Dynamics of electroneuromyography in postoperative period after mandible fractures

Nowadays there is increase in the frequency of mandibular fractures, as well as the weighting of the nature of the fracture. At the same time, there is a tendency to growth of fractures of the articular processes of the mandible and comminuted fractures. With a wide access to intralesional mandibular extraoral fixation occurs re-tension and damage the edge branch of the facial nerve. Conducted functional assessment of efficiency of application of “Heparin” in complex treatment of mandibular fractures. 84 patients with fractures in the angle and the articular process of the mandible, as well as comminuted fractures underwent osteosynthesis. For the study, two groups were formed: with standard treatment and with the use of “Epsorin”. Electroneuromyography of facial nerve branches was performed in 2, 7 and 14 days after surgery. The data confirm recovery of demyelinated nerve fibers and axonal damage in postoperative wound in the main group compared with the control. As a result this medication can be used in treatment of traumatic injuries of mandible as an alternative means.

mandible fracture, osteosynthesis, facial nerve, electroneuromyography