main and urgent problems in the practice of otolaryngologists and maxillofacial surgeons in the context of the worldwide growth of antibiotic resistance of microorganisms and the growth of morbidity with this pathology. In surgical departments dealing with the treatment of purulent-inflammatory processes, patients with purulent-inflammatory diseases of the face and neck occupy up to 50% of the beds. The number of new cases remains high and tends to increase. Inadequate wound management in the postoperative period can lead to the progression of the inflammatory process and the need for repeated operations, secondary nosocomial infection, lack of bacteriological control over wound discharge, inadequate antibacterial therapy. It also prolongs the terms of inpatient treatment. In recent years, more and more attention has been paid in clinical practice to nondrug methods of treating patients with inflammatory diseases, a special place among which is occupied by methods of physical influence. However, the use of physical factors, even such modern ones as high- and low-energy lasers, magnetic laser therapy, ultrasound, ozone therapy, etc. for the treatment of patients, does not always significantly affect the achievement of the desired result. Many aspects associated with postoperative management of purulent wounds still require attention and the search for new solutions. Experimental studies have shown that NO (nitric oxide) generated by a plasma-chemical method from atmospheric air normalizes microcirculation, accelerates the growth of granulation tissue and epithelialization. Gas supply through drains allows affecting all the walls of the purulent cavity providing an antibacterial effect, promotes the removal of pathological fluids, and accelerates wound healing.
Publication date:
13.08.2025
Keywords:
phlegmon of the neck, wound, nitric oxide, therapy, postoperative treatment, purulent wound, prevalence, odontogenic, tonsillogenic For citation:
Egorov V. I., Mustafaev D. M., Arevina V. E. Search for optimal and effective postoperative treatment for neck phlegmon. Russian Otorhinolaryngology. 2025;24(4):115-123. (In Russ.) https://doi.org/10.18692/1810-4800-2025-4-115-123