The use of functional sonography in the diagnosis of mandibular fractures

Akramova, N, Khodzhibekov, M, Boymuradov, Sh, Kasimova, M, Акрамова, Н, Ходжибеков, М, Боймурадов, Ш, Касимова, М, Акрамова, Н, Ходжибеков, М, Боймурадов, Ш, Касимова, М

Stomatologiya · 2017-yil

Annotatsiya

The purpose of the study is to assess the possibilities of sonography in the diagnosis of fractures of the mandible using a functional test with the opening and closing of the mouth. Materials and methods: 96 patients, aged from 6 up to 59 years were examined, 56 of them had fractures of the mandible. X-ray films. MSCT scans were taken for all patients and were compared with the ultrasonographicfindings. Results: All patients showed one or two-sided fracture of the mandible. Fractures of the mandible were combined with injuries of the middle zone of the face in 4 cases Isolated fractures of the mandible were detected in 17. and multiple fractures in 35 patients Among fractures of the mandible prevailed fractures of the angle (in 22). the articular process (in 16). parasymphysis (in 19). the branch (in 11). the corpus (8). the coronoid process (in 3), the symphysis of the mandible (in 6 cases). MSCT revealed 82 mandibular fractures. X-ray 77. and sonography 80, the sensitivity of the latter two methods was 93.9% and 97.5%. respectively. In 13 cases of unbiased fractures, when difficulties arose, the technigue of functional sonography with opening and closing of the mouth was used In addition. 11 more fractures were revealed using this technigue In 34 patients, there was a need for repeated sonography to assess the state of bone fragments after repositioning. The state of the fragments was satisfactory at 19 and unsatisfactory in 15 cases. In 2 patients, sonography was used intraoperatively to assess the adeguacy of bone fragments during reposition of the mandible. Conclusion: On sonograms, fractures of the mandible are manifested by interrupting the outer cortical layer with or without displacement of bone fragments, displacement of bone fragments when using functional loads: dislocation of the head of the articular process by the absence of its contour in the projection of the joint fossa. The use of sonography with functional tests on the mandible increases the sensitivity of the method in the diagnosis of fractures. Ultrasonic monitoring of the adeguacy of open and closed reposition of fragments improves the effectiveness of interventions and allows timely elimination of the causes of unsatisfactory standing of fragments.

Maqola ma’lumotlari
MualliflarAkramova, N, Khodzhibekov, M, Boymuradov, Sh, Kasimova, M, Акрамова, Н, Ходжибеков, М, Боймурадов, Ш, Касимова, М, Акрамова, Н, Ходжибеков, М, Боймурадов, Ш, Касимова, М
JurnalStomatologiya
Nashr sanasi2017-03-27
Jild1
Son3
Betlar42-45
TilRus
DOI10.71337/inlibrary.uz.stomatologiya.2760

DOI: 10.71337/inlibrary.uz.stomatologiya.2760 · Maqolaning asl sahifasi

Kalit so‘zlar

травма, нижняя челюсть, сонография, травма, пастки жағ, сонография, trauma, lower jaw, sonography

Ilmiy soha

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