Svyryda O. S.

COMPARATIVE ANALYSIS OF INTRA- AND EXTRA-ORAL METHODS OF PERFORMING METAL-OSTEOSYNTHESYS OF MANDIBLE

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About the author:

Svyryda O. S.

Heading:

LITERATURE REVIEWS

Type of article:

Scientific article

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The article presents an extensive literature review focused on a detailed analysis of intraoral and extraoral metal osteosynthesis techniques for mandibular fractures. It examines the historical development of metal osteosynthesis methods, their evolution, and current trends in selecting the optimal surgical approach for treatment. The study explores the epidemiology, classification, and clinical characteristics of various types of fractures, including traumatic injuries of different origins, such as sports injuries, road traffic accidents, and domestic incidents. Particular attention is given to fractures localized in the frontal region, the mandibular body, and the mandibular angle. A thorough analysis of contemporary osteosynthesis methods is provided, including intraoral and extraoral approaches, their respective advantages and disadvantages, and their application depending on the fracture’s location and nature. Special focus is placed on the comparative evaluation of different fixation techniques, encompassing various types of titanium plates, screws, and other fixation elements. The study also explores the selection of optimal designs and materials, as well as the prevention and management of potential postoperative complications. These complications include nonunion or delayed fracture consolidation, sensory disturbances due to inferior alveolar nerve damage, impaired blood supply to bone fragments caused by excessive periosteal stripping, infectious complications, and aesthetic defects. Based on an extensive literature review, an algorithm for selecting the optimal treatment strategy for mandibular fractures is proposed. This algorithm facilitates an individualized approach to each clinical case, enhances prognosis, ensures a high level of functional and aesthetic rehabilitation, and minimizes postoperative complications. Ultimately, this contributes to reducing the patient's hospital stay duration and improving overall treatment outcomes.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 1, 176, 86-91 pages, index UDC 616.716.4:616.314-089.23-07

DOI:

10.29254/2077-4214-2025-1-176-86-91