Frequency of the Orbital Walls Fractures. A Retrospective Study

Thing. Among the fractures of the bones of the facial skeleton are most often re-breaking down the lower jaws. The diagnosis of them does not represent difficulties, but despite this, the clinical course of the lower jaw fractures is often complicated by the development of herbal osteomyelitis, which affects the reparative processes in the bone and for the duration of the temporary disability of patients. In connection with the foregoing, the study of factors af-fecting the clinical course of the lower jaw fractures, and the investigator, but on the duration of the temporary disability of patients, is relevant. Purpose — to study the factors influencing the clinical course of mandibular fractures and the timing of temporary disability of patients Methodology. An analysis of 918 stories of the disease of patients with fractures of the Low-er Chelf. The share of traumatic osteomyelitis is determined. Possible factors that contribute to the development of this complication and an increase in the duration of temporary disability is studied. Results. The development of traumatic osteomyelitis in the fractures of the lower jaw is due to the complex of interrelated factors. The most significant among them are: non-timely appeal of the victims of specialized help, senior wagon, poor-quality assistance in the pre-hospital stage, the presence of a stroke of Zu-Ba, having a chronic infection in the periapical tissues and the incorrect tactics of the doctor in relation to this tooth, Multiple fractures on one side of the chemistry, the choice of the method of fixing fragments. The duration of the temporary disability of patients with the development of traumatic osteomyelitis is significantly larger than with the uncomplicated clinical course of the lower jaw fractures. Conclusions. In order to reduce the frequency of development of traumatic osteomyelitis, it is necessary to conduct targeted prophylactic work aimed at improving the quality of the provi-sion of specialized assistance to patients with fractures of the lower person, both in the dogoital and hospital stages.

Factors Influencing the Clinical Course of Lower Jaw Fractures and Duration of Temporary Disability

Mirsaeva

Hanov

2021

Application of Computer Modeling and 3d-Printing Technologies in the Diagnosis and Treatment of Patients With Midfacial Fractures

Абдулкеримов

Mandra

Abdulkerimov

et al. 2021

Today, 16% of all traumatic injuries occur in the area of the facial skeleton. The social-economic component of this problem is also important, because in most cases such injuries are received by representatives of the able-bodied population [4]. The area of interest requires special attention due to the proximity of vital anatomical structures, as well as its aesthetic significance, which will determine the quality of social rehabilitation of patients with craniofacial injuries, especially the midfacial region. The complexity of the facial skeleton structures, massive vascularization and innervation of the craniofacial region in many cases are the causes of difficulties in the diagnosis and treatment processes in patients with facial injuries, which negatively affects the quality of medical care and further rehabilitation, social adaptation [1-25]. Introduction of digital technologies such as computer modeling and 3D-printing into the processes of diagnosis and treatment in patients with craniofacial fractures allows minimizing the number of possible mistakes even at the stage of primary diagnosis, planning the upcoming surgical intervention and modeling a high-precision individualized augment for replacing bony defects [8]. Digitalization of diagnostic and treatment procedures will, in turn, bring the accuracy of the reconstruction to a fundamentally new level, reduce the duration of treatment and rehabilitation, including social rehabilitation [4]. The article presents the results of a comparative analysis of the traditional algorithm for diagnosing and treating maxillary fractures in region of orbital floor using a standard titanium mesh, as well as its improved version, improved by the use of 3D modeling and printing technologies.

Modern Approaches for Diagnostics and Treatment of Orbital Fractures

Абдулкеримов¹,

Мандра²,

Mandra

et al. 2019

Importance. Fractures of the orbital walls in structure of craniofacial traumatic injures occupy a special place and occur in more than 40 %. The complexity of the structure, the proximity of the vision organ location causes difficulties in diagnostics and treatment of these patients. Often surgical treatment is carried out with using of standard implants that must be manually and directly modeled during the surgical intervention. Such numerous manipulations with implant develop negative effect on strength, that reduces predictability of the results and causes various postoperative complications in 20 % of cases. The goal — is to conduct a systematic analysis of domestic and foreign literary sources to determine development prospects, improve diagnostic methods and treat orbital fractures. Methodology. A case-control or cohort study was reviewed with a very low risk of mixing effects and average probability of causal relationship. Conclusions. Surgical treatment of fractures of the facial middle zone, the orbital walls is a difficult task for surgeons. The great number of reconstructive materials and implants on the market provide a wide range of choices depending on the preferences of the surgeon and patient, that’s based on the specific clinical situation. However determining the ideal material for reconstructing of orbital walls is still an open question. Results. Digital and additive technologies have great perspectives in diagnostic and treatment of trauma of the face middle zone. However a number of tasks requires to introduce and adapt rapid prototyping technologies in practical healthcare, which will allow significant progress in the diagnostics and treatment of facial skeleton fractures.