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

Abstract

Проведен анализ результатов лечения 34 больных с косым переломом нижней челюсти различной локализации. Остеосинтез выполняли посредством костного шва по разработанной авторами методике. Способ заключается в формировании на большем отломке площадки с уступом, что позволяет устранить горизонтальное смещение, укорочение зубной дуги, деформацию лица. Послеоперационный период у больных протекал без осложнений, что позволяет рекомендовать данный способ к широкому использованию в клинической практике Ключевые слова: перелом нижней челюсти, вывих головки, смещение отломков, остеосинтез, костный шов 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