Email this article Features of the course of comorbid somatic pathology depending on the method of treatment of lower jaw fracture without displacement of fragments
- Authors: Moskalev E.1, Bayrikov I.M.1, Gubarevа I.V.1, Samikin A.S.1, Trusov Y.A.1, Zinkina A.A.1, Meshcheryakov Y.V.1
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Affiliations:
- Samara State Medical University
- Issue: Vol 21, No 1-2 (2021)
- Pages: 69-73
- Section: Clinical Medicine
- URL: https://journal-vniispk.ru/2410-3764/article/view/108836
- DOI: https://doi.org/10.55531/2072-2354.2021.21.1.69-73
- ID: 108836
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Abstract
- AIM: The aim is to study the effect of the method of reducing the fractures of the mandible without displacement of fragments on the course of comorbid somatic pathology
MATERIALS AND METHODS: The study included 60 patients (45 men and 15 women) aged 18 to 69 years with fractures of the mandible without displacement of fragments and comorbid somatic pathology. The subjects were divided into three groups. The first group included 20 patients who received intraosseous orthodontic screws with intermaxillary rubber traction. The second group consisted of 20 patients who underwent immobilization with a Tigerstedt splint with intermaxillary rubber traction. The third group included 20 patients who underwent immobilization with a Vasiliev double-mandibular splint with intermaxillary rubber traction. We studied the effect of the method of reducing of fractures of the mandible without displacement of fragments on the course of comorbid somatic pathology.
RESULTS: As a result of the treatment in the first group, angina pectoris became unstable in 1 patient, which required a consultation with a cardiologist and correction of treatment. In the second group, in 3 patients (15%) with chronic polyarthrosis, prolonged wearing of dental splints resulted in the aggravation of deforming osteoarthritis of the TMJ and longer outpatient rehabilitation was required. In the third group, 13 patients (65%) with diabetes mellitus and ischemic heart disease demanded a prolonged oral tissue regeneration.
CONCLUSIONS: When choosing a method for reducing a fracture of the lower jaw, it is necessary to take into account the features of comorbid somatic pathology. The conservative method of treatment using dosed intermaxillary elastic traction is the most gentle.
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##article.viewOnOriginalSite##About the authors
Eugeniu Moskalev
Samara State Medical University
Author for correspondence.
Email: e.moscaliov@gmail.com
Oral and maxillofacial surgeon, Resident of Oral and Maxillofacial Surgery and Dentistry Department
Russian Federation, SamaraIvan M. Bayrikov
Samara State Medical University
Email: e.moscaliov@gmail.com
Corresponding Member, Doctor of Medical Sciences, Professor, oral and maxillofacial surgeon, Head of the Oral and Maxillofacial Surgery and Dentistry Department
Russian Federation, SamaraIrina V. Gubarevа
Samara State Medical University
Email: i.v.gubareva@samsmu.ru
Doctor of Medical Sciences, Associate Professor, Head of the Internal Diseases Department
Russian Federation, SamaraAleksandr S. Samikin
Samara State Medical University
Email: samikin@mail.ru
Oral and maxillofacial surgeon, Head of the Oral and Maxillofacial Surgery and Dentistry Department
Russian Federation, SamaraYuriy A. Trusov
Samara State Medical University
Email: yu.a.trusov@samsmu.ru
Cardiologist, Resident of the Propaedeutic Therapy Department
Russian Federation, SamaraAnna A. Zinkina
Samara State Medical University
Email: anna-zinkina@mail.ru
Cardiologist, Resident of the Propaedeutic Therapy Department
Russian Federation, SamaraYuri V. Meshcheryakov
Samara State Medical University
Email: mesheryakov.yuri@gmail.com
Resident of the Internal Medicine Department
Russian Federation, SamaraReferences
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