MINIMALLY INVASIVE OSTEOSYNTHESIS OF MANDIBULAR FRACTURES USING RESORBABLE IMPLANTS
Abstract
Fractures of the lower jaw occupy one of the leading places among injuries of the maxillofacial region and represent a significant medical and social problem. The high frequency of such injuries is due to the increase in road traffic injuries, domestic and sports injuries. Violation of the integrity of the lower jaw is accompanied not only by severe pain, but also by impaired chewing, speech, and facial aesthetics, which significantly reduces the quality of life of patients.
Modern approaches to the treatment of mandibular fractures are aimed at achieving stable fixation of bone fragments with minimal injury and rapid restoration of function. Traditionally used metal structures, despite their strength and reliability, have a number of disadvantages, including the need for repeated surgical intervention to remove them, the risk of allergic reactions, as well as possible limitations when performing radiation diagnostic methods.
In this regard, the use of resorbable mini-plates is particularly relevant, which provide sufficient fixation for the healing period and gradually dissolve in the body. The use of such systems makes it possible to reduce the surgical burden on the patient, eliminate repeated operations and reduce the risk of postoperative complications.
This topic is of additional importance in children's and adolescent practice, where the use of biodegradable materials helps to preserve the growth and development of bone tissue without interference in the long term.
Thus, the study and implementation of resorbable mini-plates for osteosynthesis in fractures of the lower jaw is an urgent area of modern maxillofacial surgery aimed at improving the effectiveness of treatment and improving the quality of life of patients.
Keywords
immobilization of bone fragments, resorbable mini-plates, biodegradable plates, biodegradable materials, fixation of bone fragments, polymer osteosynthetic systems, functional osteosynthesis, postoperative rehabilitation.
References
- Azimova M.L. Analysis of the results of treatment of mandibular fractures in patients of various age groups. O'zbekistonda fanlararo innovatsiyalar va ilmiy tadqiqotlar jurnali. 2023. pp. 892-901.
- Champy M., Lodde J.P., Schmitt R., Jaeger J.H., Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach // Journal of Maxillofacial Surgery. – 1978. – Vol. 6. – P. 14–21.
- Hugo L. Obwegeser. New developments in the treatment of mandibular fractures // Journal of Oral and Maxillofacial Surgery. – 1985. – Vol. 43. – P. 93–102.
- Edward Ellis III, Graham J. Use of biodegradable plates and screws in mandibular fractures // Journal of Oral and Maxillofacial Surgery. – 2002. – Vol. 60. – P. 59–65.
- Louis B. Tiwana, Kushner G.M., Alpert B. Biodegradable fixation in maxillofacial surgery: a review // Oral Surgery, Oral Medicine, Oral Pathology. – 2005. – Vol. 99. – P. 1–10.
- Deepak Krishnan, et al. Resorbable versus titanium fixation for mandibular fractures: a systematic review // International Journal of Oral and Maxillofacial Surgery. – 2014. – Vol. 43. – P. 123–129.
- Bell R.B., Kindsfater C.S. The use of biodegradable plates and screws to stabilize facial fractures // Journal of Oral and Maxillofacial Surgery. – 2006. – Vol. 64. – P. 31–39.
- Eppley B.L. Use of resorbable plates and screws in pediatric facial fractures // Journal of Oral and Maxillofacial Surgery. – 2005. – Vol. 63. – P. 385–391.
- Landes C.A., Ballon A., Roth C. Maxillary and mandibular osteosynthesis with bioresorbable plates: clinical and radiological outcomes // Journal of Cranio-Maxillofacial Surgery. – 2006. – Vol. 34. – P. 260–267.
- Yerit K.C., Hainich S., Turhani D., Klug C., Watzinger F. Stability of biodegradable implants in mandibular fractures // Clinical Oral Investigations. – 2005. – Vol. 9. – P. 188–194.
- Dmitriev N.S., Kulakov A.A. Modern methods of osteosynthesis of fractures of the mandible // Dentistry. - 2018. – No. 4. – pp. 45-49.
- Pulatova S.K. Assessment of the clinical course in the complex treatment of mandibular fractures in patients with immunocorrection // Oriental renaissance: Innovative, educational, natural and social science. Scientific Journal VOLUME 1 | ISSUE 10-2021, pp. 893-906.
- Pulatova S.K. Prevention of diseases of the gastrointestinal tract in patients with mandibular injuries. Journal of Advanced Research and Stability Volume: 02 Issue: 12 | Dec - 2022 ISSN: 2181-2608. pp. 731-736.
- Rakhimov Z.K., Pulatova Sh.K., Zamonova G.S. Improving the scheme of pathogenetic therapy of fractures of the lower jaw with a complicated course. Bulletin of the Council of Young Scientists and Specialists of the Chelyabinsk region. 2015;2(9):77-82.