SIALOLITHIASIS IN PATIENTS WITH THYROID CANCER: TREATMENT, REHABILITATION AND PREVENTION

Abstract

Diseases of the salivary glands is one of the most frequent pathologies among dental patients. Salivolithiasis is most common among the diseases of the salivary glands. Half of the patients after the surgery relapse stone formation. One of the etiological causes salivolithiasis is a violation of mineral metabolism. Known effects of thyroid hormones on the balance of bone remodeling. The aim of our study was to improve treatment of patients with salivolithiasis in thyroid pathology. Materials and methods. To determine thyroid function in patients were studied: thyroid-stimulating hormone (TSH), free thyroxine (free T4.). State of mineral metabolism was assessed by content in the blood calcium-regulating hormones parathyrin (PTH (pg / ml)) and calcitonin (CAT (pg / ml)), a marker of bone resorption-Cross laps (ng / ml) and bone formation - osteocalcin (ng / ml). Postoperatively, the patients were divided into two groups: the first consisted of patients with preoperative correction of thyroid status at the doctor, endocrinologist, the second (control) - without preoperative correction of thyroid status doctor endocrinologist. Results. In the control group of patients compared with the group that received the necessary correction, much heavier passed the postoperative period. Output. Reasonable pharmacological correction in violation of mineral metabolism in patients with calculous sialadenitis is the best procedure that can reduce the number of complications such as acute exacerbations of chronic sialadenitis.