Dentist № 2 (45) – 2022, pp. 39-45                                                                                           SCIENTIFIC PUBLICATION

Isolation of wound defects of the hard palate mucosa using proteinaldehyde sealant

A.S. Lastovkaa, A.A. Labonarskayab

a MD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
b Belarusian State Medical University, Minsk, Belarus

https://doi.org/10.32993/dentist.2022.2(45).4

ABSTRACT
At present the issue of optimizing the course of the wound process and choosing a method for closing open wound defects on the mucous membrane of the hard palate is relevant, because the healing period of a postoperative wound of the hard palate is extremely painful and unpleasant for the patient, which worsens the quality of his life. As a result of the study, a method was developed for the clinical use of protein-aldehyde sealant for closing wound defects of the hard palate mucosa.
The aim of the study To develop a method for the clinical use of a protein-aldehyde sealant for closing wound defects in the hard palate mucosa.
Objects and methods. In 25 patients, aged 20 to 69 years, who were treated in the Department of Maxillofacial Surgery for the period from 2019 to 2022, surgical interventions were performed for benign pathological processes in the hard palate area, followed by closure of postoperative wound surfaces with surgical proteinaldehyde glue.
Results and discussion. We found that вue to the isolation of the wound surface with glue, the level of pain, assessed on the VAS scale on the 1st postoperative day, was moderate (4.44 points), and on the 3rd and 7th days – insignificant and minimal (2.92 and 1.24, respectively). On average, 56% of patients healed on days 10–14. Postoperative complications in the form of bleeding and inflammatory infiltrate were not registered.
Conclusion. The proposed method allows to reduce the risk of postoperative complications associated with contamination of the open wound surface due to its long-term isolation and improvement of the healing dynamics; improve the patient’s quality of life by reducing pain in the area of the postoperative wound during hygiene procedures, eating and talking; decrease the duration of surgical intervention by reducing laborintensive stages of treatment, and to use predominantly local anesthesia.

Keywords: wound defects of the hard palate, proteinaldehyde glue, tissue sealants, postoperative complications

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Correspondence to:  Е-mail: lastovkaas2009@gmail.com