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ANALYSIS OF ORTHOPEDIC AND SURGICAL METHOD OF
REHABILITATION OF PATIENTS WITH COMBINED INJURIES OF
THE MAXILLOFACIAL REGION.
Каршиев Ш.Г.
Тиббиёт ходимларининг касбий малакасини ривожлантириш маркази 1
Стоматология кафедраси ассистенти, Алфраганус университети Клиник
фанлар кафедраси доценти
https://doi.org/10.5281/zenodo.14894020
Introduction.
Maxillofacial injuries occupy an important place in the
general pathology of traumatology and surgery. They can have various forms
and degrees of severity, which requires a comprehensive approach to treatment,
including surgical intervention and rehabilitation. Combined maxillofacial
injuries occur when several anatomical structures are damaged simultaneously,
such as the jaws, teeth, soft tissues and bones of the facial skeleton. These
injuries can be the result of car accidents, industrial accidents, domestic injuries
and violent impacts.
Thus, surgical and orthopedic rehabilitation after combined injuries of the
maxillofacial region is a multifaceted process that requires a detailed approach
to each case, taking into account the individual characteristics of the patient. It is
important to note that a successful outcome of the treatment of combined
injuries is possible only with a competent combination of surgical and
orthopedic care, as well as with careful adherence to all stages of the
rehabilitation process.
Objective of the study.
The study is aimed at analyzing effective methods
of surgical and orthopedic rehabilitation of patients with combined injuries of
the maxillofacial region, evaluating their results and developing
recommendations.
Materials and methods.
To study the methods of surgical and orthopedic
rehabilitation of patients with combined injuries of the maxillofacial region, a
comprehensive analysis of clinical data of patients admitted to traumatology and
maxillofacial departments of large medical institutions over the past 3 years was
conducted. Patients were divided into several groups depending on the type of
injury: a group with isolated jaw fractures, a group with combined fractures of
the jaw and dentoalveolar system, and a group with combined injuries, including
damage to the soft tissues of the face.
The rehabilitation stages included two main periods: early (the time after
surgery) and late (long-term recovery). In the early period, the focus was on
preventing infectious complications, eliminating swelling and pain, and
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restoring the normal position of the jaw. In the late period, more complex
rehabilitation measures were carried out, including restoration of the dentition,
correction of the bite, and improvement of the functionality of the maxillofacial
area.
Results.
Of the 85 patients participating in the study, surgical intervention
successfully restored the anatomical integrity and functionality of the
maxillofacial region in 95% of patients. Complications observed during
treatment included infections in the surgical area, as well as impaired bone
fusion processes in 5 patients, which required additional surgical correction.
One of the key factors for successful treatment was early restoration of jaw
movements using physiotherapy procedures and orthopedic devices. Patients
who received such rehabilitation showed the best results in restoring chewing
function and normalizing the bite.
In a group of patients requiring dental prostheses, successful implantation
of dental structures was performed, which significantly improved the aesthetic
and functional results of treatment. Orthopedic prosthetics allowed patients to
return to their normal life and ensured normal nutrition, which significantly
reduced the risks of malnutrition in the postoperative period.
Rehabilitation in the late period also included the use of hardware methods
for bite correction, such as braces, which made it possible to eliminate functional
disorders associated with malocclusion and jaw misalignment.
Conclusion.
In addition, a significant factor in successful recovery is a
multidisciplinary approach, including both traumatologists and maxillofacial
surgeons, as well as orthopedists and dentists. In the future, additional research
is required to optimize rehabilitation methods and determine the most effective
approaches to the treatment of combined injuries of the maxillofacial region.
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