| Authors |
Lebedev Marat Vladimirovich, Candidate of medical sciences, head of the department of maxillofacial surgery, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia); associate professor, sub-department of maxillofacial surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: mrtlebedev@rambler.ru
Kerimova Karina Iskhakovna, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: karina.keri@mail.ru
Zakharova Irina Yur'evna, Maxillofacial surgeon, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia); assistant, sub-department of maxillofacial surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: izakharova@mail.ru
Akbulatova Regina Zufyarovna, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: regina.akbylatova@yandex.ru
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| Abstract |
Background. In recent decades there has been an increase in the incidence of general injuries. One third of them are patients hospitalized in the Department of Maxillofacial Surgery. In the general structure of the injuries of the bones of the facial skeleton, mandibular fractures are in the first place. Despite the existence of a large number of methods for osteosynthesis of the mandible, the number of complications remains high. This article is devoted to the study of the frequency of occurrence of mandibular fractures and the identification of the advantages of their treatment with osteosynthesis with titanium mini-plates with intraoral access.
Materials and methods. A statistical analysis of data from 9 months of 2018, obtained from the study of case histories of 187 patients with injuries of the facial cranium, was carried out. A study was conducted on 14 patients divided into two equal groups depending on the method of osteosynthesis in order to evaluate the results of treatment of a mandible fracture. Osteosynthesis with extraoral (exooral) access was performed for patients of the first group, and intraoral (intraoral) access for patients of the second group.
Results. The paper displays a statistical analysis of data for some medical and social indicators: gender and age structure, injury structure. The main attention is paid to the method of osteosynthesis of the lower jaw intraoral access. The advantages of the method are its low injury in relation to the surrounding tissues and the rapid restoration of the function of the mandible. An important factor is the minimization of clinical manifestations indicating an imbalance in the psychological sphere of patients, where a stressful situation and a violation of aesthetics of the face can be the leading link.
Conclusions. In the course of the study, a connection was established between the processes of treatment and rehabilitation of patients with fractures of the mandible from the osteosynthesis technique. A comparative analysis of postoperative rehabilitation of patients operated on intra-and extraoral approaches of the mandibular osteosynthesis was carried out. Proposed areas of application of the research results: maxillofacial surgery, traumatology, surgical dentistry.
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| References |
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