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Fractures of the maxillofacial bone are often the result of traffic accidents. The long-term sequelae due to improper treatment not only affect the patient's aesthetics but also have a profound impact on the function of the body's digestive system.1. What is a maxillofacial fracture?
Jaw fractures are generally divided into two types: Upper jaw fracture and mandibular fracture. In which, fractures of the lower jaw have partial fractures: alveolar fracture, convex bridge fracture, parrot's process, lower border of lower jaw bone, bone perforation, total fracture...
Fracture of the upper jaw is considered a fracture. face, which can cause double vision, numbness under the skin of the eye (because of nerve injury) or abnormalities in the cheekbones (which can be felt when moving a finger along it).
Hình ảnh gãy xương hàm dưới
2. Treatment methods for jaw fractures
Orthopedic method Intraoral orthopedic is an early technique, widely applied and is still a popular method in many places today. Results of treatment for cases where the fracture line passes through the tooth remaining area, and there is little displacement. Adjust broken bones by hand or by traction.Fixing broken bones: fixation of two jaws by intra-oral methods (wire ties, braces, fixed arches, troughs...) and extraoral methods: headbands, appliances leaning against the skull.
Surgery Orthopedic treatment cannot be performed in some special cases such as: in patients with many teeth missing, in patients with many loose teeth and in children with many baby teeth. In cases where there is a lot of displacement, which may leave bad contact between the two broken ends, the orthopedic method will not bring high results. Therefore, it is necessary to have indications for surgery to fix the jaw bone, including two methods:
Surgical method to fix bone with steel thread: This method was applied very early (1847) in surgery. Orthopedics proposed by Gordon Buck. Using the technique of suturing bone fusion with steel thread to treat mandibular fractures.
Surgical fixation of bones with screw braces: Along with the development of science and technology in the world, screw braces are also invented by scientists into many different types in both size, design and material. .
Large screw splint for compression plate (Dynamic compression Plate). Axial dynamic compression plate screw type. Eccentric compression plate screw type. Lag screw type. The mini plate used in the treatment of fractures includes two types: pressure on the broken end and no pressure on the broken head. Screw braces are made of materials such as vitallium, tantalum, and zirconium, which are metals that can be tolerated for a long time inside the body. There is also a type of screw brace that dissolves when the bone has healed.
Self-dissolved fixation brace: The structure of the self-dissolving brace is synthesized from the polymerization reaction of carbon derivatives from nature. This is the most superior form of material currently used for orthopedic injuries, with the advantages of non-toxicity and non-deformation, corrosion, high biocompatibility, and good mechanical strength.
Technique of bone fusion splints with carbon composite splints is similar to the steps with metal splints, but without the need for tools to compress the fractures, not to use compression screws, and without additional bone grafting. still highly effective.
3. Jaw surgery at Vinmec Times City
Hiện nay tại Bệnh viện Đa khoa Quốc tế Vinmec Times City đã áp dụng phương pháp phẫu thuật chỉnh sửa xương hàm
Applied only to patients with deformity, malocclusion, sequelae of maxillofacial fracture, cleft palate.
With a team of well-trained and specialized doctors in this type of technique. Was examined and treated by MSc Nguyen Dang Dai - Aesthetician, Vinmec Times City International Hospital. With many years of experience in the field of Orthopedic Trauma, Aesthetic Plastic Surgery.
Equipped with modern facilities and equipment, transparent and clear examination process.
Examination with a surgeon, orthodontist, paraclinical to assess the medical condition, plan, evaluate the need for orthodontic treatment or not before surgery. Orthodontics before surgery if necessary, prepare surgical troughs Surgery After surgery, patients will be monitored for obvious symptoms such as bite into the intended position, harmonious facial proportions, swelling in the area. short time after surgery.
For any questions about facial bone correction techniques, customers can contact the hotline: 0243 9743 556 for direct advice.
