Article 5119

Title of the article

PHYSIOTHERAPY IN THE SYSTEM OF REHABILITATION OF PATIENTS WITH DAMAGES OF THE LOWER ALVEOLAR
NERVE DUE TO FRACTURING THE LOWER JAW 

Authors

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
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
Dikova Marina Igorevna, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: dik.mar1995@mail.ru
Akbulatova Regina Zufyarovna, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: regina.akbylatova@yandex.ru 

Index UDK

617.03 

DOI

10.21685/2072-3032-2019-1-5 

Abstract

Background. Due to the high risk of injury to the lower alveolar nerve in individuals with injuries of the mandible, which results in a decrease in the quality of life of patients, this article presents a problem that does not lose its relevance among researchers. To reduce the effects of mandibular fractures in the form of damage to the lower alveolar nerve and early rehabilitation of patients, a large number of methods and means of effective physiotherapy are being developed. The frequency of occurrence of persons with damage to the lower alveolar nerve due to a mandible fracture is investigated, the study of the most effective methods of physiotherapy treatment.
Materials and methods. A statistical evaluation of data for 9 months of 2018, obtained as a result of a retrospective study of case histories of 187 patients with injuries of the facial cranium, was carried out. A study was conducted on 30 patients with mandibular fractures with different localization, without pronounced comorbidities, which were delivered to the hospital no later than 3 days after the injury was received. The studies were conducted on the basis of the Department of Maxillofacial Surgery of the Penza Regional Clinical Hospital named after NN Burdenko. All the examined patients were divided into three groups, 10 people each, in order to determine the effective method of physiotherapy treatment. The first 10 patients did not receive physiotherapeutic procedures due to their refusal and the presence of contraindications, the second group, which included 10 people, received a diadynamophoresis with prozerin on the DT-50-3 device, and the remaining 10 patients received electrophoresis. Forez with prozerin on the device "Potok-1".
Results. The data on medical and social indicators are given: gender and age structure, injury structure, seasonality. Particular attention is paid to patients with nerve damage, receiving physiotherapy treatment that has the most beneficial effect on patients, improving their quality of life. The advantage of diadynamophoresis is the rapid achievement of a positive result, which occurs immediately after the first procedure.
Conclusions. In the course of the study, a link was established between the start of physiotherapy treatment and the elimination of symptoms of damage to the inferior alveolar nerve. The feasibility of using physiotherapy treatment has been established and its effectiveness has been determined in conjunction with other methods of treatment. 

Key words

mandibular fracture, damage to the inferior alveolar nerve, physiotherapy treatment 

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Дата создания: 26.06.2019 09:11
Дата обновления: 26.06.2019 11:30