Treatments For Jaw Fractures
One of the emergencies that hospitals are seeing increasingly is jaw fractures. This is often the result of traffic accidents. However, jaw fracture is still a real challenge for medical units, especially where there is no specialized denture.
The long-term consequences of improper treatment not only affect the aesthetics of the patient but also profoundly affect the function of the 'gateway' of the digestive system.
What is jaw fracture?
People often divide jaw fracture into two types: upper jaw fracture and lower jaw fracture
The current treatments
Currently, doctors can apply the following measures to treat jaw fractures in patients:
Orthopedic treatment: Orthopedics in the mouth is an early technique, applied by many people and is still a popular method in many places today.
Results of treatment for cases of broken lines going through the region of teeth, little displacement.
Manipulating broken bones: by hand or by traction. Fix broken bone: fix two jaws by mouth method: tie the wire, brace, bow to fix the jaw, make the trough ... and the method outside the mouth: head band, head resting devices.
Surgical treatment: Orthopedic treatment is not possible in some special cases: patients with multiple teeth loss, patients with loose teeth and patients with children who still have a lot of baby teeth
Depending on the condition, a person with a jaw fracture may have a chiropractic or surgical treatment
In cases of high displacement, which can leave badly exposed two ends, the orthopedic method will not bring the desired results.
Therefore, it is necessary to appoint fixed jaw surgery, including two methods:
- Steel bone fixation surgery: This treatment was applied very early (in 1847) in the orthopedic surgery industry proposed by Gordon Buck. Using stitching technique to combine bone with steel thread to treat broken jaw bone.
- Screw brace fixation surgery: Along with the development of science and technology in the world, the fasteners are also invented by scientists into many different types in terms of size, style and material.
- Large screw brace creates pressure to break the head
- Type of screw to create axial pressure
- Type of screw creating misalignment pressure
- The type of screw pressed
Mini plate fasteners (mini plates) used in the treatment of fractures are of two types: pressure fracture and not pressure fracture. Screw braces are made of materials such as vitallium, tantalium, Zirconium which are long tolerant metals in the body. There is also a self-healing screw type when the bone is already healed.
Self-absorbing fixed brace: The structure of the self-absorbing brace is synthesized from the polymerization of carbon derivatives from nature.
This is the most preeminent material used for orthopedic injuries, with the advantages of being non-toxic and not deformed and corrosive, with high biological compatibility and good mechanical strength.
In addition, the technique of combining bone with carbon brace is similar to that of metal braces, but without the use of compression tools to break fractures, not using compression screws (lagscrew) and No additional bone graft is required and the effect is still high.
Currently, Vietnam has also manufactured this carbon structure screw, brought the product to market, safely and effectively treated thousands of surgical cases replacing metal fasteners, cost price. cheap, the quality is equal to that of imported ones.
Therefore, the replacement of self-tapping screw braces will certainly be the first priority choice in the field of trauma and orthopedic.
Some complications of combined bone surgery
Decreased or lost sensation in the region is dominated by the orbital nerve. Concave eye occurs high in cases of fractures in the middle surface, related to damage to the orbital wall, causing increased sockets of the eye socket, infections, bone inadequate synapse after manipulation.
Bite joint displacement is quite common. Upper socket syndrome and orbital top syndrome.
Duplexism: According to some authors, diplopia may go away on its own in a few weeks to 6 months.. . Dịch vụ: Thiết kế website, quảng cáo google, đăng ký website bộ công thương uy tín
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