Open reduction, osteosynthesis of the upper jaw

For complex fractures of the upper jaw, doctors use the osteosynthesis method to completely restore the integrity of the bone. This method allows you to treat all types of bone damage, to achieve a good functional and aesthetic result.

In the clinics of MN Dobrobut, osteosynthesis of the upper jaw is carried out, directly and indirectly, the technique of the operation is selected by maxillofacial surgeons individually for each patient. The cost of osteosynthesis is calculated at a doctor's appointment, the cost of the selected fixators is added to the total amount.

Types of osteosynthesis

The operation is performed under general anesthesia. First, surgeons perform reposition - the restoration of the correct position of bone fragments, after which the fragments are fixed by osteosynthesis.

There are 2 main methods of osteosynthesis:

1. Straight. The fixators are applied directly to the ends of bone fragments: on the surface of the bone or intraosseously along the fracture line. For this purpose, screws, pins, needles, miniplates, and bone sutures are used.
2. Indirect. The fixators are attached to the bone at some distance from the fracture site. In this case, doctors use extraoral devices, circular ligatures with splints.

Indications and contraindications

Open reduction and osteosynthesis of the upper jaw are performed in case of bone fractures with displacement when it is impossible to restore the integrity of tissues without surgery.

Standard contraindications for surgery include acute infectious diseases and a period of exacerbation of chronic pathology, as well as the decompensated state of the patient and problems with blood clotting.

Rehabilitation

It takes up to 5 months for complete tissue healing and the formation of callus. To speed up this period, the patient can be prescribed physiotherapy methods, special hygiene, and antiseptic treatment of the oral cavity. For the return of chewing and speech-forming functions, a complex of special gymnastics is recommended.

To learn more about the methods of osteosynthesis that will be effective in your particular case, come to the doctor's appointment at the Dobrobut clinic in Kyiv. To make an appointment for a consultation, call or leave a request on the website.

Bibliography

1. Шалоня, Н. В., Е. Н. Панюшкина, and О. Н. Савицкая. Применение минипластин для реконструктивного остеосинтеза. Forcipe Приложение (2019).
2. Журавлев, Валерий Петрович, et al. Способ лечения пострадавших с повреждениями верхней челюсти. Проблемы стоматологии 5 (2010).
3. Петренко, Владимир Александрович, et al. Способ остеосинтеза переломов верхней челюсти. (2010).