[History of development of the Department of Dental and Maxillofacial Surgery, Russian Medical Academy of Postgraduate Training].
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Biomedical subjects
Publications and source records attributed to V A Sukachev.
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A clinical example of effective treatment of an adult patient with combined deformations of the jaws (upper prognathism of the third degree and open occlusion of the second degree) is reported. Fragmented osteotomy of the maxilla at the level of symmetrical removal of second molars is performed. Due to Engle's arches soldered with Vasil'ev's splint and compression, a maxillary fragment was shifted 10 mm backward and downward at the expense of compressing the inter-root septae; the first molars were preserved. Diastemata and tremata between incisors of both jaws were eliminated by the same method.
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The authors have generalized the experience of treatment of 82 injured with injuries of condylar processus fracture treatment of the lower jaw. By a surgical way were successfully eliminated posttraumatic ankylosis and contracture of temporomandibular articulations with use of titanium endoprosthesis and semi-joints. The osteosynthesis of condylar processus of the lower jaw by titanium miniplates and screws was also practiced.
Potentialities of titanium plates and endoprostheses of the condyle processes in replacement of the postoperative defects of mandibular bone tissue are discussed. A recently developed Russian kit of titanium plates and instruments and specificities of plasty to repair bone defects using this kit are described. The results of surgical repair in 5 patients subjected to resection of the mandible with exarticulation for tumors or osteomyelitis aftereffects were good: the oval of the face and mandibular function were repaired.
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