SU1699431A1 - Method of surgical treatment of zygomaticomaxillary fractures - Google Patents
Method of surgical treatment of zygomaticomaxillary fractures Download PDFInfo
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- SU1699431A1 SU1699431A1 SU894705042A SU4705042A SU1699431A1 SU 1699431 A1 SU1699431 A1 SU 1699431A1 SU 894705042 A SU894705042 A SU 894705042A SU 4705042 A SU4705042 A SU 4705042A SU 1699431 A1 SU1699431 A1 SU 1699431A1
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- USSR - Soviet Union
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- fractures
- zygomaticomaxillary
- surgical treatment
- fragments
- infraorbital nerve
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Abstract
Изобретение относитс к медицине именно к стоматологии. Способ позвол ет снизить осложнени и сократить сроки лечени , что достигаетс проведением декомпрессии подглазничного нерва, репозиции и фиксации скуловой кости и выведением внутриканэльной части подглазничного нерва между отломками скуловой кости и верхней челюсти в м гкие ткани глазницыThis invention relates to medicine specifically to dentistry. The method reduces complications and shortens the treatment time, which is achieved by decompression of the infraorbital nerve, reposition and fixation of the zygomatic bone and elimination of the intra canal part of the infraorbital nerve between the fragments of the zygomatic bone and upper jaw in the soft tissues of the orbit.
Description
Изобретение относитс к медицине, а именно к стоматологии.The invention relates to medicine, namely to dentistry.
Целью изобретени вл етс снижение осложнений и сокращение сроков лечени .The aim of the invention is to reduce the complications and shorten the treatment time.
Способ осуществл ют следующим образом .The method is carried out as follows.
Производ т разрез слизистой оболочки переходной складки от второго мол ра до бокового резца, м гкие ткани отслаивают до нижнего глазничного кра и приподнимают . Развод т отломки скуловой кости и верхней челюсти, удал ют мелкие костные осколки и сгустки крови. Внутриканальную часть подглазничного нерва осторожно вывод т в полость орбиты через плоскость перелома , после чего сопоставл ют отломки скуловой кости и верхней челюсти в правильное положение, в подглазничный нерв сдвигают в любую сторону от линии перелома на 0,5-1,0 см, чтобы не было его нат жени . После проведени этих манипул ций нерв оказываетс помещенным в васкул - ризированное тканевое ложе и полностьюAn incision of the mucosa of the transitional fold from the second mole to the lateral incisor is made, soft tissues are peeled off to the lower orbital margin and raised. Fragments of the zygomatic bone and maxilla are diluted, small bone fragments and blood clots are removed. The intracanal part of the infraorbital nerve is carefully brought into the cavity of the orbit through the fracture plane, after which the fragments of the zygomatic bone and upper jaw are aligned in the correct position, in the infraorbital nerve they are shifted 0.5-1.0 cm to either side of the fracture. it was his marriage. After performing these manipulations, the nerve is placed in the vasculature — the tissue bed and completely
изолирован от костной раны и гайморовой пазухи Далее отломки фиксируют одним из известных способов, м гкие ткани возвращают на прежнее место, рану ушивают кетгутом .isolated from the bone wound and maxillary sinus. Further, the fragments are fixed in one of the known methods, the soft tissues are returned to their former place, the wound is sutured with catgut.
Пример. Больной К., 40 лет, диагноз: скуловерхнечелюстной перелом слева со смещением отломков. При поступлении жаловалс на западание тканей скуловой области слева, ограничение открывани рта до 2 см, чувство онемени в подглазничной области , области крыла носа и верхних зубов слева. Под эндотрахеальным наркозом выполнена операци : репозици скуловой кости , декомпресси и перемещение подглазничного нерва в полость орбиты, фиксаци отломков металлической спицей Киршнера. Послеоперационный i период протекал гладко, рана зажила первичным нат жением, больной выписан домой на восьмой день после операции При осмотре через один мес ц после операции контуры лица правильные, открывание рта в полномExample. Patient K., 40 years old, diagnosis: jaw-mandibular fracture on the left with displacement of fragments. On admission, he complained of swelling of the tissues of the zygomatic region on the left, limiting the opening of the mouth to 2 cm, numbness in the infraorbital region, the region of the wing of the nose and the upper teeth on the left. Under endotracheal anesthesia, the following operation was performed: reposition of the zygomatic bone, decompression and movement of the infraorbital nerve into the orbital cavity, fixation of fragments with a Kirschner metal needle. The postoperative i period was smooth, the wound healed by primary tension, the patient was discharged home on the eighth day after the operation. When viewed one month after the operation, the facial contours are correct, the mouth opening is in full
ОABOUT
ю оyoo o
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соwith
3 169943143 16994314
объеме, чувствительность тканей в зоне ин-рессии подглазничного нерва, репозиции иvolume, tissue sensitivity in the infraorbital nerve injection zone, reposition and
нервации подглазничного нерва полностью. фиксации скуловой кости, отличающийвосстановилась .с тем, что, с целью снижени осложненийnervations of infraorbital nerve completely. zygomaticus fixation, which has recovered since, in order to reduce complications
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894705042A SU1699431A1 (en) | 1989-06-14 | 1989-06-14 | Method of surgical treatment of zygomaticomaxillary fractures |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894705042A SU1699431A1 (en) | 1989-06-14 | 1989-06-14 | Method of surgical treatment of zygomaticomaxillary fractures |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1699431A1 true SU1699431A1 (en) | 1991-12-23 |
Family
ID=21454102
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU894705042A SU1699431A1 (en) | 1989-06-14 | 1989-06-14 | Method of surgical treatment of zygomaticomaxillary fractures |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1699431A1 (en) |
-
1989
- 1989-06-14 SU SU894705042A patent/SU1699431A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Тарасова Ф.И. Клиника, диагностика и лечение скуловерхнечелюстных переломов. Автореф.дис.канд мед наук - Омск, 1983, с. 10. * |
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