employee
Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
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.
fracture, lower jaw, osteomyelitis, temporary disability, reparative regeneration, displacement of fragments, specialized assistance, re-position of fragments
1. Kulakov A.A., Robustova T.G., Nerobeev L.I. i dr. Hirurgicheskaya stomatologiya i che-lyustno-licevaya hirurgiya. Nacional'noe rukovodstvo. Moskva : GEOTAR-Media. 2010:928. [A.A. Kulakov, T.G. Robustova, L.I. Nerobeev et al. Surgical dentistry and maxil-lofacial surgery. National leadership. Moscow: GEOTAR-Media. 2010:928. (In Russ.)].
2. Afanas'ev V.V., Arutyunyan S.E., Shinkevich D.S. Dvustoronniy mnogooskol'chatyy perelom nizhney chelyusti v oblasti vetvey u muzhchiny pozhilogo vozrasta. Rossiyskaya stomatologiya. 2014;2:16-19. [V.V. Afanasyev, S.E. Arutyunyan, D.S. Shinkevich. Bilateral multifragile fracture of the lower jaw in the branch area in an elderly man. Russian dentistry. 2014;2:16-19. (In Russ.)].
3. Abdulkerimov T.H., Mandra Yu.V., Gerasimenko V.I., Ceh D.V. i dr. Epidemiologiya perelomov stenok orbit.Retrospektivnoe issledovanie. Problemy stomatologii. 2019;15(2):46-49. [T.Kh. Abdulkerimov, Yu.V. Mandra, V.I. Gerasimenko, D.V. Workshop et al. Epidemiology of fractures of the walls of the orbits. A retrospective study. Actual prob-lems in dentistry. 2019;15(2):46-49. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39165961
4. Dregalkin A.A., Kostina I.I. Struktura zabolevaemosti chelyustno- licevoy oblasti sredi zhiteley sverdlovskoy oblasti. Poblemy stomatologii. 2010;4:40-41. [A.A. Dregalkin, I.I. Kostina. The structure of the incidence of the maxillofacial region among the inhabitants of the Sverdlovsk region. Actual problems in dentistry. 2010;4:40-41. (In Russ.)]. https://www.elibrary.ru/item.asp?id=35295788
5. Haim D., Muller A., Leonhardt H. et al. Biomechanical study of the Delta plate and the TriLock Delta condyle trauma plate // J. Oral Maxillofac. Surg. - 2011;69:2619-2625.
6. Elrasheed A., Toma Q., Cousin G.C. et al. Mandibular fractures that have healed are not weakened permanently: series of nine patients who sustained mandibular fractures at different sites on two separate occasions // British Journal of Oral and Maxillofacial Surgery. - 2011;49;3:209-212.
7. Mijiti A., Ling W., Tuerdi M. et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: A 5-year retrospective study // Journal of Craniomaxillofacial Surgery. - 2013;42;3:227-233.
8. Shen L., Li J., Li P. et al. Mandibular coronoid fractures: Treatment options // International J. of Oral and Maxillofacial Surg. - 2013;42;6:721-726.
9. Kaul D., Tambuwala A., Sayed A. et al. Mandibular basal triangle fractures: A case series // Universal research journal of dentisrty. - 2014;4;1:61-65.
10. Hwang K., Yang S.C., Song J.S. et al. Communications Between the Trigeminal Nerve and the Facial Nerve in the Face: A Systematic Review // Journal of Craniofacial. Surgery. - 2015;26;5:1643-1646.
11. dos Santos Pereira R., da Rocha V.H., Homsi N. et al. Condensed Autogenous Bone Par-ticles: Modified Technique // Journal of Craniofacial Surgery. - 2015;26;3:942-943.
12. Agasyan V.A. Mehanizmy formirovaniya stressornogo immunodeficita pri perelo-mah nizhney chelyusti i metody ih korrekcii : avtoref. dis. … kand. med. nauk. Moskva, 2012:24. [V.A. Agasyan. Mechanisms of the formation of stress immunodeficiency in fractures of the mandible and methods of their correction: author. dis. ... cand. med. sciences. Moscow, 2012:24. (In Russ.)].
