ESTIMATION OF THE MICROBIOLOGICAL PROFILE IN THE AREA OF RESIDUAL PALATE DEFECT AFTER URANOPLASTY IN CHILDREN WITH CONGENITAL CLEFT PALATE

Abstract

The article is devoted to the study of the microbiological profile of the mouth and nose in children with congenital cleft palate and remaining defects after uranoplasty. Objectives. To determine the microbial profile of the mouth and nose in children with a cleft palate and defects after uranoplasty and conditionally healthy children in the control group. Methodology. The microflora of the oral cavity and nose of 109 children aged 6-12 years with a severe form of congenital cleft palate (combined cleft of the upper lip, alveolar ridge and palate, as well as a wide isolated cleft of the palate) after uranoplasty and residual palate defects in the dispensary was studied observation of the maxillofacial surgeon of the Republican Children's Clinical Hospital of the Republic of Bashkortostan and 50 apparently healthy children of the same age group. In the examined children, microbiological studies of biological materials were carried out using standard methods in the conditions of the bacteriological laboratory of the Republican Children's Clinical Hospital, Ufa. The material was taken with a sterile cotton swab from the mucous membrane in the area of the palate defect and from the side of the nasal cavity and sown on various nutrient media. The presence of pathogenic and opportunistic microorganisms was determined. Results. All 109 examined children with remaining postoperative defects with congenital cleft palate revealed atypical microflora in the oral cavity and in the nasal cavity, mostly represented by pathogenic streptococci and staphylococci, yeast-like fungi. Conclusions. The data obtained as a result of the study on the presence of pathogenic microflora from the oral cavity and nose in the area of the residual palate defect after uranoplasty in children with congenital cleft palate is the basis for the need to develop therapeutic and prophylactic measures aimed at improving the microbiocenosis of adjacent cavities at the stage of preparing the patient for reconstructive - plastic surgery to eliminate a defect in the palate.