电邮这篇文章 Osteosynthesis of the condylar process of the mandible with the use of fiber-optic equipment
- 作者: Pankratov A.S.1,2, Kondrat A.H2
-
隶属关系:
- I.M. Sechenov First Moscow state medical University Ministry of health of the Russian Federation
- N.I. Pirogov City Clinical hospital Department of Health
- 期: 卷 20, 编号 1 (2016)
- 页面: 28-31
- 栏目: Articles
- URL: https://ogarev-online.ru/1728-2802/article/view/42022
- DOI: https://doi.org/10.18821/1728-28022016;20(1):28-31
- ID: 42022
如何引用文章
全文:
详细
In 78 patients with fractures of the condylar process of the mandible was used for the operation offunctionally stable osteosynthesis using the minimally invasive surgical approaches: in 37 cases intraoral, 29 - mini-transmediterranea, 12 - nutrioso-preduslova. The necessary visualization of the surgical wound was enabled by the use of fiber-optic equipment domestic production in combination with surgical retractors original design, directly introduced into the wound. The results of the study showed that fiber-optic technology creates a sufficient level of illumination necessary to control the mapping of bone fragments in the correct anatomical position and the adequacy of the overlay retaining structures. This allows us to recommend these surgical approaches clinical use, as well. as. they have a number of advantages from an aesthetic and functional points of view, allowing, in most cases, to avoid the need to spend condylectomy surgery-replantation. This Such intervention causes serious violations in the blood supply to the head of the mandible and does not provide guaranteed clinical outcome, therefore, indications for its use should be limited. In General fiber-optic technology can be a real alternative to the techniques of endoscopic-assisted osteosynthesis, favorably differing from them by the criterion of price/quality, and easy handling, not requiring specially trained personnel.
作者简介
Alexander Pankratov
I.M. Sechenov First Moscow state medical University Ministry of health of the Russian Federation; N.I. Pirogov City Clinical hospital Department of Health
Email: stomat-2008@mail.ru
doctor of medical, Sciences, Professor, Department of hospital surgical dentistry and maxillofacial surgery, N.I. Pirogov First state medical University; doctor of Department of maxillofacial surgery City clinical hospital № 1 119991, Moscow, Russia
A. Kondrat
N.I. Pirogov City Clinical hospital Department of Health117049, Moscow, Russia
参考
- Швырков М.Б., Афанасьев В.В., Стародубцев В.С. Неогнестрельные переломы челюстей: Руководство. М.: Медицина; 1999.
- Панкратов А.С. Анализ современной эпидемиологической картины переломов нижней челюсти Российский стоматологический журнал. 2001; (4): 26-30.
- Козлов В.А. Неотложная стационарная стоматологическая помощь. Л.: Медицина; 1988.
- Лаврищева Г.И., Оноприенко Г.А. Морфологические и клинические аспекты репаративной регенерации опорных органов и тканей. М.: Медицина; 1996.
- Медведев Ю.А., Сергеев Ю.Н., Бедирханлы Н.С., Хоаг Т.А. Опыт и перспективы хирургического лечения высоких переломов мыщелкового отростка нижней челюсти со смещением отломков Здоровье и образование в XXI веке. 2009; (1): 64-7.
- Темерханов Ф.Т., Юрмазов Н.Б. Хирургическое лечение переломов мыщелковых отростков нижней челюсти с применением титановых устройств Бюллетень СО РАМН. 2003; 109 (3): 102-7.
- Фокин В.А. Вехи развития АО накостного остеосинтеза Margo Anterior. 2000; (5-6): 1-2.
- Панкратов А.С., Робустова Т.Г., Притыко А.Г. Теоретическое и практическое обоснование выбора метода лечения больных с переломами нижней челюсти и их осложнениями Российский стоматологический журнал. 2005; (1): 42-5.
- Панкратов А.С., Робустова Т.Г. К вопросу о классификации переломов нижней челюсти. Стоматология. 2001; (2): 29-32.
- Assael L.A. Fractures of the Mandibular Condyle. In: Peterson’s Principles of Oral and Maxillofacial Surgery. Third. Ed. By ed. Miloro A.M. / PMPH Inc., 2012; 1: 441-54.
- Boyne P.J. Free grafting of traumatically displaced or resected mandibular condyles. J. Oral Maxillofac Surg. 1989; (47): 228.
- Iizuka T., Lindqvist C., Hallikainen D. et al: Severe bone resorption and osteoarthrosis after miniplate fixation of high condylar fractures. Oral Surg. 1991; (72): 400.
- Lauer G., Shmelzeison R. Endoscope-assisted fixation of mandibular condylar process fractures. J. Oral Maxillofac. Surg. 1999; 57 (1): 36-9.
- Mueller R.V., Czerwinski M., Lee C., Kellman R.M. Condylar fracture repair: use of endoscope to advance traditional treatment philosophy. Fac. Plast. Surg. Clin. North. Am. 2006; (14): 1-9.
- Patil R.S., Gudi S.S. Management of Subcondylar Fracture through Intraoral Approach with Rigid Internal Fixation J. Maxillofac. Oral Surg. 2011; 10 (3): 209-15.
- Pereira-Filho V., Welsh B., Shubel F. et al. Intraoral Approach for Treatment of Displaced Condylar Fractures: Case Report. Craniomaxillofac Trauma Reconstr. 2011; 4 (2): 107-12.
- Schon R., Gutwald R., Shramm A. et al. Endoscopy-assisted open treatment of condylar fractures of the mandible: extraoral vs intraoral approach Int. J. Oral Maxillofac. Surg. 2002; (31): 237-43.
- Wagner W., Krach W., Schiho K. et al. A 3-dimensional finiteelement analysis investigating the biomechanical behavior of the mandible and plate osteosynthesis in cases of fractures of the condylar process. Oral Surg., Oral Med., Oral Pathol. 2002; 94 (6): 678-86.
补充文件