13. Erokina N.L., Lepilin A.V., Prokof'eva O.V. i dr. Sposob korrekcii vegetativ-nyh narusheniy u bol'nyh s perelomami nizhney chelyusti. Saratovskiy nauchno-medicinskiy zhurnal. 2012;2:424-428. [N.L. Erokina, A.V. Lepilin, O.V. Prokofieva et al. Method for the correction of autonomic disorders in patients with fractures of the mandible. Saratov Journal of Medical Scientific Research. 2012;2:424-428. (In Russ.)]. https://www.elibrary.ru/item.asp?id=18211832
14. Kulakov A.A., Hanzdracyan A.S., Korolev V.M. Preimuschestva mul'tidisciplinar-nogo podhoda k diagnostike i lecheniyu perelomov nizhney chelyusti u lic, zloupotreb-lyayuschih alkogolem. Stomatologiya. 2013;1:50-53. [A.A. Kulakov, A.S. Khanzdratsyan, V.M. Korolev. Benefits of a multidisciplinary approach to the diagnosis and treatment of mandibular fractures in alcohol abusers. Dentistry. 2013;1:50-53. (In Russ.)]. https://www.elibrary.ru/item.asp?id=18876284
15. Magradze G.N. Lechenie perelomov myschelkovogo otrostka nizhney chelyusti s pri-meneniem transbukkal'noy sistemy i biodegradiruemyh miniplastin : avtoref. dis. … kand. med. nauk. SPb., 2013:22. [G.N. Magradze. Treatment of fractures of the condylar process of the lower jaw using the buccal system and biodegradable miniplates: author. dis. ... cand. med. sciences. Spb., 2013:22. (In Russ.)].
16. Mugadov I.M., Abakarov R.R., Ramazanov A.H. Sravnitel'naya harakteristika hi-rurgicheskih sposobov fiksacii kostnyh otlomkov nizhney chelyusti. Byulleten' medi-cinskih internet-konferenciy. 2013;3;3:741-741. [I.M. Mugadov, R.R. Abakarov, A.Kh. Ramazanov. Comparative characteristics of surgical methods for fixing bone fragments of the lower jaw. Bulletin of medical Internet conferences. 2013;3;3:741-741. (In Russ.)].
17. Hyshov V.B., Samsonov V.V., Demidov I.A. i dr. Retrospektivnyĭ analiz rezul'ta-tov lecheniya postradavshih s perelomami nizhneĭ chelyusti. Onkohirurgiya: tez. dokl. II Mezhdisciplinarnogo kongressa po zabolevaniyam organov golovy i shei. Moskva, 27-29 maya. 2014:135-136. [V.B. Khyshov, V.V. Samsonov, I.A. Demidov et al. Retrospective analysis of the results of treatment of patients with fractures of the mandible. Oncosurgery: abstracts. report II Interdisciplinary Congress on Diseases of the Head and Neck Organs. Moscow, May 27-29. 2014:135-136. (In Russ.)].
18. Dunphy L., Halsnad M., Sharp I. Simple novel technique to accurately control the depth of drill holes during transbuccal osteosynthesis of mandibular fractures // British Journal of Oral and Maxillofacial Surgery. - 2014;52;10:985-986.
19. Berezhnaya L.S., Dolgushin E.S., Finadeev I.I., Pavlienko A.P. i dr. Vliyanie im-munoterapii rekombinantnym il-1β na kliniko-immunologicheskie pokazateli paci-entov s oslozhnennymi perelomami nizhney chelyusti. Problemy stomatologii. 2017;13(2):49-53. [L.S. Berezhnaya, E.S. Dolgushin, I.I. Finadeev, A.P. Pavlienko et al. The effect of immunotherapy with recombinant IL-1β on the clinical and immunological parame-ters of patients with complicated fractures of the mandible. Actual problems in dentistry. 2017;13(2):49-53. (In Russ.)]. https://www.elibrary.ru/item.asp?id=29767440
20. Fomichev E.V. Analiz etiologicheskih faktorov travmaticheskogo osteomielita nizhney chelyusti. Byulleten' Volgogradskogo nauchnogo centra RAMN. 2010;4:40-44. [E.V. Fomichev. Analysis of the etiological factors of traumatic osteomyelitis of the lower jaw. Bulletin of the Volgograd Scientific Center of the Russian Academy of Medical Scienc-es. 2010;4:40-44. (In Russ.)].
