Perspectives of the use of commissure in patients with oblique fractures of the lower jaw

Autor

  • Yuri Efimov Volgograd State Medical University 1 Fallen Fighters squ., Volgograd, Russia, 400131, Russian Federation
  • Dmitry Stomatov Penza State University 40 Krasnaya str., Penza, Russia, 440026, Russian Federation
  • Evgeniya Efimova Volgograd State Medical University 1 Fallen Fighters squ., Volgograd, Russia, 400131, Russian Federation
  • Alexander Stomatov Penza State University 40 Krasnaya str., Penza, Russia, 440026, Russian Federation
  • Valery Borodin Penza regional clinical hospital named after. Burdenko N. N. 28 Lermontova str., Penza, Russia, 440026, Russian Federation

DOI:

https://doi.org/10.15587/2313-8416.2016.61055

Słowa kluczowe:

lower jaw fracture, head dislocation, splinter displacement, osteosynthesis, commissure

Abstrakt

There was carried out an analysis of the results of treatment of 34 patients with oblique fractures of the lower jaw by the method of commissure osteosynthesis that was elaborated by the authors.

Aim: to increase the effectiveness of treatment of patients with oblique fractures of the lower jaw at the expense of optimization of commissure osteosynthesis.

Methods: there was carried out examination and operative treatment of 34 patients with oblique fractures of lower jaw of the different localization. In the area of the lower jaw angle – 19 (55,88 %) patients, in the area of the lower jaw body – 12 (35,29 %) persons, the number of patients with fractures of the neck with dislocation of the head of lower jaw was 3 (8,83 %). All patients were the persons of male sex 32–55 years old. The operative treatment was consisted in commissure osteosynthesis according to the method elaborated by the authors.

Results: there were not observed any complication in operated patients during postoperative period. There were not observed the secondary displacement of splinters or inflammatory complications. The consolidation of splinters was clinically observed on 21 day after operation. In remote terms (3 month after osteosynthesis) patients have no complaints the disorders of dental occlusion did not take place.

Conclusions:

An offered method of osteosynthesis with wire suture allows:

1. Eliminate the horizontal displacement of splinters;

2. Eliminate the shortening of the jaw arch and the deviation of occlusion with deformation of the patient’s face;

3. Raise the stability of osteosynthesis.

The remote results testify the high effectiveness of the method that allows recommend it for the wide use in clinical practice

Biogramy autorów

Yuri Efimov, Volgograd State Medical University 1 Fallen Fighters squ., Volgograd, Russia, 400131

Doctor of medical Sciences, Professor

Department of maxillofacial surgery and surgical dentistry

Dmitry Stomatov, Penza State University 40 Krasnaya str., Penza, Russia, 440026

Assistant

Department of oral and maxillofacial surgery

Evgeniya Efimova, Volgograd State Medical University 1 Fallen Fighters squ., Volgograd, Russia, 400131

The candidate of medical Sciences, associate Professor

The Department of  human anatomy

Alexander Stomatov, Penza State University 40 Krasnaya str., Penza, Russia, 440026

The candidate of medical Sciences, associate Professor

Department of dentistry

Valery Borodin, Penza regional clinical hospital named after. Burdenko N. N. 28 Lermontova str., Penza, Russia, 440026

Maxillofacial surgeon

Department of oral and maxillofacial surgery

Bibliografia

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Opublikowane

2016-02-28

Numer

Dział

Medical