New technologies in treatment of patients with the got defects and deformations of a facial skull

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Abstract


More than 15 patients with the isolated fracture of the bottom wall of an orbit as «blow-out» were studied. As one of variants of an individual approach to restoration of the isolated defects of the bottom wall of an orbit we had been offered a technique of a osteo-plastic antrotomy, as a stage of access. All patients have been taken on a dispensary observation. According to the lead postoperative computer tomography of additional sinuses of a nose in two projections, and also ortopantomography, rentgenographies of a facial skull in direct and lateral projections, endoscopic research, the pneumatization of the operated genyantrums has not been disturbed, the osteal forward wall has been kept on all extent, was absent retraction soft tissues of infraorbital area, integrity of an osteal wall of a bottom of an orbit has been restored, that as a whole speaks about efficiency and not so traumaticaly the lead surgical treatment.
The offered way of surgical treatment promotes to the greatest degree to conservation of anatomic structures of maxillofacial area, possessing the least traumatism in comparison with other ways. This technique is simple, effective and does not demand application of the expensive equipment.

About the authors

V I Gunko

Peoples' Friendship University of Russia

Кафедра челюстно-лицевой хирургии и хирургической стоматологииМедицинский факультет; Российский университет дружбы народов; Peoples' Friendship University of Russia

G G Khudaibergenov

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Copyright (c) 2008 Гунько В.И., Худайбергенов Г.Г.

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