Variants of temporary mmobilization in jaw fractures

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Abstract

In peacetime and in wartime, fractures of the bones of the facial skeleton are an important phenomenon (5-6% to 7-9% of all traumatic skeletal injuries) requiring use of rational treatment methods. The share of mandibular fractures accounts for 65-85%, of maxilla – 4-6%, of zygomatic and nasal bones – 7-9% and 4-7%, respectively. The need for immobilization is associated with the risk of development of pain and complications, such as bleeding, microbial contamination, asphyxia, injury of nerves and blood vessels. The article gives a comparative analysis of means of transport immobilization of jaws on examples of traumas received in the wartime and in emergency situations. There were chosen extraoral methods that hold jaw fragments with the help of bandage secured to the cerebral cranium, and intraoral methods with maxillomandibular ligature fixation.

Conclusion. Standard Entin head-chin strap has certain advantages over Hippocratic cap bandage and Pomerantseva-Urbanskaya method. It is sufficiently universal and may be adjusted to any size of the head, possesses sufficient strength and provides reliable fixation of jaws. Ivy’s method was found to have advantages in comparison with other methods of maxillomandibular ligature fixation, which are strong and high-quality immobilization of the jaw fragments, possibility of use with multiple fractures, simplicity of application. All this permits to recommend Ivy’s method for use in case of indications.

About the authors

Nikolay E. Mitin

Ryazan State Medical University

Email: i.suchkov@rzgmu.ru
ORCID iD: 0000-0001-7890-6353

MD, PhD, Associate Professor, Head of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propaedeutics of Dental Diseases

Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026

Tat`yana S. Rodina

Ryazan State Medical University

Email: i.suchkov@rzgmu.ru
ORCID iD: 0000-0002-7678-0029
SPIN-code: 5723-3633
ResearcherId: V-1963-2018

MD, PhD, Associate Professor of the Department of Orthopedic Dentistry and Orthodontics with the Сourse of Propaedeutics of Dental Diseases

Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026

Nikolay N. Strelkov

Ryazan State Medical University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0001-9376-3952
SPIN-code: 6421-8603
ResearcherId: U-9716-2018

MD, PhD, Assistant of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propaedeutics of Dental Diseases

Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026

Maria I. Zolotova

Ryazan State Medical University

Email: vestnik@rzgmu.ru
ORCID iD: 0000-0003-3933-9012
SPIN-code: 9320-1167
ResearcherId: V-2628-2018

PhD Student of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propaedeutics of Dental Diseases

Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026

Vasilisa V. Volkova

Ryazan State Medical University

Author for correspondence.
Email: Vasiliska101@mail.ru
ORCID iD: 0000-0002-7619-7597
SPIN-code: 8531-6106
ResearcherId: U-7506-2018

Clinical Resident of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propaedeutics of Dental Diseases

Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026

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2. Comparison of Extraoral and Intraoral Methods of Temporary Fixation of Jaws

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Copyright (c) 2018 Mitin N.E., Rodina T.S., Strelkov N.N., Zolotova M.I., Volkova V.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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