Suleimanova V. Differentiated Surgical Treatment in Patients with Neck Phlegmons with the Using of Multicomponent Sorp-tion Nanocomposition.

Object - neck phlegmons; goal – improvement of the results of treatment of patients with neck phlegmon due to differentiated cervicotomies and mediastinotomys with polydrainage of affected cell spaces on the basis of genesis study and features of the purulent process distribution followed by vulnerosorption with multicomponent sorption nanocomposite; methods – general clinical, laboratory, radiological, instrumental, pathomorphological, indices of endogenous intoxication, dynamic observation, statistical; results – for the first time, on the basis of topographic, anatomical, clinical and radiation methods of investigation, the features of the formation of purulent clusters in the deep cellular spaces of the neck and mediastinum; the algorithm of preoperative prognosis of the neck phlegmons distribution in accordance with the causal pathology is substantiated; from scientifically substantiated positions, the value through cervical mediastinal interventions as more sparing and sufficiently effective in the surgical treatment of acute mediastinitis; depth data of systemic endogenous toxic lesions of patients with neck phlegmons and acute descending mediastinitis were studied by adapting the appropriate criteria to the indicated pathology (hematological indices of intoxication, ordinal scales for the objectification of the severity of the patient's condition, proposed by Morozova MM (2014); for the first time an estimation of efficiency of local application of multicomponent sorption nanocomposition at neck phlegmons and mediastinates in the first phase of a wound process; the technique of detection and sealing of small defects of the esophageal wall has been improved; branch – medicine.