Edema in stomatology
Edema Quincke, the first mention of which inmedical literature date back to 1862, is considered an allergic reaction of an immediate type. Very often he meets with hives. These two diseases have common causes and a mechanism of development - the release of histamine and other biologically active substances into the blood leads to a sharp increase in the permeability of the vascular wall, the expansion of the capillaries and the formation of a blister.
Quincke's Edema can occur as a responseon the action of allergens of diverse nature - cold, food, chemical. Many drugs used in medical practice and in particular in dentistry can cause swelling - bromides, aspirin, amidopyrine, novocaine, etc. Recently, the development of edema as a result of the action of various cosmetics, disinfectants.
The disease begins suddenly for the patient. There is an increase in the volume of the tongue, lips, eyelids, the whole face, other parts of the body, a feeling of inconvenience to the patient. Immediately before swelling of tissues and organs, itching may be disturbing. If there is swelling of the tongue, it may not fit in the mouth. Any part of the oral cavity may swell - tonsils, soft palate. In the vast majority of cases, swelling of the tissues develops in just a few minutes, much less often hours, can disappear quite quickly, on their own, or persist for several days.
It is important to distinguish the swelling of Quincke if it is on the lips, from Melkersson-Rosenthal syndrome, lymphostasis, puffiness with labial abscess and periostitis.
First of all, you must stop the contactallergen with the body. With puffiness of the eyelids, lips, as well as any other localization except the larynx, antihistamines are prescribed inside - dimedrol, tavegil, pipolfen up to 3 times a day. It is important to prescribe drugs that reduce the permeability of the vascular wall, for example, ascorutin. Local treatment is usually not necessary.
Laryngeal edema causes asphyxia and is a condition that requires urgent interventions. In particularly severe conditions, with a build-up of the laryngeal edema, a conicotomy or tracheotomy is performed.