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Osteosynthesis of facial bone fractures

The concept of functionally stable osteosynthesis of fractures is currently the gold standard in the treatment of facial bone fractures.

Clinical case 1:

Osteosynthesis of fractures of articular sprouts and mandibular angle

Diagnosis:   Fracture of the right and left articular growth of the mandible, fracture of the angle of the mandible.

Surgical treatment:  open repositioning and fixation of fracture fragments with titanium micro-, mini-plates and screws.

Functionally stable osteosynthesis allowed to remove the tires on the 7th day after surgery, despite the complexity of the high fracture of the left articular sprout. The patient returned to full life. 

Clinical case 2:

Reconstruction of the orbit with an individualized implant

Diagnosis:  Break of the fundus on the left. 

Surgical treatment:  reconstruction of the orbit with an individualized implant made of bioinert material.

In this clinical case, a fracture of the fundus led to damage to the oculomotor muscles, accompanied by their dysfunction and movements of the eyeball become limitations: the inability to look down with the damaged eye. _cc781905-5cfb-13694

The patient underwent reconstruction of the fundus with an individualized implant, which was modeled and printed on a 3D printer made of bioinert material peek (polyesterirketone) ._ cc781905-5cde-3194-bb3b-136bad5cf58d_

After surgical treatment, the function and movements of the eyeball are restored. The patient returned to full life. 

Surgeon: Alexander Kobyakov

Bioengineer: Oleksiy Likhitsky (implant modeling and printing) ._ cc781905-5cde-3194-bb3b-136bad5cf58d_

Clinical case 3:

Osteosynthesis of the maxillofacial complex and reconstruction of the fundus floor 

Diagnosis: Fracture of the right chin - orbital complex, reflux - fracture of the bottom of the right orbit.

The injury was caused by an accident.

Surgical treatment: Osteosynthesis of the maxillofacial complex and reconstruction of the orbital floor by intraoral and transconjunctival accesses.

Clinical case 4:

Osteosynthesis of multiple fractures of the facial bones

Diagnosis: Multiple fractures of the bones of the middle area of the face: fracture of the right chin-eye complex, fracture of the upper jaw type  Le-Fort II.

Surgical treatment: open reposition and fixation of fracture fragments with titanium micro-, mini-plates and screws. 

Clinical case 5:

Osteosynthesis of fractures of the middle part of the face 

Diagnosis: Fracture of the bones of the middle face: fracture of the upper jaw type  Le-Fort I, depressed fracture of the anterior wall of the maxillary sinus. 

The injury was caused by an accident.

Surgical treatment: open reposition and fixation of fracture fragments with titanium micro-, mini-plates and screws. 

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