21. Ivanyushko T.P., Tumbinskaya L.V., Smirnov A.V. i dr. Rol' uslovno-patogennoy mikroflory polosti rta v razvitii travmaticheskogo osteomielita nizhney chelyusti. Stomatologiya. 2012;6:37-40. [T.P. Ivanyushko, L.V. Tumbinskaya, A.V. Smirnov et al. The role of opportunistic microflora of the oral cavity in the development of traumatic osteomyeli-tis of the lower jaw. Dentistry. 2012;6:37-40. (In Russ.)]. https://www.elibrary.ru/item.asp?id=18352761
22. Lepilin A.V., Bahteeva G.R., Nozdrachev V.G. i dr. Kliniko-statisticheskiy analiz travmaticheskih povrezhdeniy chelyustno-licevoy oblasti i ih oslozhneniy po materialam raboty otdeleniy chelyustno-licevoy hirurgii za 2008-2012 gody. Saratovskiy nauchno-medicinskiy zhurnal. 2013;9;3:425-428. [A.V. Lepilin, G.R. Bakhteeva, V.G. Nozdrachev et al. Clinical and statistical analysis of traumatic injuries of the maxillofacial region and their complications based on the work of the departments of maxillofacial surgery for 2008-2012. Saratov Journal of Medical Scientific Research. 2013;9;3:425-428. (In Russ.)].
23. Fomichev E.V. Sovremennye osobennosti klinicheskih proyavleniy odontogennogo i travmaticheskogo osteomielita nizhney chelyusti. Vestnik VolgGMU. 2013;1(45):7-11. [E.V. Fomichev. Modern features of clinical manifestations of odontogenic and traumatic os-teomyelitis of the lower jaw. Bulletin of Volgograd State Medical University. 2013;1(45):7-11. (In Russ.)].
24. Artyushkevich A.S. Oshibki i oslozhneniya pri lechenii perelomov nizhney chelyusti. Sovremennaya stomatologiya. 2016;4:40-41. [A.S. Artyushkevich. Errors and complications in the treatment of mandibular fractures. Modern dentistry. 2016;4:40-41. (In Russ.)].
25. Fomichev E.V., Kirpichnikov M.V., Yarygina E.N., Podol'skiy V.V. Verifikaciya klinicheskih proyavleniy hronicheskoy endogennoy intoksikacii u pacientov s travmaticheskim osteomielitom nizhney chelyusti. Volgogradskiy nauchno-medicinskiy zhurnal. 2017;4:39-42. [E.V. Fomichev, M.V. Kirpichnikov, E.N. Yarygina, V.V. Podolskiy. Verification of clinical manifestations of chronic endogenous intoxication in patients with traumatic osteomyelitis of the mandible. Volgograd Medical Scientific Journal. 2017;4:39-42. (In Russ.)].
26. Lee K.H., Bobinskas A.M., Sun J. Addressing Alcohol-Related Harms Within Maxillofa-cial Trauma Practice // Journal of Oral and Maxillofacial Surgery. - 2014;73;2:314-315.
27. Zhurina, A.A., Vagner V.D. Ekspertiza vremennoy netrudosposobnosti i ee zakono-datel'naya osnova i normativnoe pravovoe obespechenie. Materialy XXI ezhegodnogo nauchnogo foruma «Stomatologiya 2019». Stomatologiya. 2;6(98):13. [Zhurina, A.A., Wag-ner V.D. Examination of temporary disability and its legislative basis and regulatory legal support. Materials of the XXI annual scientific forum "Dentistry 2019". Dentistry. 2;6(98):13. (In Russ)].
28. Zhurina A.A., Vagner V.D., Soyher M.I. Nekotorye aspekty stomatologicheskoy zabolevaemosti s vremennoy utratoy trudosposobnosti. Obzor. Klinicheskaya stomatologiya. 2020;1/93:90-93. [A.A. Zhurina, V.D. Wagner, M.I. Soikher. Some aspects of dental morbidity with temporary disability. Overview. Clinical dentistry. 2020;1/93:90-93. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42846276
29. Bashtovoy A.A., Vagner V.D., Zhurina A.A., Martirosyan A.M., Soyher M.I. Eksper-tiza vremennoy netrudosposobnosti v stomatologicheskoy praktike. Prakticheskoe po-sobie. Moskva : Izd-vo «Nauka». 2021:64. [A.A. Bashtovoy, V.D. Wagner, A.A. Zhurina, A.M. Martirosyan, M.I. Soikher. Examination of temporary disability in dental practice. A practical guide. Moscow: Publishing House "Science". 2021:64. (In Russ.)].
